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asbestos report
O's4 FILE copy 'c\\\ riSO Nsg‘317(Y intertek , LIMITED ASBESTOS RENOVATION SURVEY REPORT PRICE CHOPPER STORE #40 677 UPPER GLEN STREET QUEENSBURY, NEW YORK, 12804 Prepared for: GOLUB CORPORATION 461 NOTT STRET SCHENECTADY, NEW YORK, 12305 Prepared by: PROFESSIONAL SERVICE INDUSTRIES, INC. 104 ERIE BOULEVARD, SUITE 1, SCHENECTADY, NEW YORK, 12305 518-377-9841 March 26, 2020 REVISED 6-18-20 PSI Project Number 08213803 intertek IIntertek-PSI Tel 518.377.9841 104 Erie Boulevard Fax 518.377.9847 Suite 1 intertek.com/building Schenectady,New York 12305 psiusa.com March 26, 2020 Revised 6-18-20 Ms. Linda Beeble Golub Corporation 461 Nott Street Schenectady, New York, 12305 Re: Limited Asbestos Renovation Survey Report Price Chopper Store#40 677 Upper Glen Street Queensbury, New York, 12804 Dear Ms. Beeble: In accordance with PSI Proposal No. 0821-299579, Professional Service Industries, Inc. (PSI) performed a Limited Asbestos Renovation Survey at the above referenced property. The survey was conducted to identify asbestos containing materials (ACM) prior to renovations of the structure. Please find one electronic copy of the final report enclosed. Thank you for choosing PSI as your consultant for this project. If you have any questions, or if we can.be of additional service, please call us at (518) 377-9841. Respectfully submitted, PROFESSIONAL SERVICE INDUSTRIES, INC. 4417AV/111141 y Krzysztof Szafranski John J. Tranter Environmental Technician Manager/Principal Consultant Limited Asbestos Renovation Survey Price Chopper Store#40 677 Upper Glen Street, Queensbury,New York, 12804 Revised 6-18-20 PSI Project Number 08213803 TABLE OF CONTENTS 1 EXECUTIVE SUMMARY 1 2 INTRODUCTION 2 2.1 PURPOSE 2 2.2 AUTHORIZATION 2 2.3 LIMITATIONS 2 2.4 WARRANTY 3 3 FINDINGS 4 3.1 ASBESTOS RESULTS 4 4 CONCLUSIONS & RECOMMENDATIONS 7 4.1 CONCLUSIONS 7 4.2 RECOMMENDATIONS 7 LIST OF APPENDICES APPENDIX A- REPORT OF BULK SAMPLE ANALYSIS FOR ASBESTOS APPENDIX B -SITE LAYOUT AND SAMPLE LOCATION DRAWING(S) APPENDIX C-ASBESTOS ASSESSMENT SPREADSHEETS APPENDIX D - INSPECTOR & LABORATORY CERTIFICATIONS Limited Asbestos Renovation Survey Price Chopper Store#40 677 Upper Glen Street, Queensbury,New York, 12804 Revised 6-18-20 PSI Project Number 08213803 1 EXECUTIVE SUMMARY Professional Service Industries (PSI), Inc., was retained by the Golub Corporation to conduct a Limited Asbestos Renovation Survey for asbestos-containing materials (ACM) of interior and limited exterior areas of the Price Chopper store #40 located at 677 Upper Glen Street, in Queensbury, New York prior to the planned renovations of the structure. The scope of work was to conduct a Limited Asbestos Renovation Survey of the structure. Areas not included in the scope of work included all interior restrooms, and the exterior roof. " The purpose of the investigation and sampling was to provide information regarding the presence, condition, and estimated quantity of Asbestos Containing Materials (ACM)that may be disturbed during renovations of the structure. The Limited.Asbestos Renovation Survey was conducted on March 19, 2020. Sampling of the Ceramic Wall Tile adhesive from the Sushi area was collected on,June 16, 2020. On June 18, 2020, PSI was able to access the Security Room (1 F36)and all the materials located inside the room were noted to be non-asbestos materials which are also located in other areas of the store. PSI was provided a basic floor plans for this building on which PSI created identification numbers for individual spaces within the structure. The labelled,floor plan is located in Appendix B and provides room or space identification numbers which are used in this report to distinguish locations of samples and materials. The structure is a one-story brick and block framed structure that is currently occupied and operating as a Price Chopper store. A total of one hundred and one (103) samples were collected from forty-seven (48) suspect asbestos-containing homogeneous materials. The samples were analyzed by Polarized Light Microscopy (PLM), matrix reduction with PLM, and Transmission Electron Microscopy (TEM) in accordance with New York State Department of Health Environmental Laboratory Approval Program (ELAP) methods 198.1, 198.4 and 198.6 as appropriate. An asbestos containing material, (ACM) is defined as a material which contains greater than 1% asbestos. The following asbestos containing materials (ACM) were identified during this investigation. • Expansion Joint Caulk Limited Asbestos Renovation Survey Price Chopper Store#40. 