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DEMO-0504-2022 Office Use Only DEMOLITION APPLICATION Permit#: yV4120 0 Permit Fee: $ l(v S- GO Town_of Qumnns6ury Invoice#: D v' 742 Bay Road,Queensbury,NY 1280 LN P:518-761-8256 www. ueensbur n AUG 5 2022 Flood Zone? Y Reviewed By{� � TOWN OF QUEENSBURY BUILDING&CODES Demolition Location: R6-d ll S b Tax Map ID#: **AN ASBESTOS REPORT IS REQUIRED WITH ALL DEMOLITION APPLICATION SUBMISSIONS** DEMOLITION INFORMATION: d l 1. Where will demolition material be disposed? 2. Type of structure to be demolished: a. Residence b< 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 >- i. None e. Public Water 4: Have ALL utilities (water, electric, etc.) been disconnected? Yes No ADDITIONAL INFORMATION: 1. Two inspections are.required: an inspection to determine that utilities are disconnected, 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 applicatFon 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 a ree to the above: PRINT NAME: tVA,; iif.n -J� /`��tJ6L SIGNATURE: J /Y DATE: JS 2Z Demolition Application Revised June 2022 i CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL i • Applicant: Name(s): �� Mailing Address, C/S/Z: Z&5 I�-1.1dIVA22 l�ufz x xJy I an Cell Phone: .S/ 5btS;- 3L&8 Land Line: Email: &)V� dl71--7V6 t_ CF • Primary Owner(0: Name(s): Mailing Address, C/S/Z: Cell Phone: Land Line: Email: I' i Check if all work will be performed by property owner only • Contractor: (List all dditional contractors on the back of this form) Contact Name(s): lle-4!!z14-f C_� Contractor Trade: C-X e4ll,,+770nl Mailing Address, C/S/Z: �AS5- /�-c77-&71-H L1c o G 47VAf Cell Phone: 716 1720 Land Line: Email: /yc�ur2o t_`xe*VA7Jyf. ® Ys;l+tV, COAA "Workers' Comp documentation must be submitted with this application" ! Contact Person for any questions regarding this project: �— Cell Phone: ie5-/ S Land Line: Email: .�/ �ri�c=��c_ 6P C>M/ 1 , CoA Demolition Application Revised June 2022 ALE COPY CLEARVU �{ I N S P E C T I O N S 518.832.9213 roan@clearvuinspections.com 1 18 Blackberry Lane,Queensbury,NY 12804 1 ' Asbestos Clearance August 12,2022 D v Don Vittengl AUG 15 2022 165 Mannis Road TOWN OF QUEENSBURY Queensbury, NY 12804 BUILDING&CODES 518.505.3668 donvittengl@Qmail.com RE: 161 Mannis Road,Queensbury, NY 12804 Multiple flooring materials, located in the kitchen, identified in the asbestos survey performed on July 26,2022 are deemed regulated asbestos containing materials. This area is slated to be disturbed during the demolition process of the home. Since the asbestos survey,the homeowner (second home) has removed the asbestos containing materials and has thoroughly cleaned the work area(s). In accordance with ICR 56-9.1(d), 56-9.2(e)(2)and ASTM E1368: ClearVU Inspections certifies Ryan Wild has visually inspected the work area and all surfaces. These surfaces include but are not limited to pipes, beams, ledges,walls,ceiling and floor. Ryan Wild, accompanied by the homeowner,observed the contaminated areas and deems it to be complete with no visible dust, debris,or residue apparent on any surface within the work area. Sig d: Ryan ild ClearVU Inspections Asbestos Handling License-282890 Asbestos Building Inspector-879660 Project Monitor&Air Sampling-883631 I, Donald Vittengl, hereby agr e the ove nformation is correct and that I, as the homeowner,am the sole individu� who 71r ed th ork rea. Signed: New-York State r-Department=of. abor Division ofisafety and Health Y .' License and Certificate Unit j r State Canpus Building 12 ✓ �, <' Albany,-NY;122ze ASBESTOS HANDLING LICENSE � ' y C' ative.Spaces>II,L C dba ClearVU�lnspections({ FI NUMBER: /f' ' -' LICENSE NUMBER:'�282890✓ � ''� �, f j/ �=Fet�y r y18;Blackberry Lane ,, LICENSE CLASS: RESTRI'C�TE}D 'a DATE OF ISSUE: 01/28/2022 ` '' a ! EXPIRATION DATE: 01/31'/2023 A ueensbrury;NY 128G04, �� _y_� e �. �� } .S •e i Y ` e, _t__ 4na _ �J a•�Y !.Y y tJ �..Iz DulyAuthoriz{e{ d99.Representativep Ryan�wlld: This li`cer has been issued in acc"ordarice'with`applicable=ptouisions}o' Article 301 of the Labor Law of New YorkfState-and of:'. � -� l t i��'i , .I . �I�,, ' . - ,,� i 1 IP r: f!a, the New�Yoik�State Codes,Rules an,'d`l�egulations. lIfti RPart 5.6),It-is1su"ect to suspepSion or revocation for a(1)-As Violation 1}{t fh' b�I" a-9}�i f .El P• serrous violation of-state,federal or:lpca'1 laws with egardito tie c ndust_ofianasbestos pro�eet,or(2)demo -of . d�o-,t • .a��ia�4l�ct, �' p _ responsibility m the conduct of any job%mvolvingiasbes os-or-asb6iosmaterial. `ate .=� .�' This license invalid only for the c tractor na ned;above and--th license otphotocopy_-must.berp�rominently displayedrat,the' asbestos project wo ksiee This•license verifies tha��lepersons:emplloy_ed-, l the licensee on an= estos proj'e�ct -New Yor..k State have lieeri assued an Asbestos Certificate;appropnate for the,type�of work-they perform,by the'New York State Department of Lzabor. ,✓r` — ;�,{ ; �:`• �� `'�,�'` tea,`"�- ''. 4� ,�� ...,_„may `�...:.—_ ._...„�._.,..'•�'�� J� � fir`/° Amy Phillips,Director SH 432(8112) For the Commissioner of Labor STATE OF NEW YORK`- DEPARTMENT OF,LABOR � - ASBESTOS CERTIFICATE i ti'. RYAN-P=WILD, -CIASS(EXPIRES.)` C ATEC(05/23):'D=1NSP(05]23),'i . } , H PM (05/23) 1 PD i' CERTit 21' 01 28`-. . DMV.# 1IS699618.' MUST BE CARRIED O.N;ASBESTOS PROJECTS ._ ___�__. nunnuiunmmo�in� �•, IIIIIIII l IIIII I'll'III�I I'll IF FOUND RETURN TO: , EYES BRO NYSDOL - L&C UNIT a HAIR BRO ROOM 161A BUILDING 12 =�o ma ch HGT 6' 0311 STATE OFFICE CAMPUS —o �o ALBANY NY 12240 =N AL �O t4 RYA-N WILD .6ae®' I • •- Ip LEAR V • e • I N S P E C T I O N S p Lucas Environments . c'mce5, LLC MM IN 75 Pleasant Ave. 99 Hill Rd. u Schaghticolce,NY 12154 Kingston,NY 12+01 518-222.-9027(Office) 845-+81-3329(Branck) 08/09/2022 Don Vittengl, Lucas Environmental Services,LLC located at 75 Pleasant Ave Schaghticoke, NY 12154 and 99 Hill Rd.Kingston,NY 12401, asbestos license number 124431 completed regulated waste disposal of the listed asbestos containing materials at 161 Mannis _ Rd:.Queensbury,NY 12804.Disposal activities were completed in accordance with ICR56, EPA,and all local guidelines.RACM waste was properly packaged and disposed of in accordance with current regulated waste disposal regulations. Please don't hesitate to contact our office if you have any questions. ■ Disposal of approximately 20 square feet(4 bags)asbestos containing flooring generated within the above referenced address. Regards, Kevin Mathisen NYSDOL Cert#06-03034 Lucas Environmental Services,LLC office()lucasenv.com 518-222-9027(Albany) 845-481-3329(Kingston) I.,a7E3LCT�GFRTtik:ia7E P3's�r Kk N 04 MAYFti1SEN f1A5�ExF�7f5T ' 4 1 i I '4 Pts PRc3�[Ci�_.........._ 1 of 3 E.RA.AGENCY EI CT MA,RI,VT,NH,ME NY GENERATORS # 210278 GENERATORS EPA Region 2 EPA New England 290 Broadway,26th Floor EMERGENCY RESIPONSE 3 Barker Drive•A'allimlord.CT(16-IQ2 I Congress Street New York,NY I0007-1856 rELEPHONE(203)269-8300-Fax: 269-8o00 Boston,MA 02114-2023 (212)637-3000 (617)918-1111 TK# ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Number P.O.0- GENERATOR/BUILDING OWNER Contractor Address Address CitW� � .State ip City aL, State,, Phone Number Telephone Number,— 71, �2�� C:54 S �� Date Container Del,�' L Date of Pickup GENERATING LOCATION Type of Container VOLUME C7Y Friable Non-Friable❑ Address MUST BE iN CUBIC YARDS City State Zipz/ Bag p;—' Drum❑ Wrapped❑ Other❑ 96 V4_0_'L l Az zj /-7 hone u bar RQ,NA2212,ASBESTOS,9,PG III :L a I certify the above named material does not contain free liquid as defined by 40 CFR pad 260.10 or any applicable state law,is not a hazardous waste as defined by 40 CFR part 261 or any applicable state law,has been property descrioed.classified and packaged,and is in proper condition for transportation according to NESHAP standards for asbestos waste disposal found in 40 CFR part 61.150. Shippers Certification:I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified.packaged. marked and labeled!placarded.and are in all respects in proper condition for trans d according to applicable international and national government regulations. AUTHORIZED SIGNATURE�� Transporter 1: Name Address Telephone 0 f. Driver: Registration Date: Signature Stale!