2024-0418 Office Use Only
Permit#: 20 - �lg
:- DEMOLITION APPLICATION -
f
Permit Fe b -
Town of gy.censbury
Invoice
742 Bay Road,Queensbury,NY 12804
P:518-761-8256. www.queensbury.net Flood Zone? Y N Reviewed By:
Demolition Location: 538 Aviation Rd Queensbury,NY 12804 Tax Map ID #: 302.51-94
**AN ASBESTOS REPORT IS REQUIRED-WITH REQUIRED-WITH ALL
DEMOLITION APPLICATION SUBMISSIONS**
DEMOLITION INFORMATION:
1. Where will demolition material be disposed? Landfill
2. Type of structure • •- demolished:
a. Residen - I. __
d. Storage Building �f - �---.- --
b. Garage e. Other: ID) L R E
c. Business
3. What type ilities are connected to the structure: AUG 0 6 2024
a'. Gas f.Well-Water P TCWfeI QE I ,
EENSBURY
b. Fuel Oil. g. Public Sewer ✓ BUI►_DIN GOOEY,
c. Propan _ h. Otheri_ �.,
d. Electric ✓ i. None
e. Public Water(Y
4. Have ALL utilities (water, electric, etc.) been disconnected? Yes r No 7
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 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: Mark Shattuck
SIGNATURE: DATE: 8/5/24
Demolition Application Revised June 2022
CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL
• Applicant:
Name(s): Dean Schulz-Excel Engineering
Mailing Address, C/S/Z: 100 Camelot Drive Fond du Lac WI 54935
Cell Phone: Land Line: 920-926-9800
Email: archretail@excelengineer.com
• Primary Owner(s):
Name(s): Quattro Queensbury,LLC
Mailing Address, C/S/Z: 1100 Jorie Blvd,Suite 140, Oak Brook, IL 60523
Cell Phone: 570-269-9993 Land Line: 630-878-8000
Email; Peter@QuattroDevelopment.com
❑ 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): Westlake Construction,LLC
Contractor Trade: General Contractor
Mailing Address, C/S/Z: 6296 Fly Rd,East Syracuse,NY 13057
Cell Phone: 315-382-1985 Land Line: 315-471-5462
Email: mshattuck@westlakedev.com
**Workers' Comp documentation must be submitted with this application**
Contact Person for any questions regarding this project: Dean Schulz
Cell Phone: Land Line: 920-926-9800
Email: archretail@excelengineer.com
Demolition Application Revised June 2022
18 Blackberry Lane
III A C
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518.832.9213
Limited Pre- Demolition Asbestos
Survey
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PROJECT NUMBER PREPARED FOR
240309 Quattro Development
1100 Jorie Blvd, Suite 140
SITE LOCATION Oak Brook IL 60523
Lake George Bakery
538 Aviation Road PREPARED BY
Queensbury, NY 12804 Ryan Wild
18 Blackberry Lane
Queensbury, New York 12804
538 Aviation Road,Queensbury,NY March 12,2024
Executive Summary
Asbestos-Containing Material Field Survey
Lake George Bakery
538 Aviation Road
Queensbury, NY
I. SUMMARY OF FINDINGS
On March 12, 2024, an asbestos-containing material (ACM) field survey was conducted at 538
Aviation Road, Lake George, NY (Site). The site was inspected to determine the presence of ACM
prior to demolition. The ACM survey was performed at the request of the owner's representative.
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 20 samples were collected from 10 suspect homogenous
materials.
Summary Table of Asbestos-Containing Materials
No Asbestos Detected.
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 E
of this report.
Page 2 of 9
538 Aviation Road,Queensbury,NY March 12,2024
INTRODUCTION GENERAL INFORMATION
ClearVU Inspections was retained by the buyer's representative to conduct an 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 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.
LIMITATIONS & SCOPE OF SERVICES
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. The ceilings & block
walls were not accessible due to the building still being in use as a bakery.
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.
Page 3 of 9
538 Aviation Road,Queensbury,NY March 12,2024
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 1 Ox to 400x, and New
York State Department of Health ELAP Item Number 198.1 (Polarized Light Microscopy Methods
for Identifying and Quantitating Asbestos in Bulk Samples). The estimated phase abundances are
provided in weight percent and are accurate to within 10 to 15 percent of the amount reported.
