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BOTH-000244-2015 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: BOTH-000244-2015 Date Issued: Friday, October 28, 2016 This is to certify that work requested to be done as shown by Permit Number BOTH-000244-2015 has been completed. Tax Map Number: 226.19-2-33 Location: 16 HONEYSUCKLE LN LN Owner: Paul Lejuez,Amy Lejuez Applicant: Howland Construction This structure may be occupied as a: Demo of SFD and shed By Order of Town Board TOWN OF QUEEENNSBURY Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 OL Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: BOTH-000244-2015 6P �y5"4 Tax Map No: 226.19-2-33 REVISE Permission is hereby granted to: Dean Howland For property located at: 16 HONEYSUCKLE LN LN in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other infomtation hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Tvae of Construction Owner Address: 7 Hickory DR Demolition $0.00 Rye,NY 10580 Total Value 50.00 Contractor or Builders Name/Address Electrical Inspection Agency Dean Howland 7 IROQUOIS DR DR Queensbury,NY 12804 Plans&Specifications Demo of SFD and shed PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,October 9,2016 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the a/x,2iration date. Dated at the Town Queens /'Fri y ,2015 SIGNED BY: /V1 for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 tIM Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150483 Application Number: A20150483 Tax Map No: 523400-226-019-0002-033-000-0000 Permission is hereby granted to: PAUL&AMY LEJUEZ For property located at: 16 HONEYSUCKLE Ln in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: PAUL&AMY LEJUEZ 7 HICKORY Dr Demolition RYE NY 10580-0000 Total Value Contractor or Builder's Name /Address Electrical Inspection Agency HOWLAND CONSTRUCTION INC. Plans&Specifications BP 2015-483 Demolition Residence and Shed $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday, October 09,2016 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the wn Quee ur�; I ctober 09,2015 �YJ SIGNED BY ' \ for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Office Use Only Received Permit#: DEMOLITION PERMIT APPLICATION 1 NO WORK MAY COMMENCE UNTIL PERMIT IS ISSUED Permit Fee �� ‘6_ Provide 2 plot plans drawn to scale, showing lot boundaries with dimensions and adjacent roads/streets. Show all existing structures on property and indicate which are to be de , ties E Date /0/71 /j- PD -'— i v 'cation OCT ,4,s-,y pi- Tax Map ID 22-6. 19 _/. ..33 ; CU 7 2015 -� APPLICANT vu)l f1MQ S'oH +'JC v`IVIV ���=QUENfRcw( Address ? CL ddress _./... LiSuf J?A L Cctoo N-� t2tY1 � k� (0SBo Phone Sir - G 68- 3t '5 Phone 375__2J3- Zlo 8'1 CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: Phone: 1. Person Responsible for Work eCO Pcu-$t ' _ o Z35 561156112. Where will demolition material be disposed? A� Le . ./�1 it 3. All buildings to be demolished require an Asbestos Survey 4. An_y building substantially damaged by fire must obtain an Asbestos Removal Permit from the Department of Labor 5. Asbestos Information: The Asbestos Removal Report must be filed with our office before demolition begin a) Is there any asbestos in the building to be demolished _)C_ Yes ____ No b) If Yes, our office needs the following information _ x_ Yes ____ No Name of firm removing the asbestos C 17geco ksrePtert. ka ZG. 235-SCorT License number of firm 414 - 518. Indicate where the asbestos material will be disposed if ,4" 6. Structure Information a) Indicate the structure(s)to be demolished _Residence ___ Garage ___ Business ___ Storage Bldg. ___ Other b) Size of Structure c) Number of Stories d) Foundation Type Pun e) Foundation f) Structure(s) 5 //O SF 7. Utilities Information a) Indicate utilities for this structure___ Gas _2e Electric ___ Propane ___ Public Water ___ Public Sewer _6_ On-site well water pump in iOv a) Have you notified the Town Water Department for public water and sewer disconnect? ____ Yes No AJ/A, b) Have all utilities been disconnected? Yes ____ No se 8. Signature Print Name: l�&A$. 