# Certification Date_— --- I hereby certify that llie contents of this shipment are in all respects in the proper condition for transport according to applicable international,federal ,state and local regulati-ons. Transporter 2: TransWaste,Inc.,3 Barker Drive,Wallingford,CT 06492 (203)269-8300 Driver: Registration#: Date: Signature State i t Certification Date I hereby certify that the contents of this shipment ire!n all respects in the proper condition for transport accoindinq to applicable international,federal,state and[Mal rogdali'1113. Transporter 3: TransWaste,Inc-3 Barker Drive, Name Address Tcicephmet 9 Driver: —Registration 9: Date: Signature State 19 Certification Date-_-—-------------- I hereby cerzL that the contents of this shipment are In all respects in the proper condition for transport according to applicable international,fedora;.state.and local regulat. Site Minerva Enterarises Site E]: Modern Landfill Site [_]: Hakes Landfill Site El: Address: 9000 ffilnerva S.E. Address: 4400 Mount Pisgah — — — Address: 4376 Manning Ridge Rd. Address: WaVrilesburg,OH 44688 York,PA17402 Painted Post,NY 14870 Phone: 330-866-3435 — Phone: 717-246-4615 Phone: 607-937-60,44 Phone: it Indicate Any Discrepancies Certification of receipt of materials covered by this manifest. I hereby certify that the above named material has been accepted and to[tie best of my knowledge the foregoing is true and 8CCLirate. Name of Authorized Agent Signature Receipt Date GENERAT(IR 2 of N.ew York State Departmenttof,Laboi-� Division ofSafetyand AealtI r License and bertficate,ll State Campus;Building 12 Albany,.NY 122240 r ASBESTOS HANDLING LICENSE Lucas Env1ronmental'Services,LLC '--FILE NUMBER: 1g�12443 y} te\ � �. r LICENSE NUMBER:�.1'2,443"('�_,.�^' 7�5=Pleasant Ave. LICENSE CLASS: FULL ay - w 1 E ' x DATE OF ISSUE: 02/03/2022 �Schaghticoke/;NY 12g54 EXPIRATIOL4 DATE: 02/24i2023 _ A _/ iC— C fl L• r177•aaav�} 5 Duly Authorized Representative-V Kevig Mlfithisen`_ �hizicense,has'�een issued in accordance with ap h'c"9ble-io'visions o Artic1 30'of the Labor Law of New York State and of (xrt�x ,g� ,pt.P— P ,..r ,t -=i=-1rn-t. tr.:a $w �he Ne-w;Yoik-State Codes,Rules and•Re ulation§-�i12:NYCR'R Part 56. 'Iiis.•s bject to suspension or revocationrfor a(1)� t t-t. G:,;w."t` q t 1 xT 1CC�• I: )ri�� - d 'S P,i s eS Y/ \�. serous vtolati�n of state,federal of local 1,aEvs with gar iito�,the conduc of anrasbesto,project or(2)demonitrated-lack of respons,ibil ty m the conduct of any�owigg.olving6asbestos orasbdstos` at nal: This'licerRse is valid only for the contractor natnedibo a and,}i`s icense or a p dto, opy must be;`p minently displayed,at the asbestos project.worksife�`+}This•lieense verifes thaball ersons-emplo ed;by*the lice'gsee on an=asbestos proje`cfin-New York State have beenssued a�Ab Sstos Certificate;'app[op ate fo [he typelo"f work-they perform,by the New York-State Department of Labor�. Amy Phillips,Director SH 432(8112) For the Commissioner of Labor 3 of 3 0 PV P'l • jg Blackberry Lane sbury,NY 12904 ri clearyminsPe-c110-nscom-L IVIJ2.9213 ou . CLEAR % I %9& 1 N S p F- C T 1 0 11 S 152022 pUG allEENSB URY TOW OF' CODE ILDING u,ry ey Pre -Demol tion yk (D 4:N 3 0 :K 2 PA o =3 PA Ch o c C PREPARED FOR PROJECT NUMBER Don vittengl 10127 165 mannis Road - ry,NY 12804 aueensbu SITE LOCATION By Second Home PREPARED 161 mannis Road York 04 Ryan Wild aueensbury,New. 128 19 Blackberry Lane York 12804 aueensbury,New RY ,()\Pqtq()F QUEEIIS"" MAF-1 bF-PAP TOWN OF Q DEPT- 6,sed on our - & cOOES �be SUILNNG C1 no',,-ifications Ifl construe as With Ouf P�av)s 81"6 S�,j�ding Codes 01 Vvpq ,,,Pfiance With ft- ,D,ate- Don Vittengl,161 Mannis Road,Queensbury,New York,12804 August 5,2022 Executive Summary Asbestos-Containing Material Field Survey Second Home 161 Mannis Road Queensbury, New York, 12804 I. SUMMARY OF FINDINGS On July 26,2022,an asbestos-containing material(ACM)field survey was conducted at 161 Mannis Road 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 Don Vittengl. 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 56 samples were collected from 20 suspect homogenous materials. Summary Table of Asbestos-Containing Materials fY:'"ra, :yF.aro= '•y. .> . iK' 'p, ^.;fir. .f%j`e ::lY•- .J•ll,pii' ..d' ,.Y`;C�w i;j:.: at-"d�5`3y+.i,n.4';a.' , Y' .:ar,'��r„„� �'' :', ;� u'�"' ,{• ,"Y". `';�pt'•;�a„ .t.`,' ";1:�v� '":,;r,.' � +:'. .t,,;i.' "3. "? `�,^` ...a,F. ,.� � '°;s�;�:;t;�yb.� �,.;'3,,,,;,;t �; .�;�Er. ,fE;�,=x>'�':. m ,,ee:r:�Q ;kr u •.1s' ` »; ?.trs. of,. ,c ;,s.;Pv ,n.:'t b.;lr3F,> .,'}"r•y�i,,.,�e.- .., .m y$:' !i,',Ggf>.n;::f„'`u ;w- .:a�,t>��a:'i 'ir,-✓ 010A-Floor Tile Top Layer Kitchen 29%Chrysotile Miscellaneous Non-Friable Good 200 SF 010A-Sheet Adhesive Bottom Layer Kitchen 6.6%Chrysotile Miscellaneous Non-Friable Good 200 SF ***Electrical was on during the survey and electrical insulation was not sampled*** Following the introduction, 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 photographic log is provided in Appendix D of this report.The original chain of custody&laboratory analytical reports are located in Appendix F of this report. Page 2 of 13 Don Vittengl,161 Mannis Road,Queensbury,New York,12804 August 5,2022 INTRODUCTION GENERAL INFORMATION ClearVU Inspections was retained by Don Vittengl to conduct a pre-demolition 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 renovation/demolition/rehabilitation 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.Return sampling is billed separately. LIMITATIONS&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.Buildings where power is connected, electrical wire sheathing could not and was not sampled. 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 metal,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 3 of 13 Don Vittengl,161 Mannis Road,Queensbury,New York,12804 August 5,2022 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(1%). Materials found to contain asbestos at concentrations of less than one percent(<I%) 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(<I%)continues to be covered by OSHA Construction Standard 29 CFR 1926.1101. Eurofins 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 4 of 13 Don Vittengl,161 Mannis Road,Queensbury,New York,12804 August 5,2022 Appendix A: ACM Homogenous Area Table wv "S'r .06 V L,NO 112-04r, Mil Wh Pw N 010 010-Brown Floor Tile Kitchen First Floor Non- Good Greater Than 1% 200 SF w/Adhesive Friable Asbestos by Lab(ACM) 015 015-White Floor Stairwell Second Non- Damaged Less Than or Equal to 1% 120 SF Leveling Compound Floor Friable Asbestos by Lab(Trace) Page 5 of 13 Don Vittengl,161 Mannis Road,Queensbury,New York,12804 August 5,2022 Appendix B: Tested Negative Homogenous Material Table !M� gg al" '$Ott AY"A Miscellaneous 001 001-Gray Masonry Block exterior First Floor Tested Negative by Lab(No (CMU) Asbestos Detected) Miscellaneous 002 002-Gray Masonry Block chimney First Floor Tested Negative by Lab(No Mortar Asbestos Detected) Miscellaneous 002 002-Gray Masonry Block exterior First Floor Tested Negative by Lab(No Mortar Asbestos Detected) Surfacing 003 003-Stone Foundation Mortar exterior First Floor Tested Negative by Lab(No Material Asbestos Detected) Miscellaneous 004 004-Gray Parge exterior First Floor Tested Negative by Lab(No Asbestos Detected) Miscellaneous 005 005-Yellow Roofing exterior First Floor Tested Negative by Lab._(NIo Membrane Adhesive Asbestos Detected) Miscellaneous 006 006-Black Roofing,Composite exterior First Floor Tested Negative by Lab(No Shingle Asbestos Detected) Miscellaneous 007 007-Black gasket expansion exterior First Floor Tested Negative by Lab(No Asbestos Detected) Miscellaneous 008 008-Beige Furnace