These methods are sensitive to the detection of asbestos to less than one percent.
All non-friable organically bound (vinyl flooring, caulking, etc.) bulk samples were analyzed by New
York State Department of Health ELAP Item Number 198.4 (Transmission Electron Microscopy
Method for Identifying and Quantitating Asbestos in Non-Friable Organically Bound Bulk Samples).
NOB samples were first reduced by the Gravimetric Matrix Reduction Method to determine if
greater than one percent of material remained. If greater than one percent of the NOB material
remained by weight, the sample was analyzed by Polarized Light Microscopy by New York State
Department of Health ELAP Item Number 198.6 to determine if it contained greater than one
percent asbestos.
In accordance with New York State Department of Health regulations, Polarized Light Microscopy
is not consistently reliable in detecting asbestos in non-friable organically bound materials, and in
cases of a negative result TEM analysis is performed. This method is sensitive to the detection of
asbestos to less than one percent by weight. A material is considered asbestos containing if it
contains more than 1 % asbestos.
NYSDOL and USEPA regulations define asbestos containing material as containing greater than
one percent (1 %). Materials found to contain asbestos at concentrations of less than one percent
(<1%) by weight are classified as containing trace amounts of asbestos. It should be noted,
OSHA's definition of "asbestos containing" does not have a one percent (1 %) cut-off, therefore,
asbestos that is present in percentages less than one percent (<1 %) continues to be covered by
OSHA Construction Standard 29 CFR 1926.1101.
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 9
538 Aviation Road,Queensbury,NY March 12,2024
Appendix A:
ACM Homogenous Area Table
No Asbestos Detected.
Page 5 of 9
538 Aviation Road,Queensbury,NY March 12,2024
Appendix 13:
Tested Negative Homogenous Material Table
001 Ceramic Tiles Grout First Floor Main Area Good Non-Friable Miscellaneous Grey 0.0%
002 Ceramic Tiles First Floor Main Area Good Non-Friable Miscellaneous Grey 0.0%
Mortar
003 Vinyl Flooring First Floor Main Area Good Non-Friable Miscellaneous Red 0.0%
(Bottom Layer)
004 Cove Base First Floor Office Good Non-Friable Miscellaneous Grey 0.0%
005 Cove Mastic First Floor Office Good Non-Friable Miscellaneous Yellow 0.0%
006 Gypsum First Floor Utility Good Non-Friable Miscellaneous White 0.0%
007 FRP First Floor Utility Good Non-Friable Miscellaneous Yellow 0.0%
008 Ceiling Tile First Floor Main Area Good Non-Friable Miscellaneous White 0.0%
009 Window Caulk First Floor Exterior Good Non-Friable Miscellaneous Grey 0.0%
010 Roof Shingle First Floor Exterior Good Non-Friable Miscellaneous Black/White 0.0%
Page 6 of 9
538 Aviation Road,Queensbury,NY March 12,2024
Appendix C:
All Samples Materials
I t1rl/
OO1A Ceramic Tiles Grout First Floor Main Area Good Non-Friable Miscellaneous Grey 0.0%
001 B Ceramic Tiles Grout First Floor Main Area Good Non-Friable Miscellaneous Grey 0.0%
002A Ceramic Tiles First Floor Main Area Good Non-Friable Miscellaneous Grey 0.0%
Mortar
002B Ceramic Tiles First Floor Main Area Good Non-Friable Miscellaneous Grey 0.0%
Mortar
003A Vinyl Flooring First Floor Main Area Good Non-Friable Miscellaneous Red 0.0%
(Bottom Layer)
003B Vinyl Flooring First Floor Main Area Good Non-Friable Miscellaneous Red 0.0%
(Bottom Layer)
004A Cove Base First Floor Office Good Non-Friable Miscellaneous Grey 0.0%
004B Cove Base First Floor Office Good Non-Friable Miscellaneous Grey 0.0%
005A Cove Mastic First Floor Office Good Non-Friable Miscellaneous Yellow 0.0%
005B Cove Mastic First Floor Office Good Non-Friable Miscellaneous Yellow 0.0%
006A Gypsum First Floor Utility Good Non-Friable Miscellaneous White 0.0%
006B Gypsum First Floor Utility Good Non-Friable Miscellaneous White 0.0%
007A FRP First Floor Utility Good Non-Friable Miscellaneous Yellow 0.0%
007B FRP First Floor Utility Good Non-Friable Miscellaneous Yellow 0.0%
008A Ceiling Tile First Floor Main Area Good Non-Friable Miscellaneous White 0.0%
008B Ceiling Tile First Floor Bathroom Good Non-Friable Miscellaneous White 0.0%
009A Window Caulk First Floor Exterior Good Non-Friable Miscellaneous Grey 0.0%
009B Window Caulk First Floor Exterior Good Non-Friable Miscellaneous Grey 0.0%
O10A Roof Shingle First Floor Exterior Good Non-Friable Miscellaneous Black/White 0.0%
O10B Roof Shingle First Floor Exterior Good Non-Friable Miscellaneous Black/White 0.0%
Page 7 of 9
538 Aviation Road,Queensbury,NY March 12,2024
Appendix D:
Photo Log
Locations
I � r
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STOREFRONT MECHANICAL.