677 Upper Glen Street, Queensbury,New York, 12804 Revised 6-18-20 PSI Project Number 08213803 If additional suspect ACM materials are discovered during renovations that do not appear to have been sampled during this survey, they should be left undisturbed until sampling and analysis for asbestos can be performed. The following materials were sampled and analyzed and determined not to contain asbestos or <1% asbestos, therefore, they are not considered to be ACM. • Drywall • Grey Door Frame Caulk • Joint Compound • Quarry Tile Grout • 2'x4' Mix Fissure Ceiling Tile • Quarry Tile Mortar • 12"x12"White w/Tan Streak • Quarry Base Grout Floor Tile • Quarry Base Adhesive • 12"x12"White w/Tan Streak • 2'x4' Sheetrock Ceiling Tile Floor tile Mastic • 4" Dark Tan Cove Base • 4" Black Cove Base • 4" Dark Tan Cove Base Adhesive • 4" Black Cove Base Adhesive • 4" Dark Grey Cove Base • 12"x12" Lt. Orange Floor Tile • 4" Dark Grey Cove Base • 12"xl 2" Lt. Orange floor Tile Adhesive Mastic • Black Sink Base • 12"x12" Lt. Pink Floor Tile • Ceramic Wall Tile Grout • 12"x12" Red Floor Tile • Faux Ceramic Tile Adhesive • 4" Grey Cove Base • Green Carpet Adhesive • 4" Grey Cove Base Adhesive • Grey Window Frame Caulk • 2'x4' Mix Fissure Squares Ceiling • Tan Window Frame Caulk Tile • Tan EFTS • Grey Duct Sealant • White Wall Panel Caulk • Stone Tile Grout • 2'x2' Mix Fissure Ceiling Tile • Stone Tile Mortar • Beige EFIS Caulk • Plastic Wall Panel Adhesive • Exterior Window Frame Caulk • Brick Mortar • Red Door Frame Caulk • White Fiberglass Insulation • Grey Drain Caulk Jacket • Brick Base Caulk • Silver Fiberglass Insulation • Ceramic Wall Tile Adhesive Jacket (Sushi Area) • Block mortar This summary does not contain all the information presented in the full report. The report should be read in its entirety to obtain a more complete understanding of the information provided and to aid in any decisions made or actions taken based on this information. Limited Asbestos Renovation Survey Price Chopper Store#40 677 Upper Glen Street, Queensbury,New York, 12804 Revised June 18, 2020 PSI Project Number 08213803 2 INTRODUCTION The scope of services for this project consisted of conducting a Limited Asbestos Renovation Survey including inspection, sampling, and analysis of accessible and exposed areas at the Price Chopper store #40 located at 677 Upper Glen Street in Queensbury, New York. The structure is currently occupied and operating as a Price Chopper. The investigation included a visual inspection of the subject area(s), sample collection, sample analysis, quantification of ACMs, and report preparation & review. 2.1 PURPOSE The purpose of this survey was to provide general information regarding the presence, condition, and quantity of accessible and/or exposed friable and non-friable, building materials that contain asbestos and may be impacted by the planned renovation project. 2.2 AUTHORIZATION Authorization to perform this work was given by Ms. Linda Beeble, under PSI Proposal No. 0821-299579 dated January 15, 2019. 2.3 LIMITATIONS This Limited Asbestos Renovation Survey was intended to meet the requirements of the National Emissions Standard for Hazardous Air Pollutants (NESHAP) and New York State for Asbestos surveys prior to renovations within the store. Destructive sampling, such as behind finished surfaces (plaster/drywall walls, above hard ceilings, etc.); inside mechanical chases or behind mirrored walls was generally conducted to try to assess inaccessible or concealed materials. Such inspections were made by accessing existing an `opening of sufficient size to determine the presence, condition and quantity of suspect ACM within. PSI did make observations under multi layered flooring, tiled floors, hardwood floors etc. to access suspect asbestos containing materials that may be present. Although PSI made an attempt to identify all areas of ACM, an exhaustive investigation of void spaces was not included in the scope of services for this project. There may exist conditions which were unable to be identified within the scope of this survey. Inaccessible is defined as areas of the building that were locked, or where admittance was not permitted. It also includes areas/materials that could not be tested (sampled) without destruction of the structure or a portion of the structure, and areas/materials that Limited Asbestos Renovation Survey Price Chopper Store#40 677 Upper Glen Street, Queensbury,New York, 12804. Revised June 18, 2020 PSI Project Number 08213803 could not be safely reached by the inspector or inspection team. In the event that access to a portion of the building was not obtained (which otherwise would have been tested), such limitations specifically are identified in the Findings Section of this report. PSI did not sample any system which presented a hazard to the inspection team such as energized electrical systems or within confined spaces. PSI was requested not to sample interior restrooms or the exterior roofing. Please note, that if these materials will be disturbed by renovations,they must be sampled for asbestos prior to any disturbance. 2.4 WARRANTY The field and laboratory results reported herein are considered sufficient in detail and scope to determine the presence of accessible and/or exposed suspect ACM for the building structure. Professional Service Industries (PSI), Inc., warrants that the findings contained herein have been prepared in general accordance with accepted professional practices at the time of its preparation as applied by professionals in the community. Changes in the state of the art or in applicable regulations cannot be anticipated and have not been addressed in this report. The survey and analytical methods have been used to provide the client with information regarding the presence of accessible and/or exposed suspect ACM existing at the time of the inspection. Test results are valid only for the material(s)tested. There is a distinct possibility that conditions may exist which could not be identified within the scope of the work or which were not apparent during the site visit. This inspection covered only those areas that were exposed and/or physically accessible to the Inspector. The study