Cement Basement First Floor Tested Negative by Lab(No Asbestos Detected) Miscellaneous 009 009-Siding exterior First Floor Tested Negative by Lab(No Asbestos Detected) Miscellaneous Oil Oil-Black Carpet Adhesive Living Room First Floor Tested Negative by Lab(No Asbestos Detected) Miscellaneous 012 012-Orange adhesive carpet Back Porch First Floor Tested Negative by Lab(No Asbestos Detected) Miscellaneous 013 013-Beige Vinyl Flooring Bathroom First Floor Tested Negative by Lab(No Asbestos Detected) Miscellaneous 014 014-White Ceiling Tile with Bathroom First Floor Tested Negative by Lab(No Adhesive Asbestos Detected) Miscellaneous 014 014-White Ceiling Tile with Bathroom Second Tested Negative by Lab(No Adhesive Floor Asbestos Detected) Miscellaneous 016 016-Beige Vinyl Flooring Bathroom Second Tested Negative by Lab(No Floor Asbestos Detected) Miscellaneous 017 017-Joint Compound w/Tape Hallway Second Tested Negative by Lab(No Floor Asbestos Detected) Miscellaneous 018 018-White Gypsum Living Room First Floor Tested Negative by Lab(No Wallboard Asbestos Detected) Miscellaneous 018 018-White Gypsum Hallway Second Tested Negative by Lab(No Wallboard Floor Asbestos Detected) Miscellaneous 019 019-Brown backing insulation entryway- First Floor Tested Negative by Lab(No rear Asbestos Detected) Miscellaneous 020 020-Black underlayment- entryway- First Floor Tested Negative by Lab(No siding rear Asbestos Detected) Page 6 of 13 Don Vittengl,161 Mannis Road,Queensbury,New York,12804 August 5,2022 Appendix C: All Suspect Materials Sampled INA', 4 S 00 ''I t I�IRII�:�W 11 ere I w RK MEN H 4%INbffi OOIA exterior First Floor 001-Gray Masonry 0% Tested Negative by Lab Block(CMU) (No Asbestos Detected) OOIB exterior First Floor 001-Gray Masonry 0% Tested Negative by Lab Block(CMU) (No Asbestos Detected) 002A exterior First Floor 002-Gray Masonry 0% Tested Negative by Lab Block Mortar (No Asbestos Detected) 002E chimney First Floor 002-Gray Masonry 0% Tested Negative by Lab Block Mortar (No Asbestos Detected) 003A exterior First Floor 003-Stone Foundation 0% Tested Negative by Lab Mortar (No Asbestos Detected) 003B exterior First Floor 003-Stone Foundation 0% Tested Negative by Lab Mortar (No Asbestos Detected) 004A exterior First Floor 004-Gray Parge 0% Tested Negative by Lab (No Asbestos Detected) 004B exterior First Floor 004-Gray Parge 0% Tested Negative by Lab (No Asbestos Detected) OOSA exterior First Floor 005-Yellow Roofing 0% Tested Negative by Lab Membrane Adhesive (No Asbestos Detected) 005B exterior First Floor 005-Yellow Roofing 0% Tested Negative by Lab Membrane Adhesive (No Asbestos Detected) 006A exterior First Floor 006-Black Roofing, 0% Tested Negative by Lab Composite Shingle (No Asbestos Detected) 006B exterior First Floor 006-Black Roofing, 0% Tested Negative by Lab Composite Shingle (No Asbestos Detected) 007A exterior First Floor 007-Black gasket 0% Tested Negative by Lab expansion (No Asbestos Detected) 007E exterior First Floor 007-Black gasket 0% Tested Negative by Lab expansion (No Asbestos Detected) 008A Basement First Floor 008-Beige Furnace 0% Tested Negative by Lab Cement (No Asbestos Detected) 008B Basement First Floor 008-Beige Furnace 0% Tested Negative by Lab Cement (No Asbestos Detected) 009A exterior First Floor 009-Siding 0% Tested Negative by Lab (No Asbestos Detected) 009B exterior First Floor 009-Siding 0% Tested Negative by Lab (No Asbestos Detected) 010A Kitchen First Floor Multi-layer Parent Material 010A-'Adhesive Kitchen First Floor 010-Brown Floor Tile 0% Tested Negative by Lab w/Adhesive (No Asbestos Detected) 010A-Floor Tile Top Kitchen First Floor 010-Brown Floor Tile 29%Chrysotile Greater Than 1% Layer wl Adhesive (Serpentine group) Asbestos by Lab(ACM) 010A-Sheet Adhesive Kitchen First Floor 010-Brown Floor Tile 6.6%Chrysotile Greater Than 1% Bottom Layer w/Adhesive (Serpentine group) Asbestos by Lab(ACM) 010A-Sheet Vinyl Kitchen First Floor 010-Brown Floor Tile 0% Tested Negative by Lab wl Adhesive (No Asbestos Detected) 010E Kitchen First Floor Multi-layer Parent Material Page 7 of 13 Don Vittengl,161 Mannis Road,Queensbury,New York,12804 August 5,2022 ' ri "" "0"kb ' �,fil not 1 oA"N i 1 am 010B-Adhesive Kitchen First Floor 010-Brown Floor Tile N/A Assumed Positive(Not w/Adhesive Tested by Lab) 010B-Flor Tile Top Kitchen First Floor 010-Brown Floor Tile N/A Assumed Positive(Not Layer w/Adhesive Tested by Lab) 010B-Sheet Adhesive Kitchen First Floor 010-Brown Floor Tile N/A Assumed Positive(Not Bottom Layer w/Adhesive Tested by Lab) 010B-Sheet Vinyl Kitchen First Floor 010-Brown Floor Tile 0% Tested Negative by Lab w/Adhesive (No Asbestos Detected) 011A Living First Floor 011-Black Carpet 0% Tested Negative by Lab Room Adhesive (No Asbestos Detected) 011E Living First Floor 011-Black Carpet 0% Tested Negative by Lab Room Adhesive (No Asbestos Detected) 012A Back Porch First Floor 012-Orange adhesive 0% Tested Negative by Lab carpet (No Asbestos Detected) 012B Back Porch First Floor 012-Orange adhesive 0% Tested Negative by Lab carpet (No Asbestos Detected) 013A Bathroom First Floor Multi-layer Parent Material 013A-Adhesive Bathroom First Floor 013-Beige Vinyl 0% Tested Negative by Lab Flooring (No Asbestos Detected) 013A-Flooring Bathroom First Floor 013-Beige Vinyl 0% Tested Negative by Lab Flooring (No Asbestos Detected) 013B Bathroom First Floor Multi-layer Parent Material 013E-Adhesive Bathroom First Floor 013-Beige Vinyl 0% Tested Negative by Lab Flooring (No Asbestos Detected) 013B-Flooring Bathroom First Floor 013-Beige Vinyl 0% Tested Negative by Lab Flooring (No Asbestos Detected) 014A Bathroom First Floor Multi-layer Parent Material 014A-Adhesive Bathroom First Floor 014-White Ceiling Tile 0% Tested Negative by Lab with Adhesive (No Asbestos Detected) 014A-Ceiling Tile Bathroom First Floor 014-White Ceiling Tile 0% Tested Negative by Lab with Adhesive (No Asbestos Detected) 014E Bathroom Second Multi-layer Parent Floor Material 014E-Adhesive Bathroom Second 014-White Ceiling Tile 0% Tested Negative by Lab Floor with Adhesive (No Asbestos Detected) 014E-Ceiling Tile Bathroom Second 014-White Ceiling Tile 0% Tested Negative by Lab Floor with Adhesive (No Asbestos Detected) 015A Stairwell Second Multi-layer Parent Floor Material 015A-Adhesive Stairwell Second 015-White Floor 0.56%Chrysotile Less Than or Equal to 1% Floor Leveling Compound (Serpentine group) Asbestos by Lab(Trace) 015A-Leveling Stairwell Second 015-White Floor 0% Tested Negative by Lab Compound Floor Leveling Compound (No Asbestos Detected) 015A-Underlayment Stairwell Second 015-White Floor 0% Tested Negative by Lab Floor Leveling Compound (No Asbestos Detected) 015B Stairwell Second Multi-layer Parent Floor Material Page 8 of 13 Don Vittengl,161 Mannis Road,Queensbury,New York,12804 August 5,2022 W rttfflft'w t ftolv I, ,015B-Adhesive Stairwell Second 015-White Floor 0.56%Chrysotile Less Than or Equal to 1% Floor Leveling Compound (Serpentine group) Asbestos by Lab(Trace) 015E-Leveling Stairwell Second 015-White Floor 0% Tested Negative by Lab Compound Floor Leveling Compound (No Asbestos Detected) 015B-Underlayment Stairwell Second 015-White Floor 0% Tested Negative by Lab Floor Leveling Compound (No Asbestos Detected) 016A Bathroom Second 016-Beige Vinyl 0% Tested Negative by Lab Floor Flooring (No Asbestos Detected) 016E Bathroom Second 016-Beige Vinyl 0% Tested Negative by Lab Floor Flooring (No Asbestos Detected) 017A Hallway Second Multi-layer Parent Floor Material 017A-Joint Hallway Second 017-Joint Compound 0% Tested Negative by Lab Compound Floor w/Tape (No Asbestos Detected) 017A-Tape Hallway Second 017-Joint Compound 0% Tested Negative by Lab Floor w/Tape (No Asbestos Detected) 017B-Joint Hallway Second 017-Joint Compound 0% Tested Negative by Lab Compound Floor w/Tape (No Asbestos Detected) 017E-Tape Hallway Second 017-Joint Compound 0% Tested Negative by Lab Floor w/Tape (No Asbestos Detected) 018A Hallway Second 