IRIFAIR STORAGE BATHROOM
U�
j wwnaw
IIINIK AREA
Page 8 of 9
538 Aviation Road,Queensbury,NY March 12,2024
Appendix E:
Chain of Custody& Laboratory Report
Page 9 of 9
Lt C C
/ Ceramic Tiles Grout First Floor Main Area Good Non-Friable Miscellaneous Grey
Ceramic Tiles Grout First Floor Main Area Good Nan-Friable Miscellaneous Grey
Ceramic Tiles Mortar First Floor Main Area Good Non-Friable Miscellaneous Grey
tppa Ceramic Tiles Mortar First Floor Main Area Good Non-Friable Miscellaneous Grey
p " Vinyl Flooring(Bottom First Floor Main Area Good Non-Friable Miscellaneous Red
Layer)
Vinyl Flooring(Bottom First Floor Main Area Good Non-Friable Miscellaneous Red
Layer)
/ Cove Base First Floor Office Good Non-Friable Miscellaneous Grey
o
Cove Base First Floor Office Good Non-Friable Miscellaneous Grey
Cove Mastic First Floor Office Good Non-Friable Miscellaneous Yellow
Cove Mastic First Floor Office Good Non-Friable Miscellaneous Yellow
Gypsurrr First Floor Utility Good Non-Friable Miscellaneous White
Gypsum First Floor Utility Good Non-Friable Miscellaneous White
FRP First Floor Utility Good Non-Friable Miscellaneous Yellow
FRP First Floor Utility Good Non-Friable Miscellaneous Yellow
_
/ Ceding Tile First Floor Main Area Good Non-Frable Miscellaneous White
� 1
Ceiling Tile First Floor Bathroom Good Non-Friable Miscellaneous White
Window Caulk First Floor Exterior Good Non-Friable Miscellaneous Grey
Window Caulk First Floor Exterior Good Non-Friable Miscellaneous Grey
Root Shingle First Floor Exterior Good Non-Friable Miscellaneous Black/White
r
Roof Shingle First Floor Exterior Good Non-Friable Miscellaneous Black/White
t
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Quattro Development(Purchaser) Sampled Received By
538 Aviation Road By:
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Queensbury,NY,United States
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14:(10 _
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Cincinnati Method Relinquish t1729Lryuj 1Aecticns cam
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Positive Stop
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CLEARVU
a + Ct Id ,,03.13.24 r
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18:00
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538 Aviation
atrcrn Read & 6 Lane Tree Loop I
Erik Young <Erik.Young@et.eurofinsus.com}
Thu 3/14/2024 12:20 PM
To:Ryan <ryan@clearvuinspections.com>
Cc:CEI - Reporting tcei-reporting @et.eurofinsus.com>
INFO: INTERNAL EMAIL-Sent from your own EL rofins email domain.
Hey Ryan!
As per our phone call we will proceed with standad NY analysis and net Cincinnati method analysis on 538
Aviation Road and we will proceed with the Cincin ati method on ;6 Lone Tree Loop.