is also limited to the information available from the client at the time it was conducted. As directed. by the client, PSI did not provide any service to investigate or detect the presence of moisture, mold or other biological contaminants in or around any structure, or any service that was designed or intended to prevent or lower the risk of the occurrence of the amplification of the same. Client acknowledges that mold is ubiquitous to the environment with mold amplification occurring when building materials are impacted by moisture. Client further acknowledges that site conditions are outside .of PSI's control, and that mold amplification will likely occur, or continue to occur, in the presence of moisture. As such, PSI cannot and shall not be held responsible for the occurrence or recurrence of mold amplification. No other warrantees are implied or expressed. Limited Asbestos Renovation Survey Price Chopper Store#40 677 Upper Glen Street, Queensbury,New York, 12804 Revised June 18,2020 PSI Project Number 08213803 3 FINDINGS 3.1 ASBESTOS RESULTS A total of one hundred and one (103) samples were collected from forty-seven (48) suspect asbestos-containing homogeneous materials. The following asbestos containing materials (ACM) were identified during this investigation. • Expansion joint Caulk PSI observed an Expansion Joint Caulk located on the exterior of the subject property. This material is tan in color but has been painted over red to match the surrounding brick. This material was analyzed to contain an asbestos content that is greater than 1% and is considered to be an ACM. As such, this material must be abated by a New York State licensed asbestos abatement contractor prior to any planned renovations that may impact or disturb this material. The Limited Asbestos Renovation Survey was conducted on March 19, 2020. Sampling of the Ceramic Wall Tile adhesive from the Sushi area was collected on June 16, 2020. On June 18, 2020, PSI was able to access the Security Room (1f36)and all the materials identified inside the room were noted to be non-asbestos containing materials which are also located in other areas of the store. The quantities, locations, and conditions of suspect asbestos containing materials sampled can be found in Appendix C of this report. At the time of the survey, the materials surveyed were predominately in fair condition. PSI did not observe any vermiculite inside the building. PSI attempted to observe the through damaged areas of the block wall in order to check for the presence of vermiculite. Although attempts to observe these typically hidden materials were made, there remains conditions where access is not feasible to observe these materials. There is a potential that vermiculite may exist and if identified during the renovations should be assumed as an asbestos containing material until analytical analysis proves otherwise. 3.1.1 INACCESSIBLE AND LIMITED ACCESS AREAS • None 3.1.2 NON-SUSPECT MATERIALS The following materials were observed but are considered `non-suspect ACM due to their composition (fiberglass, rubber, etc.) and were not sampled. Limited Asbestos Renovation Survey Price Chopper Store#40 677 Upper Glen Street, Queensbury,New York, 12804 Revised June 18,2020 PSI Project Number 08213803 • Wooden Frames and Molding • Glass • Metal Trim and Flashing • Concrete 3.1.3 REGULATORY GUIDELINES: ACM Definition — The EPA and OSHA consider a material to be asbestos containing if at least one sample from the homogeneous area shows asbestos in an amount greater than 1%. EPA NESHAP Category— EPA classifies ACM into several categories. A regulated asbestos-containing material (RACM) as defined by the Asbestos National Emissions.Standard for Hazardous Air Pollutants (NESHAP) is any (a) Friable asbestos material, (b)Category I non-friable ACM that has become friable, (c)Category I non-friable ACM that will be or has been subjected to sanding, grinding, cutting, or abrading, or (d) Category II non-friable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation operations. A Category I Non-friable ACM includes packings, gaskets, resilient floor covering, and asphalt roofing products which contain more than one percent asbestos. A Category II Non-friable ACM includes any material, except for a Category I non-friable ACM, which contains more than one-percent asbestos and cannot be reduced to a powder by hand pressure when dry. The Occupational Safety and Health Administration (OSHA) — OSHA requires all suspect materials to be analyzed by layer, even materials such as drywall/joint compound, which may sometimes be composited per the EPA. If any layer contains asbestos in a concentration >1%, the material is considered an ACM. OSHA has a classification system (I thru IV) for ACM depending on the type of material and the disturbance. Briefly, `Class I'work is defined as activities involving the removal of ACM or presumed ACM (PACM) that is thermal system insulation (TSI) and surfacing materials. `Class II'activities involve removal of ACM/PACM other than TSI or surfacing material. `Class NI'work includes repair and maintenance operations which are likely to disturb ACM/PACM, and `Class IV'work includes maintenance and custodial activities during which employees contact but do not disturb ACM/PACM. Materials where asbestos is detected, but where point counting is conducted and determined that the concentration is 51% asbestos, are not considered to be ACM by OSHA. However, these materials are considered unclassified asbestos work per OSHA. Some OSHA work control practices and prohibitions will still apply,with the extent Limited Asbestos Renovation Survey Price Chopper Store#40 677 Upper Glen Street, Queensbury,New York, 12804 Revised June 18, 2020 PSI Project Number 08213803 depending on whether the worker's exposure to airborne asbestos exceeds the OSHA permissible exposure limit (PEL). Additional details of the OSHA asbestos regulations related to the construction industry can be found in 29 CFR part 1926.1101. 