018-White Gypsum 0% Tested Negative by Lab Floor Wallboard (No Asbestos Detected) 018B Living First Floor 018-White Gypsum 0% Tested Negative by Lab Room Wallboard (No Asbestos Detected) 019A entryway- First Floor 019-Brown backing 0% Tested Negative by Lab rear insulation (No Asbestos Detected) 019E entryway- First Floor 019-Brown backing 0% Tested Negative by Lab rear insulation (No Asbestos Detected) 020A entryway- First Floor 020-Black 0% Tested Negative by Lab rear underlayment-siding (No Asbestos Detected) 020B entryway- First Floor 020-Black 0% Tested Negative by Lab rear underlayment-siding (No Asbestos Detected) Page 9 of 13 Don Vittengl,161 Mannis Road,Queensbury,New York,12804 August 5,2022 Appendix D: Photo Log 777, 001-Gray Masonry Block(CMU),exterior, First Floor 003-Stone Foundation Mortar,exterior, First Floor 004-Gray Parge,exterior, First Floor 005-Yellow Roofing Membrane Adhesive,exterior, First Floor 713 MOM 77 7, N, 006-Black Roofing,Composite Shingle,exterior, First 007-Black gasket expansion,exterior, First Floor Floor Page 10 of 13 i Don Vittengl,161 Man nis Road,Queensbury,New York,12804 August 5,2022 i P6, 008-Beige Furnace Cement, Basement,First Floor 009-Siding,exterior, First Floor �' "3,. ';�? �, kits. •>��„ n�, bsa�rx 1`r a¢ vy fa <� S' ro' •i �i� '�i 5 a1' 5`f - 010-Brown Floor Tile w/Adhesive,Kitchen,First Floor 011-Black Carpet Adhesive, Living Room, First Floor .,IV. , nt, .• `,1 012-Orange adhesive carpet,Back Porch, First Floor 014-White Ceiling Tile with Adhesive, Bathroom, First Floor Page 11 of 13 Don Vittengl,161 Mannis Road,Queensbury,New York,12804 August 5,2022 015-White Floor Leveling Compound,Stairwell,Second 016-Beige Vinyl Flooring, Bathroom,Second Floor Floor Z ✓.�.f,,.,,.ire ;�!'9;�skii7i',r' ',�,''?�;(?;}"�:��'r.::x:�-YV"usY��i`�•t �:'3''Ea 019-Brown backing insulation,entryway-rear, First 020-Black underlayment-siding,entryway-rear, First Floor Floor Page 12 of 13 Don Vittengl,161 Mannis Road,Queensbury,New York,12804 August 5,2022 Appendix E: Chain of Custody&Laboratory Report Page 13 of 13 I Kati e u rofi n s CEI August 4, 2022 ClearVU Inspections 18 Blackberry Lane Queensbury, NY 12804 CLIENT PROJECT: 10127 LAB CODE: N220178 Dear Customer: Enclosed are asbestos analysis results for Asbestos Bulk samples received at our laboratory on July 28, 2022. The samples were analyzed for asbestos using polarizing light microscopy (PLM) and / or transmission electron microscopy (TEM) by New York State ELAP approved methods. Sample results containing >1% asbestos are considered asbestos-containing materials (ACMs) per EPA regulatory requirements. The detection limit varies with the method chosen for the analysis. Eurofins CEI is accredited by the New York State Department of Health (NYSDOH) Environmental Laboratory Approval Program (ELAP), certificate#12048. Kind Regards, lGti�� Tianbao Bai, Ph.D., CIH Laboratory Director 0 INViA TESTING NVLAP LAB CODE 101768-0 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 tiff e u rofi n s ICEI ASBESTOS ANALYTICAL REPORT By: New York State ELAP Method Prepared for ClearVU Inspections CLIENT PROJECT: 10127 LAB CODE: N220178 TEST METHOD: NYS ELAP METHODS 198.1, 198.4 REPORT DATE: 08/04/22 TOTAL LAYERS ANALYZED: 56 # LAYERS >1% ASBESTOS: 2 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 Asbestos Report Summary tieti e u rof i n s By: NEW YORK STATE METHOD CEI PROJECT: 10127 LAB CODE: N220178 ASBESTOS BULK, NEW YORK STATE METHODS e+.-,�3:r.,.;x:, :.a, ,,.- i,.ra.,..g "fi"'> .. .,.m.., �:..s_i'>:,�;s.fr,�.>_a�.cf� >.i�.<. ri:s.r.'�:.s>'.a�.. .-�^,z°x,.,s2�+�n'a!':..r�n7; •,<."'rz.«:i.",.t. :as'��.�ia;�:.u`e3:.,,T...,.�,:�• 001A N2744 Gray Masonry Block No Asbestos Detected.0% 001 B N2745 Gray Masonry Block No Asbestos Detected.0% 002A N2746 Gray Masonry Block Mortar No Asbestos Detected.0% 002E N2747 Gray Masonry Block Mortar No Asbestos Detected.0% 003A N2748 Gray Stone Foundation Mortar No Asbestos Detected.0% 003B N2749 Gray Stone Foundation Mortar No Asbestos Detected.0% 004A N2750 Gray Parge No Asbestos Detected.0% 004B N2751 Gray Parge No Asbestos Detected.0% 005A N2752 Yellow Roof Membrane Adhesive No Asbestos Detected by 198.4 005B N2753 Yellow Roof Membrane Adhesive No Asbestos Detected by 198.4 006A N2754 Black, Gray Roof Shingle No Asbestos Detected by 198.4 006E N2755 Black,Gray Roof Shingle No Asbestos Detected by 198.4 007A N2756 Black Gasket Expansion No Asbestos Detected by 198.4 007B N2757 Black Gasket Expansion No Asbestos Detected by 198.4 008A N2758 Beige Furnace Cement No Asbestos Detected.0% 008B N2759 Beige Furnace Cement No Asbestos Detected.0% 009A N2760 Brown Siding No Asbestos Detected.0% 009B N2761 Brown Siding No Asbestos Detected.0% 010A N2762A Brown Floor Tile Page 1 of 3 Asbestos Report Summary e u rof i n s By: NEW YORK STATE METHOD CEI PROJECT: 10127 LAB CODE: N220178 ASBESTOS BULK, NEW YORK STATE METHODS V"✓9`s"- �z;tr:+' -�;°:>r;,^ .!�'' '�YX;`-:r^ ':s,�%� —t,e�M` .rfi�-,n;..;,.,.�ya:r-�eQzr...ti"n;j�-: 'z�.;;�"r, .,.e:- .F'w." "'K�" ��%�� '_�_ ;� ;,;�Co .r."l��x:-c��,.�..�rr '� �a �a�_.,,,:ti�.:•,�� fa_4,x� �.,M,,,z'ia�.z :�.�r<��_.....�.�. ,.� :;�s,c�„tea:-, ">� :�u'.� �..��.:y,.r,,,,��k.w��^u.�. - -- N2762B -- Clear - Adhesive Insufficient Material --------------------------------------------------------------- N2762C White Sheet Vinyl No Asbestos Detected by 198.4 ----------- N2762D ------Beige -----Adhesive -----------------�� 010E N2763A Sample Not Analyzed per COC -------------- ---------------------------- ------- -------------- N2763B Clear Adhesive Insufficient Material ----------- ---------------------------------------------------- N2763C White Sheet Vinyl No Asbestos Detected by 198.4 ----------- ---------------------------------------------------- N2763D Sample Not Analyzed per COC 011A N2764 Black Carpet Adhesive No Asbestos Detected by 198.4 011 B N2765 Black Carpet Adhesive No Asbestos Detected by 198.4 012A N2766 Orange,Gray Carpet Adhesive No Asbestos Detected by 198.4 012E N2767 Orange,Gray Carpet Adhesive No Asbestos Detected by 198.4 013A N2768A Beige Flooring No Asbestos Detected by 198.4 --------------------------------------------------------------- N2768B Clear Adhesive Insufficient Material 01313 N2769A Beige Flooring No Asbestos Detected by 198.4 --------------------------------------------------------------- N2769B Clear Adhesive Insufficient Material 014A N2770A Off-white Ceiling Tile No Asbestos Detected by 198.4 ------------------------------------------------ --------- ------ N2770B Tan Adhesive No Asbestos Detected by 198.4 014B N2771A Off-white Ceiling Tile No Asbestos Detected by 198.4 ----------------------------------------------- ---------------- N2771 B Tan Adhesive No Asbestos Detected by 198.4 015A N2772A White Leveling Compound No Asbestos Detected.0% ----------- --- ------Tan ------Adhesive ------------------ ,f"--pa6% tr'R_ N2772C Dark Gray Underlayment No Asbestos Detected.0% Page 2 of 3 Asbestos Report Summary ®ti e u rof i n s By: NEW YORK STATE METHOD CEI PROJECT: 10127 LAB CODE: N220178 ASBESTOS BULK, NEW YORK STATE METHODS - ,�:. �Giieri�[D:,,:x..Y�:ati` r, I Ir�. �;:,•:; rnl• �p ao>.w . :�K�..�,. u 015E N2773A White Leveling Compound No Asbestos Detected.0% ----------- --- -- — ------ -----------------A Tan Adhesive N2773C — _ Dark Gray Underlayment No Asbestos Detected.0% 016A N2774 Beige Vinyl Flooring No Asbestos Detected by 198.4 016B N2775 Beige Vinyl Flooring No Asbestos Detected by 198.4 017A N2776A White Joint Compound No Asbestos Detected.0% ----------------- ----------------------------------- ----------- N2776B Cream Tape No Asbestos Detected.0% 017E N2777A White Joint Compound No Asbestos Detected.0% --------- -------- -------- -------------------------------------- N2777B Cream Tape No Asbestos Detected.0% 018A N2778 Gray Gypsum Wallboard No Asbestos Detected.0% 0186 N2779 Gray Gypsum Wallboard No Asbestos Detected.0% 019A N2780 Brown, Black Backing Insulation No Asbestos Detected by 198.4 019E N2781 Black, Brown Backing Insulation No Asbestos Detected by 198.4 020A N2782 Black Underlayment No Asbestos Detected by 198.4 020B N2783 Black Underlayment No Asbestos Detected by 198.4 Page 3 of 3 ASBESTOS BULK ANALYSIS Oe u rof ins By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220178 18 Blackberry Lane Date Received: 07-28-22 Queensbury, NY 12804 Date Analyzed: 08-04-22 Date Reported: 08-04-22 Project: 10127 ASBESTOS BULK, NEW YORK STATE METHODS s '"z': � r .8t:'..,. 