Sincerely,
Erik Young
Senior Client Relationship Executive j
Eurofins Built Environment Testing—Cary
BUILDING A BETTER CLIENT EXPERIENCE
730 SE Maynard Rd
Cary, NC 27511
Direct: +
I
ect. 1 919-481-1413 i
Cell: +1 919-239-0725
CEI-Reporting ET.EurofinsQS com
www.EurofinsBuiltEnv,com
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Follow us! Facebook Linkedln
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March 15, 2024
ClearVU Inspections
18 Blackberry Lane
Queensbury, NY 12804
CLIENT PROJECT: Quattro Development (Purchaser), 538 Aviation Road, Lake
George Bakery, Queensbury, NY, United States
LAB CODE: N240069
Dear Customer:
Enclosed are asbestos analysis results for Asbestos Bulk samples received at our laboratory
on March 14, 2024. 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
(NY.qrI(')") Fnvirnnmanfal I ahnrnfnry Annrnval Prnrnrnm (FI API rtartifirrafa :f19n'1A
Kind Regards,
Tianbao Bai, Ph.D., CIH
Laboratory Director
mvtA
TESTING
NVLAP LAB CODE 101768-0
730 SE Maynard Road • Cary, NC 27511 • 919.481 .1413
i9111y r
41: 701VU e u rou n s
UIb
ASBESTOS ANALYTICAL REPORT
By: New York State ELAP Method
Prepared for
ClearVU Inspections
CLIENT PROJECT: Quattro Development (Purchaser), 538 Aviation Road,
Lake George Bakery, Queensbury, NY, United States
LAB CODE: N240069
TEST METHOD: NYS ELAP METHODS 198.1, 198.4
REPORT DATE: 03/15/24
TOTAL LAYERS ANALYZED: 20
# LAYERS >1% ASBESTOS: 0
730 SE Maynard Road • Cary, NC 27511 r 919.481.1413
�u Asbestos Report Summary
By: NEW YORK STATE METHOD
I''^'u III
PROJECT: Quattro Development (Purchaser), 538 LAB CODE: N240069
Aviation Road, Lake George Bakery, Queensbury, NY,
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Lab ID Color Sample Description Total Asbestos %
001A N1146 Gray Ceramic Tile Grout No Asbestos
Detected.0%
001 B N1147 Gray Ceramic Tile Grout 0.25%
002A N1148 Cream-Gray Ceramic Tile Mortar No Asbestos
Detected.0%
002B N1149 Cream-Gray Ceramic Tile Mortar No Asbestos
Detected.0%
...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
003A N1150 Red-Gray Ceramic Flooring No Asbestos
Detected.0%
...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
003B N1151 Red-Gray Ceramic Flooring No Asbestos
Detected.0%
004A N1152 Gray Cove Base No Asbestos
Detected by 198.4
004B N1153 Gray Cove Base No Asbestos
Detected by 198.4
005A N1154 Yellow Mastic No Asbestos
Detected by 198.4
005B N1155 Yellow Mastic No Asbestos
Detected by 198.4
...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
006A N1156 White Gypsum Board No Asbestos
Detected.0%
006B N1157 White Gypsum Board No Asbestos
Detected.0%
007A N1158 Yellow Mastic No Asbestos
Detected by 198.4
...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
007B N1159 Yellow Mastic No Asbestos
Detected by 198.4
008A N1160 White, Beige Ceiling Tile No Asbestos
Detected by 198.4
008B N1161 White, Beige Ceiling Tile No Asbestos
Detected by 198.4
...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
009A N1162 Gray Window Caulking No Asbestos
Detected by 198.4
009B N1163 Gray Window Caulking No Asbestos
Detected by 198.4
010A N1164 Black,White Roof Shingle No Asbestos
Detected by 198.4
Page 1 of 2
�u Asbestos Report Summary
By: NEW YORK STATE METHOD
I''^'u III
PROJECT: Quattro Development (Purchaser), 538 LAB CODE: N240069
Aviation Road, Lake George Bakery, Queensbury, NY,
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Lab ID Color Sample Description Total Asbestos %
010B N1165 Black,White Roof Shingle No Asbestos
Detected by 198.4
Page 2 of 2
70� ASBESTOS BULK ANALYSIS
eurofins"u By: NEW YORK STATE METHOD
Client: ClearVU Inspections Lab Code: N240069
18 Blackberry Lane Date Received: 03-14-24
Queensbury, NY 12804 Date Analyzed: 03-15-24