1-‘01/44,4-GL Date 1(2/7- Signature: /��-+ -+� i -- Date _/ 171/ -- Town of Queensbury Building& Codes - Demolition Permit - December 2014 OCT 0 7 2015 TOWN OF QUEENSBURY H ANSON BUILDING&CODES GEOLOGIC & ENVIRONMENTAL CONSULTANTS VAN VLEET, LLC Howland Construction BP 2015-483 September 10,2015 Lejuez 16 Honeysuckle Lane Mr. Dean Howland Demolition Residence & Shed Howland Construction 7 Iroquois Street Lake George,New York 12845 RE: Pre-Demolition Asbestos Survey FILE COPY 16 Honeysuckle Lane Tax ID#226.19-2-33 Town of Queensbury,New York Dear Mr. Howland: Hanson Van Vleet, LLC conducted a pre-demolition asbestos containing material (ACM) survey at the single story, two bedroom, seasonal camp type residential structure, located at 16 Honeysuckle Lane, in the Town of Queensbury, Warren County, New York (Tax ID: 226.19-2-33. The survey is being conducted to determine if any ACM exists within the structure, prior to demolition. The owner of record at the time of the survey was Mr. Paul Lejuez. HVV is a licensed by the New York State Department of Labor under license # 05- 0220 to perform asbestos inspections, sample collection and surveys. Samples of all types of suspectedected asbestos containing material (SACM) were collected. All samples were collected by a NYSDOL licensed Class D Inspector, in accordance with 12 NYCRR Part 56 (referred to as Industrial Code Rule 56) and 29 CFR Part 1910. The sampling was conducted on August 20, 2015. A copy of the NYSDOL Asbestos license is attached to this letter. This survey was performed to determine the existence of ACM prior to demolition of the structure. The work included the collection of representative samples of each type of suspected ACM. Methods The asbestos survey was conducted on August 20, 2015. Prior to initiating sampling, an on- site walk-through inspection of the building was performed in accordance with Subpart 56- 5(e)of 12 NYCRR Part 56. Building plans were not available for review. Based on the site inspection, sampling of materials was performed to evaluate for suspect asbestos containing materials (ACM). Bulk samples were collected following standard sampling procedures. The samples were placed in sealed sample bags and delivered by Federal Express to EMSL Analytical for analysis under formal chain of custody procedures. Friable type materials were analyzed by Polarized Light Microscopy (PLM) via the NY State ELAP 198.1 method. Non-organically bound (NOB) materials were analyzed by PLM via 902 Route 146 (518)371-7940 Clifton Park, New York 12065 Fax(518)371-5885 Pre-Demolition ACM Survey 16 Honeysuckle Road Town of Queensbury,NY Page 2 of 4 NYS method 198.6 NOB. If the NYS method 198.6 NOB was inconclusive, the NOB materials were then analyzed by transient electron microscopy (TEM) via NYS method 198.4 NOB. INSPECTION RESULTS The inspection revealed a single story residential structure and shed. The structure was of wood frame construction on a concrete slab. The Shed was also of wood framed construction. The date of construction is approximately 1955 according to county records. A site location map is attached to this letter report. Interior Flooring in the building consisted of sheet vinyl flooring in the kitchen and bathroom and hardwood floors in the bedrooms and front room. The kitchen floor consisted of two layers of sheet vinyl flooring. Sheet vinyl flooring in the kitchen and bathroom was considered suspect ACM. Samples were collected of the sheet vinyl flooring and associated mastic in the kitchen and bathroom. Walls and ceilings in the building consisted of paperboard. Paperboard is rarely found to be ACM but, due to the date of construction and large amount of paperboard used in the building samples of the paperboard were collected and submitted for laboratory analysis. Fiberglass insulation was observed in the structure, and was not considered suspect ACM. No other suspected ACM was observed within the structure. Exterior The exterior was sided with vinyl siding. The structure had an asphalt shingle roof The asphalt shingle roof was considered suspect ACM and samples were submitted for laboratory