2 ie'£„ '7";�'i.:u.:' i 3 ��F�, f�,t�i�„n�'E`f.�,"yr;., ,y.;:1" z;1F°;.:�dyw;F��,v's^.; .,� .s,.^•�p .sit.,.tf,�`E�'�,;5}:":';`:,, r`5�j�'v_ � "� '�}t..' :,. .t.'f>t� a, �. ..� .F.: ::ra>,�$,,�"�a�;�� •',;�.�• '�?,"• p�!�3+";:�f",.;,`?�.� `�a`<y rr�. ..�•, '�..;,:�':'a,�h xr}�Yat.c.."^'td��' i•�:�.'F..�„�d�u.uz.f�i.r �� .��. L*;ifa�,: �'�z� ,�.,. .# a' �;,, �e'"r..:s. >�Y,^,..c�':.H. ��'"a��a.;.Ya..,.�3 a�"•`�`p3.s'ra ��.....°:.,:..r-.'p,,,;,i,�.�al�>:e..,..�........ ......... g>...,.,.. � ,,,.i4,� a e,.:�,.er i�r'!:.zr',.�; ,.i1-i .�:�?�E,`s` w � �:`>�3;�7'.z.s�«.•F��».v"?d�:�.�.&�•':a;cif 001A Masonry Block Friable Gray Initial Observations: N2744 Cellulose <1% Binder 60% Silicates 40% Method: Final Results: 198.1 No Asbestos Detect6'obtal Asbestos: No Asbestos Detected.0% 001B Masonry Block Friable Gray Initial Observations: N2745 Cellulose <1% Binder 60% Silicates 40% Method: Final Results: 198.1 No Asbestos Detect5obtal Asbestos: No Asbestos Detected.0% 002A Masonry Block Friable Gray Initial Observations: N2746 Mortar Cellulose <1% Binder 60% Silicates 40% Method: Final Results: 198.1 No Asbestos Detectd'obtal Asbestos: No Asbestos Detected.0% 002E Masonry Block Friable Gray Initial Observations: N2747 Mortar Cellulose <1% Binder 60% Silicates 40% Method: Final Results: 198.1 No Asbestos Detectffibtal Asbestos: No Asbestos Detected.0% Page 1 of 16 ASBESTOS BULK ANALYSIS tie61 e u rof i n s By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220178 18 Blackberry Lane Date Received: 07-28-22 Queensbury, NY 12804 Date Analyzed: 08-04-22 Date Reported: 08-04-22 Project: 10127 ASBESTOS BULK, NEW YORK STATE METHODS ,:i,:, .�:�' ._,:�.�,, '�»' ...,a •.�,.,,,r; ��:"" ,,,+.,; :Z ur'r..'�ar.:Ni, s:3u;, �;3,,;,,,4.r'Ee'i:,.:at,..,,,.,z�::s:..;.- -i4r=�€+:. .o��y�r y.��P'°i�d4'te �.Cw ,. ;: 3r'� ✓..�k��:,t.�,.:'* ,f�.`.'a..', •.�:�;'�:�,.� Y.t �'d. 003A Stone Foundation Friable Gray Initial Observations: N2748 Mortar Cellulose <1% Binder 60% Silicates 40% Method: Final Results: 198.1 No Asbestos Detectfabtal Asbestos: No Asbestos Detected.0% 003B Stone Foundation Friable Gray Initial Observations: N2749 Mortar Cellulose <1% Binder 60% Silicates 40% Method: Final Results: 198.1 No Asbestos Detectd'abtal Asbestos: No Asbestos Detected.0% 004A Parge Friable Gray Initial Observations: N2750 Cellulose <1% Paint 2% Binder 60% Silicates 38% Method: Final Results: 198.1 No Asbestos Detectafttal Asbestos: No Asbestos Detected.0% 004B Parge Friable Gray Initial Observations: N2751 Cellulose <1% Paint 2% Binder 60% Silicates 38% Method: Final Results: 198.1 No Asbestos Detectd'abtal Asbestos: No Asbestos Detected.0% Page 2 of 16 ASBESTOS BULK ANALYSIS tiff e u rof i n s By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220178 18 Blackberry Lane Date Received: 07-28-22 Queensbury, NY 12804 Date Analyzed: 08-04-22 Date Reported: 08-04-22 Project: 10127 ASBESTOS BULK, NEW YORK STATE METHODS .. ,..-.y.�.:t `l: s:si.'i',';h`"'''c�,s`' ;�,a";" ,i F'i.`..,.yM;. ,;�:,OS.a}n�.}/.L�i�.' :7L.-:.��v��,sym;;.'c-�M,..,; �'�'6�:.%L�t:��:r I haN� :^dta.,:1��a 1.z-64�`:.-�eat.,:$c�;z�r�iag f"�,farr..�.,,.•,';�,,;ieex":.»,�:N��.I{+,t�',�•'dv��?�d°�,.u�p�.,•: .".,rf��.`�`'!:'VA (a�;�1,:•;:;'r'�ams^,:,�'#r.,>.?S�7?,'�.--1r,;p:;,:;�4',��n�rtE§,"s�",S;�-`'�t:'1•u�;":''�,§t;g;;';r.:.��.n'�,;;5.�.'t:<`A.p"::.:"�.,,„'.d.<.";.e,�.._,as'.r...:.m;':.s < a '+,n�..;�t;.'."fir. ��:;sti;;",g�:,�.,;.x'3�..;ci.':'.'!',:,t;✓ae go-s. (%...9 ,�� `%� `hA4u"X��k�R:!'.`Sd�!a., i�� Q kz? 4W� a^YlZ:.'.•?z�✓dH:q. r`.�s,i.a;�:v"..n��d�s r�'•..,,,,.,.� �Wi�'- �N�i�.... �=�G-,�„�.::` � r,". �'�D�ifir.'r:�•.a�.�✓i• u z s` a !,7'.e � �"" '�"�3 ,r._e.�"z"-.��::.ak<i.f=r$�: wv��::::.$...w`4• a�,s:a.:i.::�,:. 005A Roof Membrane NOB Yellow Initial Observations: N2752 Adhesive Matrix 100% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 005B Roof Membrane NOB Yellow Initial Observations: N2753 Adhesive Matrix 100% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 006A Roof Shingle NOB Black, Initial Observations: N2754 Gray Fiberglass 45% Matrix 55% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected Page 3 of 16 ASBESTOS BULK ANALYSIS e u rof i n s By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220178 18 Blackberry Lane Date Received: 07-28-22 Queensbury, NY 12804 Date Analyzed: 08-04-22 Date Reported: 08-04-22 Project: 10127 ASBESTOS BULK, NEW YORK STATE METHODS r>•r>. ¢ �,o ✓:,K• ..,. .;t. ...rzH... ;a+t•. ,,e ..w"e •tn"�r ,.esi; s:A, ..;,s„rr:. }•. :"a:::Y., �s '�;�' .'S...a.;: ,,,t',„ ..�:H:.y <;l'. _ ..r,v,;h"vi trw r,x:y :'aJ's' ;E'a;,.'':�..,.•.;;. ,•:::%'ii;?�,��"-:3'�1::`� '<I�"�_„ +•.`� ,, µ«�..; ?'?.:�. ,,.dfi•. ..s' .,.pi :•.`i< �r' �,,,k,.,. ,9.ti'i x,i*,<v. :'. '�i..,= .<- :,5'< >.':r` .B o ,"s%` •:a?" ,�t.a-.. ,n,s. ,s. '.'.�,mac.;,q:.;y;,' i, .+%'e'� <..'.N •'T,:';'•�: .��_. r•:Ci s,s ,:b:y:'5':`t".., ;Y."y T.,,§ ..�,��'r�.r �. .P�,!�J�:Y„ ..J...�, 'r`c'k _:k;.. .•l.4., .d.,, :.5.« 006B Roof Shingle NOB Black, Initial Observations: N2755 Gray Fiberglass 45% Matrix 55% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 007A Gasket Expansion NOB Black Initial Observations: N2756 Matrix 100% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 007E Gasket Expansion NOB Black Initial Observations: N2757 Matrix 100% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 008A Furnace Cement Friable Beige Initial Observations: N2758 Cellulose <1% Binder 60% Silicates 40% Method: Final Results: 198.1 No Asbestos DetectcTcbtal Asbestos: No Asbestos Detected.0% Page 4 of 16 I ASBESTOS BULK ANALYSIS ti® e u rof i n s By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220178 18 Blackberry Lane Date Received: 07-28-22 Queensbury, NY 12804 Date Analyzed: 08-04-22 Date Reported: 08-04-22 Project: 10127 ASBESTOS BULK, NEW YORK STATE METHODS }.dt a,sSYY.i ,y. 'd�:.:t,: w.yf.`ii i. ..:dh<.z ,sxl:ti:v 's.L'�i' _ j�i�;z r:4n� YCEy.:�'.; a•A av'-�'AiY;'::? "�:teS.: `'k�:ii.Y:S .Y:5��3. ,^ �, ',k,", ,iq ;•":1, �,y:; r,.�,l, .z;,« ¢�"-�3,r^i$Y't '9,c'"i,.Si';�,a<nc., .'s;;yam ey:, ,�:i"�'C., MS;' 4:.zf•� r(sri:.S ,•.�•.. ,fi.< •''fez, s��•:6;. .}r ,� ;^ dfl;�;i6?j^,x'xr"1"i: )i�ttt<ll� � 'b$�4`k`�,`' ,.�F,. Lt.ah'�' :arNi.,m '*.;c.b�.9� � i', ...,s ..y ::5*.,ba� �<,t'.y:, ',it .7:T. �`Si«a9, r:t;&°ifiti'$'.w"�'1�y'::;2'a;ct�-wr�: ,` rkvC.>:'-'<a• !.5 ^�,',-.�. ,s!I ..4':,,. �.�,"„..:,s.:s�5s.. a- '��" •'`' >",Y�,,f's.ir� :e`";:ri;..r„,::a:.Y-''.5yr;:_,�k r.;;''9e.,.:l.,w^a5.r„4= .,Y.t 1n5 _ .�,s,`' Y �,4x „zr,. e°;�� d `;a;«R �.r,,.a 'u-•s; .r;�' "�£ �':�;..'�,3 S 2z'.:.",',w '", ',� " Desc"r'i"titi`?-�Gr�'fs"`o,'�( ��,'R.>: ...�r... .�d., 3N.,�3,. ,.� .��". :Y.>.�...'+7'.ivra.-2T�:t�.,s:y'S:�s.✓c, a,4•� �.'R�.s '��' zv. �:�;$;'rY�ti'`,m;�:�-.I•,.; �" k-6`.bf':��:ifr"b�»J 008B Furnace Cement Friable Beige Initial Observations: N2759 Cellulose <1% Binder 60% Silicates 40% Method: Final Results: 198.1 No Asbestos DetectriTobtal Asbestos: No Asbestos Detected.0% 009A Siding Friable Brown Initial Observations: N2760 Cellulose 100% Method: Final Results: 198.1 No Asbestos Detectfabtal Asbestos: No Asbestos Detected.0% 009E Siding Friable Brown Initial Observations: N2761 Cellulose 98% Paint 2% Method: Final Results: 198.1 No Asbestos Detectaabtal Asbestos: No Asbestos Detected.0% 010A 1 NOB Brown Initial Observations: N2762A Floor Tile Matrix 71% Method: Final Results: Total Asbettos- 198.4 Chrysotile 29% ------------------------------------------------------------------ N2762B 2 NOB Clear Initial Observations: Adhesive Method: Final Results: Lab Notes: Insufficient sample for 198.4 analysis. Total Asbestos: Insufficient Material Page 5 of 16 ASBESTOS BULK ANALYSIS %ti e u rof i n s By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220178 18 Blackberry Lane Date Received: 07-28-22 Queensbury, NY 12804 Date Analyzed: 08-04-22 Date Reported: 08-04-22 Project: 10127 ASBESTOS BULK, NEW YORK STATE METHODS .