3.1.4 QUANTIFICATION Quantification of suspect ACMs was conducted using visual estimation by a licensed asbestos inspector. This visual estimation was performed in accordance with generally accepted practices in the asbestos industry based on materials that were accessible and exposed. These values are sufficiently accurate for the purpose of documenting the presence of asbestos within its space for the purpose of identifying abatement control conditions or for general policy considerations. Actual quantities may differ between visually estimated values and physical measurements. If a licensed asbestos abatement contractor is engaged to remove asbestos containing materials, the abatement contractor is responsible for verifying reported quantities of ACM. Limited Asbestos Renovation Survey Price Chopper Store#40 677 Upper Glen Street, Queensbury,New York 12804 Revised June 18,2020 PSI Project Number 08213803 4 CONCLUSIONS & RECOMMENDATIONS 4.1 CONCLUSIONS Asbestos-containing materials (ACM) were identified within the structure located at 677 Upper Glen Street in Queensbury, New York. If additional materials are identified during the renovations that have not been identified in this report, they should be assumed to contain asbestos until sampling and analysis proves otherwise. At the time of the survey, the materials surveyed were predominately in good condition. PSI did not observe any vermiculite inside the building. PSI attempted to observe the through damaged areas of the block wall in order to check for the presence of vermiculite. Although attempts to observe these typically hidden materials were made, there remains conditions where access is not feasible to observe these materials. There is a potential that vermiculite may exist and if identified during the renovations should be assumed as an asbestos containing material until analytical analysis proves otherwise. 4.2 RECOMMENDATIONS Regulated ACM (RACM) must be properly removed by a licensed asbestos abatement contractor prior to renovations or demolition that would disturb the material. Federal, State and Local regulations and guidelines should be strictly adhered to when removing the ACM. It is recommended that the entire roof structure down to the decking, including field and flashings be removed as asbestos containing materials. Materials verified to contain low concentrations of asbestos (trace to 1%) are not considered ACM, and are not regulated by the EPA; however, some OSHA regulations will still apply based on the employee's airborne exposure. In addition, prior to any future maintenance, renovation or demolition activities, any assumed ACMs should be tested. Any areas that were noted as being inaccessible during this project, or any concealed areas, such as behind walls, where suspect ACMs are discovered, will require a survey for ACM. Prior to the initiation of a project that would involve abatement, a detailed engineering cost estimate and project design is recommended. The engineering cost estimate will incorporate such variables as scheduling and phasing of the project, the size and extent of the project, seasonal factors, operational factors and other restrictions, respiratory protection, alternate abatement options, and type of replacement material. An engineering cost estimate would also include professional fees, such as for project design and management, and other expenses, such as on-site air monitoring and construction supervision. S Limited Asbestos Renovation Survey Price Chopper Store#40 677 Upper Glen Street, Queensbury,New York, 12804 Revised June 18, 2020 PSI Project Number 08213803 TABLE 1 - CONFIRMED ASBESTOS CONTAINING MATERIALS 677 Upper Glen St, Queensbury, New York—Limited Asbestos Renovation Survey PSI #08213803 Material # Material Material F/NF 1 Cond.2 %ACM EPA Est. Qty.5 & Description Location` &Type3 NESHAP (#Samples) Cat 4 44 (2) Expansion Joint Exterior NF Good 2% Ch. Cat II NF 560 LF Caulk 1. F=Friable; NF=Non-friable 2.Cond.=Condition Of Materials Either good,dam=damaged,sig.dam.=significant damage 3.NAD=No Asbestos Detected, Ch=Chrysotile,Anth=Anthophyllite, PT=Point Count Analysis 4.NESHAP Category-Regulated ACM(RACM),Cat I NF=Category I Non-Friable ACBM, Cat II NF=Category II Non-Friable ACBM 5.SF=Square Feet,LF=Linear Feet • • r ti Limited Asbestos Renovation Survey Price Chopper Store#40 677 Upper Glen Street, Queensbury,New York, 12804 Revised June 18, 2020 PSI Project Number 08213803 APPENDIX A- REPORT OF BULK SAMPLE ANALYSIS FOR ASBESTOS /1001""\ AmeriSci New York 117 EAST 30TH ST. AMERI SCI NEW YORK,NY 10016 TEL:(212)679-8600•FAX:(212)679-3114 PLM Bulk Asbestos Report PSI, Inc. Date Received 03/20/20 AmeriSci Job# 220032992 Attn: John Tranter Date Examined 03/22/20 P.O.