analysis. The windows were wood framed construction. The window design did not include any window glazing compounds. No other suspected ACM was observed during the exterior inspection of the structure. A small shed was also observed on the property. The shed was of wood framed construction with an asphalt shingle roof The asphalt shingle roof was sampled for laboratory analysis.No other suspected ACM was observed during the inspection of the shed on the property. Asbestos Containing Material Sampling Results The structure contained very little materials considered suspected ACM. Samples of nine types of suspected ACM samples were submitted for analysis. Three samples of each type of material were submitted for analysis. The sample locations and analytical results are summarized below. The Analytical results and chain of custody are attached to this letter. Table 1 Asbestos Sampling Locations and Analytical Results Sample Type of Material Location Result Approximate No. Quantity S-lA Asphalt Roof Shingles House Roof ND NA S-1B Asphalt Roof Shingles House Roof ND NA S-1 C Asphalt Roof Shingles House Roof ND NA Pre-Demolition ACM Survey 16 Honeysuckle Road Town of Queensbury,NY Page 3 of 4 S-2A Top Layer Sheet Vinyl Kitchen Floor 1.6%Chrysotile =140 Sq Ft S-2B Leveling Compound W/ Top Layer Sheet Vinyl Floor 5.33%Chrysotile =140 Sq Ft in Kitchen. S-2C Top Layer Sheet Vinyl Kitchen Floor NA-Positive Stop =140 Sq Ft S-3A Top Layer Sheet Vinyl Kitchen Floor 2.5%Chrysotile =140 Sq Ft Mastic S-3B Top Layer Sheet Vinyl Kitchen Floor NA-Positive Stop =140 Sq Ft Mastic S-3C Top Layer Sheet Vinyl Kitchen Floor NA-Positive Stop =140 Sq Ft Mastic S-4A Bottom Layer Sheet Vinyl Kitchen Floor 1.3%Chrysotile =140 Sq Ft S-4B Bottom Layer Sheet Vinyl Kitchen Floor NA-Positive Stop =140 Sq Ft S-4C Bottom Layer Sheet Vinyl Kitchen Floor NA-Positive Stop =140 Sq Ft S-5A Bottom Layer Sheet Vinyl Kitchen Floor NA-Insufficient =140 Sq Ft Mastic Material S-5B Bottom Layer Sheet Vinyl Kitchen Floor NA-Insufficient =140 Sq Ft Mastic Material S-5C Bottom Layer Sheet Vinyl Kitchen Floor NA-Insufficient =140 Sq Ft Mastic Material S-6A Sheet Vinyl Flooring Bathroom ND NA S-6B Sheet Vinyl Flooring Bathroom ND NA S-6C Sheet Vinyl Flooring Bathroom ND NA S-7A Sheet Vinyl Mastic Bathroom ND NA S-7B Sheet Vinyl Mastic Bathroom ND NA S-7C Sheet Vinyl Mastic Bathroom ND NA S-8A Asphalt Shingles Shed Roof ND NA S-8B Asphalt Shingles Shed Roof ND NA S-8C Asphalt Shingles Shed Roof ND NA S-9A Paper Board Walls and Ceilings through house ND NA S-9B Paper Board Walls and Ceilings through house ND NA S-9C Paper Board Walls and Ceilings through house ND NA Conclusions Testing of all suspect asbestos containing materials was performed pursuant to 12 NYCRR Part 56, (Code Rule 56). Materials are considered asbestos containing if they contain 1% or more of asbestos. The results of the asbestos survey identified asbestos on the interior of the structure. The two layers of sheet vinyl flooring and associated leveling compound and mastic in the kitchen were found to contain asbestos. Recommendations The two layers of sheet vinyl flooring and associated leveling compound and mastic in the kitchen were found to contain asbestos. Abatement by a licensed NYSDOL abatement contractor is required prior to disturbing the materials during the demolition of the structure. Prior to modification or removal, the asbestos containing vinyl flooring and leveling compound must be removed by a licensed asbestos contractor, or otherwise in accordance with 12 NYCRR Part 56 and 29 CFR Part 1910. Pre-Demolition ACM Survey 16 Honeysuckle Road Town of Queensbury,NY Page 4 of 4 If you have any questions regarding this survey, please contact Hanson Van Vleet LLC at (518) 371-7940. Very truly yours, sonIffti Vleet, LLC James Gironda Geologist/Environmental Scientist NYSDOL Class D Inspector Certificate#07-05263 CC:NYSDOL • / 1 a \ Canoe Islands "� Point ain t ~- Kattskill l` o Mi 3tY ' / / Cleverdaie Sheldon Point s 4 Bay •".Rockhurs \ Assembly ;I 11 / • Port� .l( \., iii /speaker Heck .