�.s';r,"zr£a _ .ns'v �j., r.> x.t fin• S.v:,i,:.n.x s:t?+:.' <tk.� A` ':a r :!:Z,'r '„ia;:: °u>:`:x., °:�::y y}v;r`>,: 'r';+'r:=:•.+,. ,.t. .r`'ni,.' "fie, ..7""";�,..r i•° ;?a^r.:;:..,. .9.. .z.:.:;, 4 �4>'4h%ws,',¢kd r.i,� .rt,". i,.d. 'brt'.:.�,j,• - �ile�itrlD :r eCNllltlberM' 1. µ,ft eFGJ b 3�,1 La ;17 ri'ti' at�e'o�.�-. N2762C - 3 --- --NOB - White - -- Initial Observations Sheet Vinyl Cellulose 50% Matrix 50% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected ----------------------------------------- ------------------------- N2762D 4 NOB Beige Initial Observations: Adhesive Matrix 93% Method: Final Results: 198.4 Chrysotile 6.6% 01013 Sample Not Analyzed per COC N2763A ----------------------------------------- -------- ----------------- N2763B 2 NOB Clear Initial Observations: Adhesive Method: Final Results: Lab Notes: Insufficient sample for 198.4 analysis. Total Asbestos: Insufficient Material ------------------------------------- ---- ------------------------- N2763C 3 NOB White Initial Observations: Sheet Vinyl Cellulose 50% Matrix 50% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected Page 6 of 16 ASBESTOS BULK ANALYSIS tioti e u rof i n s By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220178 18 Blackberry Lane Date Received: 07-28-22 Queensbury, NY 12804 Date Analyzed: 08-04-22 Date Reported: 08-04-22 Project: 10127 ASBESTOS BULK, NEW YORK STATE METHODS ".wy f.sg'�, r°X.y:, v;;t'Y' i`,i;F"' .'fit ,S y r:,r' "r$y .r.tOt .,-;L<.. ,y A'4' :Y:�s�+rn✓,��"=�fi.-r'(e:��t$'.'fn1=;i'a�;Dr..ay.r�,a�,w;r{'^a-t t-.,`>,.'"ta�=s`''y,F r:"..�¢�t:„.'��(C'�?�".n�'=;�c r®y',,'ry.r..,;tJ,,,r'.'��'u=x�ya::'p��"iT:`"`-b�;.ke^F:..r,.3',:a:st�vtxvz�„:;'4,.;•.%rd.'a1;„s'�ue;;;t�`C a>'kmrA-n+s•'>'"�_q.''6_x-}n'..:�J.{i'`..d:"-k,'t.:,F,s";,'{�,s:.sa.�,�:t,a„.,a w";�aP,�.''`.'i�d,.C'a�K'�,'°�,.R..w'r,'"+4.�.kr!'"4.'S`:r''�,``,'S.s`'u�.'.;,T`,�,�zzi,':s;y:"�m�.�}.:�;;.,§a.?,.„r�'°..a.r,.=��i�::`^k�J.,°r:.;�,'��_4�.'„ °x,a'.i"„',�`,`,sA�`;,,;.�.�..,..,,i,F':;-. yx,.', :gi p[,*�z�;;;.hiz,,;,.��.�.aai:y,'��'r','.t�_, "'.�.':a•.±,;:r'°,3s-`�uGt.`�;:a`:;.�t,k l,a;p:.z.l:��e�;'e��.«r.r.,-5�; F 1., a ,. �Lab..lEl':'";�`'�-€;1-F4Y,:Cf<b;L7 11if t� �/[ xSXli� � :Yf��K�? d`:%'.� 3,�1 ,.�"'><, ��T:�,�i'i?s�a�r�4f. silt"'a ,��:a::., i5•:f�gi�T,.,;. 3i .2jag'•gn _ .t-.>�' ,"s ,..:�� .�a �,.,s�._ t-.,r.dwt�:,',�?':�„ ,�•uS`.^ a s4.� ^N2763D Sample Not Analyzed per COC 011A Carpet Adhesive NOB Black Initial Observations: N2764 Synthetic Fiber 2% Matrix 98% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 011B Carpet Adhesive NOB Black Initial Observations: N2765 Synthetic Fiber 2% Matrix 98% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 012A Carpet Adhesive NOB Orange, Initial Observations: N2766 Gray Synthetic Fiber 2% Matrix 98% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected Page 7 of 16 ASBESTOS BULK ANALYSIS tied e u rof i n s By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220178 18 Blackberry Lane Date Received: 07-28-22 Queensbury, NY 12804 Date Analyzed: 08-04-22 Date Reported: 08-04-22 Project: 10127 ASBESTOS BULK, NEW YORK STATE METHODS ..y.;.>.s uYn<' wE+•' f�:3'," .r?.� '.i.,=, - �fkug.x vT'3.. N-::K:>f.- .1... _ '<.5,:>'':Y. z' ox]F. mil':.':�.°.ts?>' 'kn'v. .:EE:;.,?'. ,L"�xY r'u_,f'.C"✓r/� .f, g"�5 ".''t%x � r P•,.:-i?'r.',`�°36.. t!. .,C:xa..Y'. ..i...--C, :,%ts, ttoa ..�+7-,„s>�'S='x A. e�ix✓ F "r'at%r`n'., svny'. ..;�.'.... �,t,�•r>y,,�F„E 012B Carpet Adhesive NOB Orange, Initial Observations: N2767 Gray Synthetic Fiber 2% Matrix 98% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 013A 1 NOB Beige Initial Observations: N2768A Flooring Matrix 100% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected ----------------------------------- ------ -------- ---------------- N2768B 2 NOB Clear Initial Observations: Adhesive Method: Final Results: Lab Notes: Insufficient sample for 198.4 analysis. Total Asbestos: Insufficient Material 013B 1 NOB Beige Initial Observations: N2769A Flooring Matrix 100% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected Page 8 of 16 ASBESTOS BULK ANALYSIS tiff e u rof i n s By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220178 18 Blackberry Lane Date Received: 07-28-22 Queensbury, NY 12804 Date Analyzed: 08-04-22 Date Reported: 08-04-22 Project: 10127 ASBESTOS BULK, NEW YORK STATE METHODS fa ',`" �:re ;tiC,.',ia, i' %Tx"•'ab;;: 'U ,a.. ;.�.b`t't'ri. «,ss; s;» _qr;. ;i��y";'a'X:.:,�:;.;,•x, e;�:.A:.:. 'rig" re,>• 'L'�'-:r,i,, k�a. M` �,a�.. ""�• .l�qr, fr' �;.s�.r:. ,a... <�Y;sg. .,st g.';3°„�';;:s. �.e .,y,•,..,�;9�;<s`.�`•a�. s� e •� �• �Yz apt.. �: �'r ,:`�>., °:�'.4•%3,�` ;�I:u�ii::' r'�`�;sr';�=''* wow` .c�� .,r'..:�0'.r�;0. :ri'`III��^..rw.. .$C��l� �?e� ': s;�� Sa ,,,�:'�"' ;�""'-''s<•..r;', vq.,{..,.�>vN,M: ��'1'�' k*n. �,, �'i„'k"%S�,lr rS�"�i3 >:2.:.' 'Y't M�„+4 k.Y. ;•�'. } .t ;.YttuA;'. r.;f n I;" V.. u,.r;.',`Y`•§' E,>,.,,nn T.'r...:Y�° 3:.�.'r w.4= 4tn5'. > ,.d`x.• u:t�^ ate a .a Golo�l � .s ..!_..,..!_p.. .9e.!'y'.�.::_ ;E:._..h... .,.& �•.?Y..eWn.1:� .,x^�r�wb a:;4i;'+i,?...r�4u+ i.ss r<- •Fz'}'�Z•rs ,?4 rspX,:.n��!!:ae3u.�,.'f�we�•'��il";>�r..i':vu s -N2769B - 2 - -NOB -Clear ---- -Initial Observations Adhesive Method: Final Results: Lab Notes: Insufficient sample for 198.4 analysis. Total Asbestos: Insufficient Material 014A 1 NOB Off-white Initial Observations: N2770A Ceiling Tile Matrix 100% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected N2770B 2 NOB Tan Initial Observations: Adhesive Matrix 100% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 014B 1 NOB Off-white Initial Observations: N2771A Ceiling Tile Matrix 100% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected Page 9 of 16 1 ASBESTOS BULK ANALYSIS 110 e u rof i n s By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220178 18 Blackberry Lane Date Received: 07-28-22 Queensbury, NY 12804 Date Analyzed: 08-04-22 Date Reported: 08-04-22 Project: 10127 ASBESTOS BULK, NEW YORK STATE METHODS -k :- ;a g„ `: ':j;, ati F✓>v; ...i;>,. -,.,r.:'::- 3 Ht.., to'_ ,r `;7 '',t., :z'`'.efk=",z: -'=•l.�.s . ° 2.a.:r`9.'-£'.�eF.z air, ,,:i ..y: :<:ma�;':`.•�:,.�;:::`''':.'.;u;. ti ..psi:�„ ':�'� '�F' .,"i�s :^,4:�^.`..".P:." x'L«:• �1 A ( �� v3` MFa, Mf{n j.; '•y,v'?`i„ '"d;' ,"�^` ,C,'`"v,.;', G.;•: +'dam" t✓.:: e ry r _ I:Ea�b�"L3:y �Lab:Desc i-tlo" :'Gte` x a .:� -N2771 B 2 a-s a-_-^NOB - Tan Initial Observations Adhesive Matrix 100% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 015A 1 Friable White Initial Observations: N2772A Leveling Cellulose 2% Binder 98% Compound Method: Final Results: 198.1 No Asbestos Detectd'cbtal Asbestos: No Asbestos Detected.0% ------------------------------------ ----- ------------------------- N2772B 2 NOB Tan Initial Observations: Adhesive Matrix 100% Method: Final Results: 198.4 Chrysotile 0.56% ------------------------------------- ----------------------------- N2772C 3 Friable Dark Gray Initial Observations: Underlayment Foam 100% Method: Final Results: 198.1 No Asbestos Detect(Tobtal Asbestos: No Asbestos Detected.0% Page 10 of 16 i ASBESTOS BULK ANALYSIS e u rof i n s By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220178 18 Blackberry Lane Date Received: 07-28-22 Queensbury, NY 12804 Date Analyzed: 08-04-22 Date Reported: 08-04-22 Project: 10127 ASBESTOS BULK, NEW YORK STATE METHODS 1W:zy <.s.•v;•. .ea.1�i `:f,'.f;,m.p;,. ;;`ix•f' •:'NN..a `,sd., .y n'r,.,,.$�; '{,,,.�tt"t.l.. .;E;A' a •' ., x,,. ., m�s .,,.� , �x;",�;:r'^•, :.`,;e:: 'C ,i�x p -i:"i:;,',;::., <,.v.'