# 104 Erie Blvd. ELAP# 11480 Page 1 of 18 RE:08213803; Golub Corporation/Price Chopper, 677-Upper Schenectady, NY 12305 Glen Street- PC#40, New York Client No./ HGA Lab No. Asbestos Present Total %Asbestos 01-01 220032992-01 No NAD 01 -Location: 1F25-SE Floor-12 X 12 White W/Tan Streak Floor Tile (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: OflWhite,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 18.4% 01-02 220032992-02 No NAD 01 Location: 1F17-SW Floor-12 X 12 White W I Tan Streak Floor Tile (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: ()White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 1.9% 02-03 220032992-03 No NAD 02 Location: 1F25-SE Floor-12 X 12 White W/Tan Steak Floor Tile Mastic (by NYS ELAP 198.6) • by Jared C.Clarke on 03/22/20 Analyst Description:Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 8.5% 02-04 220032992-04 No NAD 02 Location: 1F17-SW Floor-12 X 12 White W/Tan Steak Floor Tile Mastic (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 16.7% 03-05 220032992-05 No NAD 03 Location: 1F12-NE Comer-By Boiler-12 X 12 Lt.Orange Floor Tile (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Peach,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 15.3% See Reporting notes on last page AmeriSci Job#: 220032992 Page 2 of 18 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation/ Price Chopper; 677 Upper Glen Street- PC#40, New York Client No.! HGA Lab No. Asbestos Present Total %Asbestos 03-06 220032992-06 No NAD 03 Location: 1F35-NE Floor-12 X 12 Lt.Orange Floor Tile (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 • Analyst Description: Peach,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 2% 04-07 220032992-07 No NAD Q4 Location: 1 F12-NE Corner-By Boiler-12 X 12 Lt.Orange Floor Tile Mastic (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Yellow/Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 13.7% 04-08 220032992-08 No NAD 04 Location: 1 F35-NE Floor-12 X 12 Lt.Orange Floor Tile Mastic (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Yellow/Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 18% 05-09 220032992-09 No NAD 05 Location: 1 F1 -NW Of Door To 1F8-12 X 12 Lt.Pink Floor Tile (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: Pink,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non fibrous 17.5% 05-10 220032992-10 No NAD 05 Location: 1 F1 -NW Of 1F33-12 X 12 Lt.Pink Floor Tile (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: Pink,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 5.6% 06-11 220032992-11 No NAD 06 Location: 1 F1 -NW Of Door To 1F8-12 X 12 Red Floor Tile (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: Red,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non fibrous 4% See Reporting notes on last page AmeriSci Job#: 220032992 Page 3 of 18 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation/ Price Chopper; 677 Upper Glen Street-PC#40, New York Client No. /HGA Lab No. Asbestos Present Total %Asbestos 06-12 220032992-12 No NAD Location: 1 F1 -NW Of 1F33-12 X 12 Red Floor Tile (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:,Red,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 4.7% 07-13 220032992-13 No NAD 07 Location: 1F33-SW Corner-4"Grey Cove Base (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Brown,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 1.8% 07-14 220032992-14 No NAD 07 Location: 1F33-NE Comer-4"Grey Cove Base (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Brown,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material:Non-fibrous 3.7% 08-15 220032992-15 No NAD 08 Location: 1 F33-SW Corner-4"Grey Cove Base Adhesive (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: Beige,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 7.9% 08-16 220032992-16 No NAD 08 Location: 1F33-NE Corner-4"Grey Cove Base Adhesive (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Beige,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material:.Non-fibrous 8.7% 09-17 220032992-17 No NAD 09 Location: 1F17-S Wall-Above Ceiling-Drywall (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Grey/Brown,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 20%, Non-fibrous 80% See Reporting notes on last page AmeriSci Job#: 220032992 Page 4 of 18 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation/ Price Chopper; 677 Upper Glen Street- PC#40, New York Client No.I HGA Lab No. Asbestos Present Total %Asbestos 09-18 .220032992-18 No NAD 09 Location: 1F8-S Ceiling-Drywall (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Grey/Brown,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 35%, Non-fibrous 65 10-19 220032992-19 No NAD 10 Location: 1F17-S Wall-Above Ceiling-Joint Compound (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 10-20 220032992-20 No NAD 10 Location: 1F8-S Ceiling-Joint Compound (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 11-21 220032992-21 No NAD 11 Location: 1 F17-S Ceiling-2'X 4'Mix Fissure Ceiling Tile (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 24.4% 11-22 220032992-22 No NAD 11 Location: 1F12-S Ceiling-2'X 4'Mix Fissure Ceiling Tile (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 39.3% 12-23 220032992-23 No NAD 12 Location: 1 F1 -N.Of 1 F7-2'X 4'Mix Fissure Squares Ceiling Tile (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 38.5% See Reporting notes on last page AmeriSci Job#: 220032992 Page 5 of 18 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation/Price