Date Reported: 03-15-24
Project: Quattro Development (Purchaser), 538 Aviation Road, Lake George Bakery, Queensbury, NY, United
Cates
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Layer Number
Lab ID Lab Description Category Color
001A Ceramic Tile Friable Gray Initial Observations:
N1146 Grout Cellulose <1% Binder 60%
Silicates 40%
Method: Final Results:
198.1 No Asbestos DetectGTabtal Asbestos: No Asbestos
Detected.0%
001 B Ceramic Tile Friable Gray Initial Observations:
N1147 Grout Cellulose <1% Binder 60%
Silicates 40%
Method: Final Results:
198.1 Total Asbestos: 0.25%
Chrysotile 0.25%
002A Ceramic Tile Friable Cream- Initial Observations:
N1148 Mortar Gray Cellulose <1% Binder 60%
Silicates 40%
Method: Final Results:
198.1 No Asbestos Detectifttal Asbestos: No Asbestos
Detected.0%
002B Ceramic Tile Friable Cream- Initial Observations:
N1149 Mortar Gray Cellulose <1% Binder 60%
Silicates 40%
Method: Final Results:
198.1 No Asbestos Detectrfttal Asbestos: No Asbestos
Detected.0%
Page 1 of 8
70� ASBESTOS BULK ANALYSIS
eurofins"u By: NEW YORK STATE METHOD
Client: ClearVU Inspections Lab Code: N240069
18 Blackberry Lane Date Received: 03-14-24
Queensbury, NY 12804 Date Analyzed: 03-15-24
Date Reported: 03-15-24
Project: Quattro Development (Purchaser), 538 Aviation Road, Lake George Bakery, Queensbury, NY, United
Cates
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Layer Number
Lab ID Lab Description Category Color
003A Ceramic Flooring Friable Red-Gray Initial Observations:
N1150 Cellulose <1% Binder 60%
Silicates 40%
Method: Final Results:
198.1 No Asbestos Detectdabtal Asbestos: No Asbestos
Detected.0%
003B Ceramic Flooring Friable Red-Gray Initial Observations:
N1151 Cellulose <1% Binder 60%
Silicates 40%
Method: Final Results:
198.1 No Asbestos Detect(Tebtal Asbestos: No Asbestos
Detected.0%
004A Cove Base NOB Gray Initial Observations:
N 1152 Matrix 100%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
004B Cove Base NOB Gray Initial Observations:
N 1153 Matrix 100%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
Page 2 of 8
70� ASBESTOS BULK ANALYSIS
eurofins"u By: NEW YORK STATE METHOD
Client: ClearVU Inspections Lab Code: N240069
18 Blackberry Lane Date Received: 03-14-24
Queensbury, NY 12804 Date Analyzed: 03-15-24
Date Reported: 03-15-24
Project: Quattro Development (Purchaser), 538 Aviation Road, Lake George Bakery, Queensbury, NY, United
Cates
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Layer Number
Lab ID Lab Description Category Color
005A Mastic NOB Yellow Initial Observations:
N 1154 Matrix 100%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
005B Mastic NOB Yellow Initial Observations:
N 1155 Matrix 100%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
006A Gypsum Board Friable White Initial Observations:
N1156 Cellulose 10% Gypsum 90%
Method: Final Results:
198.1 No Asbestos Detectdabtal Asbestos: No Asbestos
Detected.0%
006B Gypsum Board Friable White Initial Observations:
N1157 Cellulose 10% Gypsum 90%
Method: Final Results:
198.1 No Asbestos Detectffiotal Asbestos: No Asbestos
Detected.0%
Page 3 of 8
70� ASBESTOS BULK ANALYSIS
eurofins"u By: NEW YORK STATE METHOD
Client: ClearVU Inspections Lab Code: N240069
18 Blackberry Lane Date Received: 03-14-24
Queensbury, NY 12804 Date Analyzed: 03-15-24
Date Reported: 03-15-24
Project: Quattro Development (Purchaser), 538 Aviation Road, Lake George Bakery, Queensbury, NY, United
Cates
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Layer Number
Lab ID Lab Description Category Color
007A Mastic NOB Yellow Initial Observations:
N 1158 Matrix 100%
Lab Notes: No FRP present; sample appears to be Method: Final Results:
mastic.