.W ..Fie: .S%.; -"�X, w�'x,:� ��r!.,•� Gtent~:ID' � "u l�r <�� ° .��;' ;�,::,• �• f:, ' �..,��,: --eA`,.;, � .,`.S. •e n!'�! ?fY" ' .;Xa,:=4.:.4 & .R i 5,t� ,k.��. .,:P.?;:.Y', 5 �.::?°, ''�.., ,Ig'• �:X. �,.t.:i-��bi i.`. r �,,, t.t„h,xB, .r'j"'i:7"" r"t:`.�;�"'. „Cx`�+,fi:,-$y'f.:';�;,;;tiin�.;...» s;�. .:a '�^' w z•:•.c.;`'y> l�kf�i�,�; � � a�([��tr=bescr,,„tion:�•�ate��yyo, a:R�.°ratbr,�.�.::,.^�;. ,� `��,'"�*c., ,, .qdr.:`' ;x:,:.�.p�. �.,:3`,�u<s. `�"��'�, al, ..1',. .�. .i7:� a.. ,ax.5>•.. :�'sr� ..ix,: ':or.:".s,,,. •4:�::. �. .=t,:a;u>'•s✓.: 015E 1 Friable White Initial Observations: N2773A Leveling Cellulose 2% Binder 98% Compound Method: Final Results: 198.1 No Asbestos DetectcTibtal Asbestos: No Asbestos Detected.0% ------------------------------------------------------- ----------- N2773B 2 NOB Tan Initial Observations: Adhesive Matrix 100% Method: Final Results: 198.4 Chrysotile 0.56% ------------------------------------------------------------------ N2773C 3 Friable Dark Gray Initial Observations: U nderlayment Foam 100% Method: Final Results: 198.1 No Asbestos Detectd'abtal Asbestos: No Asbestos Detected.0% 016A Vinyl Flooring NOB Beige Initial Observations: N2774 Cellulose 50% Matrix 50% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected Page 11 of 16 ASBESTOS BULK ANALYSIS e u rof i n s By: NEW YORK STATE METHOD CEs Client: ClearVU Inspections Lab Code: N220178 18 Blackberry Lane Date Received: 07-28-22 Queensbury, NY 12804 Date Analyzed: 08-04-22 Date Reported: 08-04-22 Project: 10127 ASBESTOS BULK, NEW YORK STATE METHODS �3^. r.;,rs"i�, .�,,,. ,,.v. +;•i°., n.-.;;:;re,.,w' :'§^ ";:t3u>na.. ,.,sa�'>;:r.; -,s., >rs,. ..:rK,,. t'.,,d "L"''a':,it�g`n�l;�.;'Dr":.T%C'.:.>,".,e4ad.x=r s�"�`°'•'1t%\Y's�3:b?'/��e.;•",°'`i :iy,:n�:kl+.l.r',"Y,::.:ub r'`"';'fM'";3'::�E:;'.;,s..,.,:,.,.k'.,�i�;y,iN.,l"..i.;,,,,,.«j`?„..•;.y, _:h z.sYv..-y,,n.fki�;ii�._;' J3,. .:ri.d.= 0ME»��:°'.s.�' ,',• ,ha',:'f"� C M,�... 01613 Vinyl Flooring NOB Beige Initial Observations: N2775 Cellulose 50% Matrix 50% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 017A 1 Friable White Initial Observations: N2776A Joint Compound Cellulose 2% Paint 3% Calc Carb 80% Binder 15% Method: Final Results: 198.1 No Asbestos Detect(Tabtal Asbestos: No Asbestos Detected.0% -------------------------------------------- - ------------------ --- N2776B 2 Friable Cream Initial Observations: Tape Cellulose 100% Method: Final Results: 198.1 No Asbestos Detectd'abtal Asbestos: No Asbestos Detected.0% 017E 1 Friable White Initial Observations: N2777A Joint Compound Cellulose 2% Paint 3% Calc Carb 80% Binder 15% Method: Final Results: 198.1 No Asbestos Detectd'abtal Asbestos: No Asbestos Detected.0% Page 12 of 16 ASBESTOS BULK ANALYSIS le u rof i n s By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220178 18 Blackberry Lane Date Received: 07-28-22 Queensbury, NY 12804 Date Analyzed: 08-04-22 Date Reported: 08-04-22 Project: 10127 ASBESTOS BULK, NEW YORK STATE METHODS +d�s R ii `;rM,hFR' ,TI. .S-. <cr4. ::2!'• ,„•T( t nr,>. 1;.r•Yxi'".,:;st;:. <ti;'=." ?,:ti":v"�,.�' :a,:' ;:i",:: '�. ;a"^'t:; '.v;;a ;zj".': ?, :r� ;re_ � ,,�t;�.t.. ;�x�' �;'-�.;v` �r;tii,,��.. .�. .,e „'�'i3,. '.sY•rfY:�•,�s,'`s•t��,`'°$:w ?�,""�;.;; ti ,,, ,,r r5�' $t R,�•,—W- 'Ytc'„r;:.�'.;:�.,,;g �, `�rp�„;. w: 3. U iWtiFria.::b sY w4 Gs:1 R' � � 4 �:,� , 1'� e$?,,yea .�.ik. :s��. rz. �4,5;� 'ai3:.�r. ';'fit: _.j<,z.; ,.YY.��.;w::}•'^;"i�+p l'ha ,:,firN:t, 9�` tt•,;;• ,F.,,�;i"s4.�; i, QLabS„ e'tiptja ��Cate "one Hwy< r, .:; .w�w��n. ..�..!`7ikW<-?�,.,< ,A.nh �7P��m.n,:n`F'.'�..✓1�. "i h7.r ..�,,��.^.`�tnt�l;.v.^.�;",aw ..�5'E�r.�k57s, a»>%. -N2777B ~s 2 i_f`a s__Friable s Cream a Initial Observations Tape Cellulose 100% Method: Final Results: 198.1 No Asbestos DetectiTobtal Asbestos: No Asbestos Detected.0% 018A Gypsum Friable Gray Initial Observations: N2778 Wallboard Cellulose 2% Gypsum 98% Method: Final Results: 198.1 No Asbestos DetecteTebtal Asbestos: No Asbestos Detected.0% 018B Gypsum Friable Gray Initial Observations: N2779 Wallboard Cellulose 10% Paint 2% Gypsum 88% Method: Final Results: 198.1 No Asbestos Detect(Tobtal Asbestos: No Asbestos Detected.0% 019A Backing Insulation NOB Brown, Iriitial Observations: N2780 Black Cellulose 75% Matrix 15% Fiberglass 10% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected Page 13 of 16 ASBESTOS BULK ANALYSIS e u rof i n s By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220178 18 Blackberry Lane Date Received: 07-28-22 Queensbury, NY 12804 Date Analyzed: 08-04-22 Date Reported: 08-04-22 Project: 10127 ASBESTOS BULK, NEW YORK STATE METHODS , .:i-e; s- .a a-<_ s;'',, d_zf,'K,. .�.; ta. �s,• .:^ks,:. ..�'�r^.,'Gri®iitalt3M La er.:N,,. :wec" �.<;> , pY r` ... f,,y� �;.� A.r.+trc:; tit, iOtn' X�a ess. 'tio ate�'ii:;` SColcr a,��:�:: 4.1 ;�-t,x-::r-.. � ��i��.;:``��>: �•,�,,.. 019B Backing Insulation NOB Black, Initial Observations: N2781 Brown Cellulose 75% Matrix 15% Fiberglass 10% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 020A Underlayment NOB Black Initial Observations: N2782 Cellulose 70% Matrix 30% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 020E Underlayment NOB Black Initial Observations: N2783 Cellulose 70% Matrix 30% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected Page 14 of 16 ti•;Neurofins CEI LEGEND Non-Anth = Non-Asbestiform Anthophyllite Non-Trem = Non-Asbestiform Tremolite Calc Carb = Calcium Carbonate NOB = Non-Friable Organically Bound SM-V = Surfacing Material Containing Vermiculite GLOSSARY OF TERMS Inconclusive- No Asbestos Detected PLM is not consistently reliable in detecting asbestos in floor coverings and other NOB materials. Currently, quantitative TEM must be used to determine if this material can be considered or treated as non-asbestos containing. Inconclusive- CR Conflicting Results: Sample yielded 1% or less asbestos as determined by gravimetric reduction and TEM analysis but had protruding fibers identified as asbestos during preliminary examination-further sampling and analysis needed. Inconclusive-Trace (type of asbestos) detected at 1% or less Asbestos identified at 1% or less by the 198.6 method, and 0 asbestos points out of 400 (or more) nonempty points were counted. Further testing by TEM using NYS 198.4 method is required. Trace asbestos.detected at less than 1% For methods 198.1 and 198.8, NYSDOH defines trace as samples where 0 asbestos points out of 400 (or more) nonempty points were counted, but did contain asbestos positively identified by PLM. Trace asbestos detected at less than 1% For method 198.4 NYSDOH defines trace as asbestos detected at 1% or less. REGULATORY LIMIT: > 9% by weight 730 SE Maynard Road - Cary, NC 27511 -919.481.1413 Page 15 of 16 1 eurofins CEI DISCLAIMERS: Reported asbestos content verifiable only as the percentage of asbestos in residue submitted to laboratory. Samples with inconclusive results must not be interpreted as being non-ACM. This report relates only to the samples tested or analyzed and may not be reproduced, except in full, without written approval by Eurofins CEI. Eurofins CEI makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. Interpretation of the analytical results is the sole responsibility of the customer. Samples were received in acceptable condition unless otherwise noted. This report may not be used by the client to claim product endorsement by NVLAP, NYSDOH or any other agency of the U.S. Government. Information provided by customer includes customer sample ID, location, volume and area as well as date and time of sampling. ANALYST(S): S ' cam- 198.1 Brunilda Gjoka M98.4 APPROVED BN Tianbao Bai, Ph.D., CI Laboratory Director NV A TESTING NVLAP LAB CODE 101768-0 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 Page 16 of 16 WiL'01,1 16 111111 IN 1111111111111 IN I III ClEd 71 O1 GK IISiiLi19IS Chain of Custody ClearVU Inspections ' Project: 10127 18 Blackberry Lane Site Location:Second Home Queensbury,New York 12804 161 Mannis Road