�; z,i t tsl €ndit 1� X111' •.i �, s � ..I • 9 i :1 1 < Harr " Ii " ` Bay , . .. I • s _ l ,. • . SITE LOCATION t - • • f 1 " ft r t ;. • • l • t7iamond�' �'� island l ' • DickW4slancis _y Happy Family IIslands I . i - I V[)fld5 r' J Burnt �j _ � `• ‘ t, Point • ��, Hili Dark .,, . , • n Bay �, • { • SITE LOCATION MAP FIG-1 H ANSON WATER SUPPLY & 16 HONEYSUCKLE LANE VANVLEET, LLC ENVIRONMENTAL CONSULTANTS QUEENSBURY, NEW YORK 902 ROUTE 146 CLIFTON PARK,NEW YORK 12065 (518)371-7940 FAX(518)371-5885 EMSL Analytical, Inc. EMSL Order: 041525562 EIVISL 200 Route 130 North,Cinnaminson,NJ 08077 CustomerlD: HANS22 Phone/Fax: (800)220-3675/(856)786-5974 CustomerPO: htto://www.EMSL.com cinnasblab(a.EMSL.com ProjectiD: Attn: James Gironda Phone: (518)371-7940 Hanson Van Vleet, LLC Fax: (518)371-5885 902 Route 146 Received: 08/24/15 9:00 AM Clifton Park, NY 12065 Analysis Date: 9/9/2015 Collected: 8/20/2015 Project: 16 Honeysuckle Road Test Report:Asbestos Analysis of Bulk Material Analyzed Non Asbestos Test Date Color Fibrous Non-Fibrous Asbestos Sample ID S-1A Description House-Asphalt Roof Shingles 041525562-0001 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Gray 21.5% Glass Inconclusive:None Detected TEM NYS 198.4 NOB 9/9/2015 Gray None Detected Sample ID S-1 B Description House-Asphalt Roof Shingles 041525562-0002 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Gray 22.4% Glass Inconclusive: None Detected TEM NYS 198.4 NOB 9/9/2015 Gray None Detected Sample ID S-1C Description House-Asphalt Roof Shingles 041525562-0003 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Gray 10.6% Glass Inconclusive: None Detected TEM NYS 198.4 NOB 9/9/2015 Gray None Detected Sample ID S-2A Description Kitchen-Top Layer Sheet Vinyl Floor 041525562-0004 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Gray 1.6% Chrysotile 1.6%Total TEM NYS 198.4 NOB Not Analyzed Sample ID S-2B-Floor Tile Description Kitchen-Top Layer Sheet Vinyl Floor 041525562-0005 Homogeneity PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Positive Stop(Not Analyzed) TEM NYS 198.4 NOB Not Analyzed Initial Report From 09/09/2015 11:17:17 Test Report 198VCM-7.30.0 Printed:9/9/2015 11:17:17 AM Page 1 • EMSL Analytical, Inc. EMSL Order: 041525562 EMSL 200 Route 130 North,Cinnaminson,NJ 08077 CustomerlD: HANS22 Phone/Fax: (800)220-3675/(856)786-5974 CustomerPO: htto://www.EMSL.com cinnasblabC6/EMSL.com ProjectlD: Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID S-2B-Leveler Description Kitchen-Top Layer Sheet Vinyl Floor 041525562-0005A Homogeneity Homogeneous PLM NYS 198.1 Friable 9/8/2015 Brown 94.67%Non-fibrous(other) 5.33% Chrysotile PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S-2C Description Kitchen-Top Layer Sheet Vinyl Floor 041525562-0006 Homogeneity PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Positive Stop(Not Analyzed) TEM NYS 198.4 NOB Not Analyzed Sample ID S-3A-Floor Tile Description Kitchen-Top Layer Sheet Vinyl Mastic 041525562-0007 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Black 3.2% Chrysotile 3.2%Total TEM NYS 198.4 NOB Not Analyzed Sample ID S-3A-Mastic Description Kitchen-Top Layer Sheet Vinyl Mastic 041525562-0007A Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Yellow Inconclusive: None Detected TEM NYS 198.4 NOB 9/9/2015 Yellow 2.5%Chrysotile 2.5%Total Sample ID S-3B-Floor Tile Description Kitchen-Top Layer Sheet Vinyl Mastic 041525562-0008 Homogeneity PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Positive Stop(Not Analyzed) TEM NYS 198.4 NOB Not Analyzed Sample ID S-3B-Mastic Description Kitchen-Top Layer Sheet Vinyl Mastic 041525562-0008A Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Yellow Inconclusive:None Detected TEM NYS 198.4 NOB 9/9/2015 Positive Stop(Not Analyzed) [Initial Report From 09/09/2015 11:17:17 Test Report 198VCM-7.30.0 Printed:9/9/2015 11:17:17 AM Page 2 • EMSL Analytical, Inc. EMSL Order: 041525562 EMSL 200 Route 130 North,Cinnaminson,NJ 08077 CustomerlD: HANS22 Phone/Fax: (800)220-3675/(856)786-5974 CustomerPO: htto://www.EMSL.com cinnasblab(&,EMSL.com ProjectlD: Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID S-3C-Floor Tile