Chopper; 677 Upper Glen Street- PC#40, New York Client No. /HGA Lab No. Asbestos Present Total %Asbestos 12-24 220032992-24 No NAD 12 Location: 1 F1 -N.Of 1F7-2'X 4'Mix Fissure Squares Ceiling Tile (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 41.3% 13-25 220032992-25 No NAD 13 Location: 1F25-N.Wall-4"Black Cove Base (by NYS ELAP 198.6) by Jared C.Clarke on 03122/20 Analyst Description: Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 1.2% 13-26 220032992-26 No NAD 13 Location: 1F17-S.Wall-4"Black Cove Base (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 • Analyst Description: Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 2.1 % 14-27 220032992-27 No NAD 14 Location: 1F25-N.Wall-4"Black Cove Base Adhesive (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 59.3% 14-28 220032992-28 No NAD 14 Location: 1 F17-S.Wall-4"Black Cove Base Adhesive (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Yellow, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 57.7% 15-29 220032992-29 No NAD 15 Location: 1 F20-SW Ceiling-Grey Duct Sealant (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 1.2% See Reporting notes on last page AmeriSci Job#: 220032992 Page 6 of 18 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation I Price Chopper; 677 Upper Glen Street-PC#40, New York Client No./ HGA Lab No. Asbestos Present Total %Asbestos 15-30 220032992-30 No NAD 15 Location: 1 F20-SW Ceiling-Grey Duct Sealant (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 0.4% 16-31 220032992-31 No NAD 16 Location: 1 F1 -W.Of 1F12 N.Door-Stone Tile Grout (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 16-32 220032992-32 No NAD 16 Location: 1 F1 -SE Floor-Stone Tile Grout (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 17-33 220032992-33 No NAD 17 Location: 1 F1 -W.Of 1F12 N.Door-Stone Tile Mortar (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 17-34 220032992-34 No NAD 17 Location: 1 F1 -SE Floor-Stone Tile Mortar (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: i Other Material: Non-fibrous 100% 18-35 220032992-35 No NAD 18 Location: 1 F11 -NE Wall-Above Ceiling-Plastic Wall Panel Adhesive (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 2.2% • See Reporting notes on last page AmeriSci Job#: 220032992 Page 7 of 18 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation/Price Chopper, 677 Upper Glen Street-PC#40, New York Client No. I HGA Lab No. Asbestos Present Total %Asbestos 18-36 220032992-36 No NAD 18 Location: 1 F33-SW Corner Wall-Plastic Wall Panel Adhesive (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 21.6% 19-37 220032992-37 No NAD 19 Location: 1F21 N Wall-By Door-Brick Mortar (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material, Asbestos Types: Other Material: Non-fibrous 100% 19-38 220032992-38 No NAD 19 Location: 1 F8-SE Comer Of 1 F7-Brick Mortar (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 20-39 220032992-39 No NAD 20 Location: 1 F20-N Wall-By Water Main-White Fiberglass Insulation Jacket (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Silver/White,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 30%, Fibrous glass 10%, Non-fibrous 60% 20-40 220032992-40 No NAD 20 Location: 1F20-N Wall-On Water Main-White Fiberglass Insulation Jacket (by NYS ELAP 198.1) by Jared C.Clarke • on 03/22/20 Analyst Description: Silver/White,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 30%, Fibrous glass 10%, Non-fibrous 60% 20-41 220032992-41 No NAD 20 Location: 1 F20-N Wall-By Compactor-White Fiberglass Insulation Jacket (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Silver/White,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 30%, Fibrous glass 10%, Non-fibrous 60% See Reporting notes on last page AmeriSci Job#: 220032992 Page 8 of 18 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation/Price Chopper; 677 Upper Glen Street- PC#40, New York Client No. I HGA Lab No. Asbestos Present Total %Asbestos 21-42 220032992-42 No NAD 21 Location: 1 F17-SE Duct-Silver Fiberglass Insulation Jacket (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Silver/Brown,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 35%, Fibrous glass 5%, Non-fibrous 60% 21-43 220032992-43 No NAD 21 Location: 1 F17-S.Center Duct-Silver Fiberglass Insulation Jacket (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Silver/Brown,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 38%, Fibrous glass 2%, Non-fibrous 60% 21-44 220032992-44 No NAD 21 Location: 1 F12-S Duct-Silver Fiberglass Insulation Jacket (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description: Silver/Brown,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Cellulose 35%, Fibrous glass 5%, Non-fibrous 60% 22-45 220032992-45 No NAD 22 Location: 1F21 -N Wall-By Door-Block Mortar (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 22-46 220032992-46 No NAD 22 Location: 1F21 -S Wall-By Door-Block Mortar (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non fibrous 100% 23-47 220032992-47 No NAD 23 Location: 1 F8-W.Door-Grey Door Frame Caulk (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 5.2% See Reporting notes on last page AmeriSci Job#: 220032992 Page 9 of 18 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation/Price Chopper; 677 Upper Glen Street- PC#40, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 23-48 220032992-48 