Queensbury,New York 12804 Sampled By: Ryan Wild(ryan@ciearvuinspections.com) Reporting By:Ryan Wild(ryan@clearvuinspectons.com) Purpose: Pre-Demolition Laboratory Notes Turn Around Time Request Stop after first positive for each HM 5 Day Samples Sample ID Material Floor!Section Space Analysis NY ELAP 198.1 & 001A 001-Gray Masonry Block(CMU) First Floor exterior 198A PLM&TEM where applicable NY ELAP 198.1 & 001 B 001 -Gray Masonry Block(CMU) First Floor exterior 198A PLM&TEM - where applicable NYE LAP 198.1 & 002A 002-Gray Masonry Block Mortar First Floor exterior 198A PLM&TEM where applicable NYELAP 198.1 & 002B 002-Gray Masonry Block Mortar First Floor chimney 198A PLM&TEM where applicable .NY ELAP 198.1 & 003A 003-Stone Foundation Mortar First Floor exterior 198A PLM&TEM R. vAgg%icable SAMPLES ACCL- ED ClearvU Inspections-Chain of Custody For Don Vittengl Second Home-10127 ,,,,,�,� 1 of 5 I Sample ID Material Floor/Section Space Analysis NY ELAP 198.1 & 003B 003-Stone Foundation Mortar First Floor exterior 198.4 PLM&TEM where applicable NY ELAP 198.1 & OO4A 004-Gray Parge First Floor exterior 198.4 PLM&TEM where applicable NY ELAP 198.1 & OO4B 004-Gray Parge First Floor exterior 198.4 PLM&TEM where applicable NY ELAP 198.1 & OO5A 005-Yellow Roofing Membrane Adhesive First Floor exterior 198.4 PLM&TEM where applicable NY ELAP 198.1 & OO5B 005-Yellow Roofing Membrane Adhesive First Floor exterior 198.4 PLM&TEM Lp where applicable -- NYELAP 198.1 & OO6A 006-Black Roofing,Composite Shingle First Floor exterior 198.4 PLM&TEM where applicable NYELAP 1*98.1 & 006E 006-Black Roofing,Composite Shingle First Floor exterior 198.4 PLM&TEM where applicable NY ELAP 198.1 & OO7A 007-Black gasket expansion First Floor exterior 198.4 PLM&TEM where applicable NYELAP 198.1 OO7B 007-Black gasket expansion First Floor exterior 198.4 PLM&TEM where applicable NYELAP 198.1 & OO8A 008-Beige Furnace Cement First Floor Basement 198.4 PLM&TEM where applicable NY FLAP 198.1 & 008E 008-Beige Furnace Cement First Floor Basement 198.4 PLM&TEM where applicable NY ELAP 198.1 & OO9A 009-Siding First Floor exterior 198.4 PLM&TEM where applicable ClearVU Inspections-Chain of Custody For Don Vittengi Second Home-10127 2 of 5 Sample ID Material Floor/Section Space Analysis NY ELAP 198.1 & 009B 009-Siding First Floor wderior 198.4 PLM&TEM where applicable NY ELAP 198.1 & 010A 010-Brown Floor Tile wl Adhesive First Floor Kitchen 198.4 PLM&TEM where applicable NY ELAP 198.1 & 010B 010-Brown Floor Tile w/Adhesive First Floor Kitchen 198A PLM&TEM where applicable NYELAP 198.1 & 011A 011-Black Carpet Adhesive First Floor Living Room 198A PLM&TEM where applicable NY ELAP 198.1 & 011 B 011 -Black Carpet Adhesive First Floor Living Room 198A PLM&TEM where applicable NYELAP 198.1 & 012A 012-Orange adhesive carpet First Floor Back Porch 198.4 PLM&TEM where applicable NY ELAP 198.1 & 012B 012-Orange adhesive carpet First Floor Back Porch 198A PLM&TEM where applicable NYELAP 198.1 & 013A 013-Beige Vinyl Flooring First Floor Bathroom 198A PLM&TEM where applicable NYELAP 198.1 & 013B 013-Beige Vinyl Flooring First Floor Bathroom 198.4 PLM&TEM where applicable NY ELAP 198.1 & 014A 014-White Ceiling Tile with Adhesive First Floor Bathroom 198A PLM&TEM where applicable NYELAP 198.1 & 014B 014-White Ceiling Tile with Adhesive Second Floor Bathroom 198A PLM&TEM where applicable NY ELAP 198.1 & 015A 015-White Floor Leveling Compound Second Floor Stairwell 198A PLM&TEM [ where applicable ! ClearVU Inspections-Chain of Custody For Don Vittengl Second Nome-10127 3 of 5 Sample ID . Material Floor/Section Space Analysis NY ELAP 198.1 & 015E 015-White Floor Leveling Compound Second Floor Stairwell 198A PLM&TEM where applicable NY ELAP 198.1 & 016A 016-Beige Vinyl Flooring Second Floor Bathroom 198A PLM&TEM where applicable NY ELAP 198.1 & 016E 016-Beige Vinyl Flooring Second Floor Bathroom 198A PLM&TEM where applicable NY ELAP 198.1 & 017A 017-Joint Compound w/Tape Second Floor Hallway 198AA PLM&TEM where applicable NY ELAP 198.1 & 018A 018-White Gypsum Wallboard Second Floor Hallway 198A PLM&TEM where applicable NY ELAP 198.1 & 018B 018-White Gypsum Wallboard First Floor Living Room 198A PLM&TEM where applicable NYELAP 198.1 & 019A 019-Brown backing insulation First Floor entryway-rear 198A PLM&TEM where applicable NY ELAP 198.1 & 019B 019-Brown backing insulation First Floor entryway-rear 198A PLM&TEM where applicable _ NY ELAP 198.1 & 020A 020-Black undedayment-siding First Floor entryway-rear 198A PLM&TEM where applicable NY ELAP 198.1 & 020B 020-Black undedayment-siding First Floor entryway-rear 198A PLM&TEM where applicable f ClearVU Inspections-Chain of Custody For Don Vittengl 4 of 5 Second Home-10127 7.26.2022 1 PM Sampled By Date Time $4z -7 I M l.C6--qD Received By Date Time Received By Date Time Received By Date Time p 7.26.2022 3PM Relinquished By Date Time Relinquished By Date Time Relinquished By Date Time Analysis By Date Time I I ClearVU Inspections-Chain of Custody For Don Vittengl 5 of 5 Second Home-10127 N Y'dik Stat'PDep rrtm Division nd�(ealth License and C�)3icatae : t;,,,s� State C,�npus,%ildi r f�, Albapy_NY2240 ' ^„ r ,;�'�a,-�,� '� ,,�d�,''� -�='ass°"w�.,,�r,�•t��`' M i4SBESTOS HANDLING LICENt ff�j' Y fin.,".� �.�.-�`'—.. •'^•" .r'�"`,..• fat*ue.S ace 11 dba ClearV&f,, p"ecti n �1� LE NUMBER:lan o ,:,. fig. _ LICENSE NUMBER: 82890' cs`? 1 16lac . erry L� a "� ,, LICENSE CLASS: RES ;RIC,19`_ w fifl' =. DATE OF ISSUE: 01/28 20 2 eeCsbr rye°3NY 12 ° x „. �. EXPIRATI DATE: 01/3 f20 -_ < 11��¢ � �� _ ' ICY 7}•. +' .4 ,� � ',:'it q�y�tt n t .................... } ,,jl� # IPit ly A�s^gtborized epresentative� ,yan;V i, .tl'��t3��-tic's"` '{:�,•,§. J�',4ey:..'r!' "C r y {,' •_ ax={ i� r•:c. YI�vNj..,r .^i,e/Ii;.. Yj+ i, j�, y.,.,!:;�:, ;•i�,t r. r::,�• a;�4a• �,'a "�.` y,., r is l' ger h ;�n issued in ac �'aace!tyttli p ,Ld l r tsre�s o + �t; of 4hd r Law of New ,` r ` fafe att o < DI t Codes,Rules t' 'eg t$ti-d� 1Partr} It'i ; ect t4 su sion or revoc '"in or a(1) sY o "vto'atio o Mate federal t. yya 's ¢p the cod " "b n esto rq, rdj or 2)demo� , ate ' k; a{+ 77,, ioai , p l .4 Ty'µ" ^.<•{7 1 : ^:t"A"� F p t' ( / 5� .�� Y re ongibifSy m ��conduct of an}�oh �aolvin a o. �� F�m.. ar�+ "s4 I;S 7<`�A ��u4 ��l.'' 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TtbtV MeNT OF.HEALTH: f WADSWO KTI&CENTER U M 0 7prls A A22 , 2r di .-Ai CERTIFICATE OF APPROVAL FOR LABORATORY SERVICE rs 'iiw of Now Yo lsmiied In accordihce with and pursuant to section 502 Albliq Hdalth rk= DR.-'=TIANSAO 9 NY Lab Id No. 12048::: AV EUROFINS CEJ,'1NCr;_ 730.SE Ao14 YNAURD ROAD CAW ffC 270f -Environmental -04orqf-hereby APPROVED:as an 7 &y.for the category go _HAZARDdUS'WA8TE-=-ENVIRONMENTAL ANAEYSES�SOLID AND All approved sivocateqcides andlbjjanalytes are listed beldiv.- _M Isimllineous - Asbestos In Fftble Material Item 198.1 of Manual --EPA Gbb16W821020 Asbestos InfibnFrabla Material-2LM Atin'198A of Manual(06B by 3.M):. Asbestqsln Non-Friable Material-TEM Item 198.4 of Manual Asbiiiffig-Vermiculite-ContiFnfitg Material Item 198.8 of Manual Serial Nw'.64946' State b,ne,ni* address Properta-i's f4s;yark at-0 bepw- btHealOL-CeMeatesCroWlidoiWyatiMi shown;Must 6e.conspldwwly posted;and are pdnW.on secm paper. Continued accreditation depends An wcq_e�, Opa.Wpa- *Ping tcp In the Program:70&suifiers a urged to c_qA1 (518)A854W46 verify tiviatmialor/s addoobdon-smiu& Pagel of tA v CORNER Soo' DOCK CONCRETE DOCK S 81-57'30 E 98.22 1-(,,F- LINE ONLY) Ora ....... .......... of . &c .. .... 410 .............. ------------ 4 ----------- -------- 420 ............ ------------ -------- ------- 0 ... ............ .......... --------- .00- 450 430 SO 0 co vs t? W WALL .......... G � �0 a �A\� Y' ` � i ' �� r } i io 436 430 f GRAB ! 24' OAK 430 -------- --- LL .............. ---------- 420 A .... .... SPHALT 4 Rl CH ------ Lin LorS i UTI LITI ........... 10 & 4CAS OF. Lo.r 9 410 VOW' ........ GRAVEL 105 -220 IV 64-2911- IA)CI"