Description Kitchen-Top Layer Sheet Vinyl Mastic 041525562-0009 Homogeneity PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Positive Stop(Not Analyzed) TEM NYS 198.4 NOB Not Analyzed Sample ID S-3C-Mastic Description Kitchen-Top Layer Sheet Vinyl Mastic 041525562-0009A Homogeneity PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Insufficient Material TEM NYS 198.4 NOB Not Analyzed Sample ID S-4A Description Kitchen-Second Layer Sheet Vinyl 041525562-0010 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Brown/Black Inconclusive:<1%Chrysotile Inconclusive-<1%Total TEM NYS 198.4 NOB 9/9/2015 Brown/Black 1.3%Chrysotile 1.3%Total Sample ID S-4B Description Kitchen-Second Layer Sheet Vinyl 041525562-0011 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Brown/Black Inconclusive:<1%Chrysotile Inconclusive-<1%Total TEM NYS 198.4 NOB 9/9/2015 Positive Stop(Not Analyzed) Sample ID S-4C Description Kitchen-Second Layer Sheet Vinyl 041525562-0012 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Brown/Black Inconclusive:<1%Chrysotile Inconclusive-<1%Total TEM NYS 198.4 NOB 9/9/2015 Positive Stop(Not Analyzed) Sample ID S-4A Mastic Description -Second Layer Sheet Vinyl Mastic 041525562-0013 Homogeneity PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Insufficient Material TEM NYS 198.4 NOB Not Analyzed [Initial Report From 09/09/2015 11:17:17 Test Report 198VCM-7.30.0 Printed:9/9/2015 11:17:17 AM Page 3 EMSL Analytical, Inc. EMSL Order: 041525562 EMSL 200 Route 130 North,Cinnaminson,NJ 08077 CustomerlD: HANS22 Phone/Fax: (800)220-3675/(856)786-5974 CustomerPO: htto://www.EMSL.com cinnasblab(a.EMSL.com ProjectiD: Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID S-4B Mastic Description -Second Layer Sheet Vinyl Mastic 041525562-0014 Homogeneity PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Insufficient Material TEM NYS 198.4 NOB Not Analyzed Sample ID S-4C Mastic Description -Second Layer Sheet Vinyl Mastic 041525562-0015 Homogeneity PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Insufficient Material TEM NYS 198.4 NOB Not Analyzed Sample ID S-6A Description Bathroom-Sheet Vinyl Floor 041525562-0016 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 White Inconclusive:None Detected TEM NYS 198.4 NOB 9/9/2015 White None Detected Sample ID S-6B Description Bathroom-Sheet Vinyl Floor 041525562-0017 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 White Inconclusive:None Detected TEM NYS 198.4 NOB 9/9/2015 White None Detected Sample ID S-6C Description Bathroom-Sheet Vinyl Floor 041525562-0018 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 White Inconclusive: None Detected TEM NYS 198.4 NOB 9/9/2015 White None Detected Sample ID S-7A Description Bathroom-Sheet Vinyl Mastic 041525562-0019 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 White Inconclusive: None Detected TEM NYS 198.4 NOB 9/9/2015 White None Detected [Initial Report From 09/09/2015 11:17:17 Test Report 198VCM-7.30.0 Printed:9/9/2015 11:17:17 AM Pana 4 • EMSL Analytical, Inc. EMSL Order: 041525562 EMSL 200 Route 130 North,Cinnaminson,NJ 08077 CustomerlD: HANS22 Phone/Fax: (800)220-3675/(856)786-5974 CustomerPO: htto://www.EMSL.com cinnasblab(a?EMSL.com ProjectlD: Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID S-7B Description Bathroom-Sheet Vinyl Mastic 041525562-0020 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 White Inconclusive:None Detected TEM NYS 198.4 NOB 9/9/2015 White None Detected Sample ID S-7C Description Bathroom-Sheet Vinyl Mastic 041525562-0021 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 White Inconclusive:None Detected TEM NYS 198.4 NOB 9/9/2015 White <1%Chrysotile <1%Total Sample ID S-8A Description Shed-Asphalt Roof Shingles 041525562-0022 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Black 15.2% Glass Inconclusive: None Detected TEM NYS 198.4 NOB 9/9/2015 Black None Detected Sample ID S-8B Description Shed-Asphalt Roof Shingles 041525562-0023 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Black 18.1% Glass Inconclusive: None Detected TEM NYS 198.4 NOB 9/9/2015 Black None Detected Shingles Description Shed-Asphalt Roof Shin Sample ID S-8C p p 9 041525562-0024 Homogeneity Homogeneous PLM NYS 198.1 Friable Not Analyzed PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB 9/8/2015 Black 8.2% Glass Inconclusive:None Detected TEM NYS 198.4 NOB 9/9/2015 Black None Detected Sample ID S-9A Description Walls&Ceilings-Paper Board 041525562-0025 Homogeneity Homogeneous PLM NYS 198.1 Friable 9/8/2015 Brown/Black 85.00%Cellulose 15.