No NAD 23 Location: 1 F8-W.Door-Grey Door Frame Caulk (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 8.4% 24-49 220032992-49 No NAD 24 Location: 1 F11 -Center Floor-Quarry Tile Grout (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 24-50 220032992-50 No NAD 24 Location: 1F9-SW Floor-Quarry Tile Grout (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 25-51 220032992-51 No NAD 25 Location: 1 F11 -Center Floor-Quarry Tile Mortar (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 25-52 220032992-52 No NAD 25 Location: 1 F9-SW Floor-Quarry Tile Mortar (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous, Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 26-53 220032992-53 No NAD 26 Location: 1 F19-S.Ceiling-2 X 4 Sheetrock Ceiling Tile (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Grey/Brown,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 51.7% See Reporting notes on last page • AmeriSci Job#: 220032992 Page 10 of 18 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation/ Price Chopper; 677 Upper Glen Street-PC#40, New York Client No. /HGA Lab No. Asbestos Present Total %Asbestos 26-54 220032992-54 No NAD 26 Location: 1 F9-E.Ceiling-2 X 4 Sheetrock Ceiling Tile (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: Grey/Brown,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 46.7% 27-55 220032992-55 No NAD 27 Location: 1 F11 -N Corner-Quarry Base Grout (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 27-56 220032992-56 No NAD 27 Location: 1F9-NW Corner Of 1 F9A-Quarry Base Grout (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 28-57 220032992-57 No NAD 28 Location: 1 F11 -N Corner-Quarry Base Adhesive (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Tan,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 37.7% 28-58 220032992-58 No NAD 28 Location: 1 F9-NW Corner Of 1 F9A-Quarry Base Adhesive (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Tan,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 36.8% 29-59 220032992-59 No NAD 29 Location: 1F26-N Wall-4"Dark Tan Cove Base (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non fibrous 28.8% See Reporting notes on last page AmeriSci Job#: 220032992 Page 11 of 18 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation/ Price Chopper; 677 Upper Glen Street- PC#40, New York Client No. /HGA Lab No. Asbestos Present Total %Asbestos 29-60 220032992-60 No NAD 29 Location: 1F26-N Wall-4"Dark Tan Cove Base (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 30.2% 30-61 220032992-61 No NAD 30 Location: 1F26-N Wall-4"Dark Tan Cove Base Adhesive (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: Beige,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 25.5% 30-62 220032992-62 No NAD 30 Location: 1F26-N Wall-4"Dark Tan Cove Base Adhesive (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: Beige,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 27.3% 31-63 220032992-63 No NAD 31 Location: 1F39-N Wall-E Corner-4"Dark Grey Cove Base (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non fibrous 1.2% 31-64 220032992-64 No NAD 31 Location: 1F39-N Wall-Center-4"Dark Grey Cove Base • (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 0.7 32-65 220032992-65 No NAD 32 Location: 1F39-N Wall-E Corner-4"Dark Grey Cove Base Adhesive (by NYS ELAP 198.6) by Jared C.Clarke on 03/22120 Analyst Description:Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 10.2% See Reporting notes on last page AmeriSci Job#: 220032992 Page 12 of 18 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation/Price Chopper; 677 Upper Glen Street- PC#40, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 32-66 220032992-66 No NAD S2 Location: 1 F39-N Wall-Center-4"Dark Grey Cove Base Adhesive (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 16.3% 33-67 220032992-67 No NAD 33 Location: 1F13-S.Sink-Black Sink Base (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 32.5% 33-68 220032992-68 No NAD 33 Location: 1 F13-S.Sink-Black Sink Base (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: Black,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 29.7% 34-69 220032992-69 No NAD 34 Location: 1F19-SW Comer-Ceramic Wall Tile Grout (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 34-70 220032992-70 No NAD 34 Location: 1 F19-N.Wall Of SE Wash Station-Ceramic Wall Tile Grout (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material:Non-fibrous 100% 36-73 220032992-71 No NAD 36 Location: 1 F19-NE Corner-Faux Ceramic Tile Adhesive (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 10.1 % See Reporting notes on last page AmeriSci Job#: 220032992 Page 13 of 18 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation/Price Chopper; 677 Upper Glen Street- PC#40, New York Client No./ HGA Lab No. Asbestos Present Total %Asbestos 36-74 220032992-72 No NAD 36 Location: 1F19-NE.Comer-Faux Ceramic Tile Adhesive (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Yellow,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 1.7%, 37-75 220032992-73 No NAD 37 Location: 1 F40-N.Floor-Green Carpet Adhesive (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Green,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 4.3% 37-76 220032992-74 No NAD 37 Location: 1 F40-N.Floor-Green Carpet Adhesive (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: Green,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 4.1 % 