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
007B Mastic NOB Yellow Initial Observations:
N 1159 Matrix 100%
Lab Notes: No FRP present; sample appears to be Method: Final Results:
mastic.
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
008A Ceiling Tile NOB White, Initial Observations:
N1160 Beige Cellulose 60% Matrix 20%
Fiberglass 15%
Mineral Wool 5%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
Page 4 of 8
70� ASBESTOS BULK ANALYSIS
eurofins"u By: NEW YORK STATE METHOD
Client: ClearVU Inspections Lab Code: N240069
18 Blackberry Lane Date Received: 03-14-24
Queensbury, NY 12804 Date Analyzed: 03-15-24
Date Reported: 03-15-24
Project: Quattro Development (Purchaser), 538 Aviation Road, Lake George Bakery, Queensbury, NY, United
Cates
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Layer Number
Lab ID Lab Description Category Color
008B Ceiling Tile NOB White, Initial Observations:
N1161 Beige Cellulose 60% Matrix 20%
Fiberglass 15%
Mineral Wool 5%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
009A Window Caulking NOB Gray Initial Observations:
N 1162 Matrix 100%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
009B Window Caulking NOB Gray Initial Observations:
N 1163 Matrix 100%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
Page 5 of 8
70� ASBESTOS BULK ANALYSIS
eurofins"u By: NEW YORK STATE METHOD
Client: ClearVU Inspections Lab Code: N240069
18 Blackberry Lane Date Received: 03-14-24
Queensbury, NY 12804 Date Analyzed: 03-15-24
Date Reported: 03-15-24
Project: Quattro Development (Purchaser), 538 Aviation Road, Lake George Bakery, Queensbury, NY, United
Cates
ASBESTOS BULK, NEW YORK STATE METHODS
Client ID Layer Number
Lab ID Lab Description Category Color
010A Roof Shingle NOB Black, Initial Observations:
N1164 White Fiberglass 50% Matrix 50%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
010B Roof Shingle NOB Black, Initial Observations:
N1165 White Fiberglass 50% Matrix 50%
Method: Final Results:
Total Asbestos: No Asbestos Detected
by 198.4
198.4
None Detected
Page 6 of 8
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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: > 1% by weight
730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 Page 7 of 8
10
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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 e - 198.1
Partima Poudel*615a rya - 198.4
APPROVED Bl
Tianbao Bai, Ph.D., CI
Laboratory Director
m V A
TESTING
NVLAP LAB CODE 10176E-0
730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 Page 8 of 8
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Expires 12,01 AM April 01, 2024
Issued April 01, 2022
Revised March 30, 2023
CERTIFICATE OF APPROVAL FOR LABORATORY SERVICE
Issued in accordance with and pursuant to section 902 Public Health Law of New York State
DR. TIANBAO BAI NYLab Id No: 12048
EUROFINS CEI, INC.
730 SE MAYNARD ROAD
CARY, NC 27511
is herebyAPPROVED as an Environmental Laboratory for the category
ENVIRONMENTAL ANALYSES SOLID AND HAZARDOUS WASTE
All approved subcategories and/or analytes are listed below,
Miscellaneous
Asbestos in Friable Material Item 198.1 of Manual
EPA 600/M4/82/020
Asbestos in Non-Friable Material-PLM Item 198.6 of Manual(NOB by PLM)
Asbestos in Non-Friable Material-TEM Item 198.4 of Manual
Asbestos-Vermiculite-Containing Mate Item 198.8 of Manual
Serial No.: 66678
Property of the New York State Department of Health. Certificates are valid only at the address shown and must be
conspicuously posted by the laboratory. Continued accreditation depends on the laboratory's successful ongoing