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Initial Report From 09/09/2015 11:17:17 Test Report 198VCM-7.30.0 Printed:9/9/2015 11:17:17 AM Page 5 EMSL Analytical, Inc. EMSL Order: 041525562 EMSL 200 Route 130 North,Cinnaminson,NJ 08077 CustomerlD: HANS22 Phone/Fax: (800)220-3675/(856)786-5974 CustomerPO: http://www.EMSL.com cinnasblab(a,EMSL.com ProjectiD: Test Report:Asbestos Analysis of Bulk Material Non Asbestos Test Color Fibrous Non-Fibrous Asbestos Sample ID S-9B Description Walls&Ceilings-Paper Board 041525562-0026 Homogeneity Homogeneous PLM NYS 198.1 Friable 9/8/2015 Brown/Blue 80.00%Cellulose 20.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID S-9C Description Walls&Ceilings-Paper Board 041525562-0027 Homogeneity Homogeneous PLM NYS 198.1 Friable 9/8/2015 Brown 90.00%Cellulose 10.00%Non-fibrous(other) None Detected PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Analyst(s) Chelsey Bilhear Samantha Rundstorm Felix Anusiem Sandy Burany, Ph.D Benjamin Ellis, Laboratory Manager or other approved signatory NOB=Non Friable Organically Bound N/A=Not Applicable VCM=Vermiculite Containing Material -In New York State,TEM is currently the only method that can be used to determine if NOB materials can be considered or treated as non-asbestos containing. All samples examined for the presence of vermiculite when analyzed via NYS 198.1. -NYS Guidelines for Vermiculite containing samples are available at http://www.wadsworth.oro/labcert/elaocert/formsNermiculitelnterimGuidance Rev070913.odf EMSL maintains liability limited to cost of analysis.This report relates only to the samples reported above and may not be reproduced,except in full,without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client.Samples were received in good condition unless otherwise noted. This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the federal government.This report may contain data that is not covered by the NVLAP accreditation. Samples analyzed by EMSL Analytical,Inc.Cinnaminson,NJ NYS ELAP 10872,PA ID#68-00367 Initial Report From 09/09/2015 11:17:17 Test Report 198VCM-7.30.0 Printed:9/9/2015 11:17:17 AM THIS IS THE LAST PAGE OF THE REPORT. Page 6 STATE OF NEW YORK - DEPARTMENT OF LABORN. i ASBESTOS CERTIF=ICATE i JAMES J GIRONDA CLASS(EXPIRES) D INSP(11/15) *. 7° - . --05263 • 48045 MUST BE CARRIED ON ASBESTOS PROJECTS New York State— Department of,Labor Division of Safety and Health License and Certificate Unit State Campus,Building 12' Albany,NY 12240 ASBESTOS HANDLING LICENSE Hanson Van Vleet, LLC FILE NUMBER: 05-0220 LICENSE NUMBER: 28463 902 Route 146 LICENSE CLASS: RESTRICTED DATE OF ISSUE: 03/09/2015 Clifton Park, NY 12065 EXPIRATION DATE: 03/31/2016 ' I Duly Authorized Representative—D Kirby Vanvleet: This license has been issued in accordance with applicableprovisions of Article 30 of the Labor Law of New York State and of the New York State Codes,Rules and Regulations(12NYCRR Part 56). It is subject to suspension or revocation for a(1) serious violation of state,federal or local las with regard to the conduct of an asbestos project,or(2)demonstrated lack of responsibility in the conduct of any job involving asbestos or asbestos material: This license is valid only for the contractor named above and this"license or a photocopy must_be prominently displayed at the • asbestos project worksite. This licepse verifies that all persons employed by the licensee on an asbestos project in New York State have been issued an Asbestos Certificate,appropriate for the type of work they perform,by the New York State Department of Labor. Eileen M.Franko, Director SH 432(8/12) For the Commissioner of Labor tutor 6 1 A i