38-77 220032992-75 No NAD 38 Location: 1 F39-N.Window-Grey Window Frame Caulk (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 0.3 38-78 220032992-76 No NAD 38 Location: 1 F39-S.Window-Grey Window Frame Caulk (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 3.6% 39-79 220032992-77 No NAD 39 Location: 1 F8-SW Corner Window-Tan Window Frame Caulk (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Tan,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 15.6% See Reporting notes on last page AmeriSci Job#: 220032992 Page 14 of 18 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation I Price Chopper; 677 Upper Glen Street- PC#40, New York Client No. / HGA Lab No. Asbestos Present Total %Asbestos 39-80 220032992-78 No NAD 39 Location: 1 F8-S Center Window-Tan Window Frame Caulk (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Tan,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non fibrous 17.9% 40-81 220032992-79 No . NAD 40 Location: 1 F8-SW Corner-Tan EFIS (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Tan,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 5%, Non-fibrous 95% 40-82 220032992-80 No NAD 40 Location: 1 F8-S.Center-Tan EFIS (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Tan/Grey,Heterogeneous,Fibrous,Bulk Material Asbestos Types: Other Material: Fibrous glass 5%, Non-fibrous 95% 40-83 220032992-81 No NAD 40 Location: Exterior-S Face-E End-Under Roof Overhang-Tan EFIS (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:White/Grey,Heterogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 40-84 220032992-82 No MAD 40 Location: Exterior-S Face-E Side Of E Pillar-Tan EFIS (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Grey/White,Heterogeneous,.Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Fibrous glass 2%, Non fibrous 98% 40-85 220032992-83 No NAD 40 Location: Exterior-S Face-SW Side Of E Pillar-Tan EFIS (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Heterogeneous,Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Fibrous glass 5%, Non fibrous 95% See Reporting notes on last page AmeriSci Job#: 220032992 Page 15 of 18 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation/Price Chopper; 677 Upper Glen Street- PC#40, New York Client No. I HGA Lab No. Asbestos Present Total % Asbestos 40-86 220032992-84 No NAD 40 Location: Exterior-S Face-SE Side Of W Pillar-Tan EFIS (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description: Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Fibrous glass 3%, Non-fibrous 97% 40-87 220032992-85 No NAD 40 Location: Exterior-S Face-NW Side Of W Pillar-Tan EFIS (by NYS ELAP 198.1) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Cementitious,Bulk Material Asbestos Types: Other Material: Non-fibrous 100% 41-88 220032992-86 No NAD 41 Location: 1F19-NE Comer-White Wall Panel Caulk (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:() White,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 12.9% 41-89 220032992-87 No NAD 41 Location: 1 F19-NE Corner-White Wall Panel Caulk (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:OftWhite,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 11.1 % 42-90 220032992-88 No NAD 42 Location: 1 F1 -Ceiling E.Of 1F9-2 X 2 Mix Fissure Ceiling Tile (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 36.2% 42-91 220032992-89 No NAD 42 Location: 1 F1 -Ceiling E.Of 1F9-2 X 2 Mix Fissure Ceiling Tile (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 38.2% See Reporting notes on last page •AmenSci Job#: 220032992 Page 16 of 18 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation /Price Chopper; 677 Upper Glen Street-PC#40, New York Client No. / HGA Lab No. Asbestos Present. Total % Asbestos 43-92 220032992-90 No NAD 43 Location: 1F8-SW Corner Wall-Beige EFIS Caulk (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Tan,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 26.5% 43-93 220032992-91 No NAD 43 Location: 1 F8-S Center Wall-Beige EFIS Caulk (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Tan,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 12.9% 44-94 220032992-92 Yes 2 % 44 Location: Exterior-SE Face-N End-Expansion Joint Caulk (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Tan,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types:Chrysotile 2.0% Other Material: Non-fibrous 15.9% 44-95 220032992-93 NA/PS 44 Location: Exterior-NE Face-N End-Expansion Joint Caulk Analyst Description:Bulk Material Asbestos Types: Other Material: 45-96 220032992-94 No NAD 45 Location: Exterior-NE Face-Center Window-Exterior Grey Window Frame Caulk (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non fibrous 16.7% 45-97 220032992-95 No NAD 45 Location: Exterior-SE Face-N Window-Exterior Window Frame Caulk (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 5.3% See Reporting notes on last page AmeriSci Job#: 220032992 Page 17 of 18 • Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation / Price Chopper; 677 Upper Glen Street- PC#40, New York Client No. !HGA Lab No. Asbestos Present Total %Asbestos 46-98 220032992-96 Yes Trace (<0.25 % pc)2 46 Location: Exterior-S Face-W Door-Red Door Frame Caulk (EPA 400 PC) by Jared C.Clarke on 03/22/20 Analyst Description: Red/Tan,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types:Anthophyllite <0.25%pc Other Material: Fibrous Talc 5%, Non-fibrous 18.5% 46-99 220032992-97 Yes Trace (<0.25 % pc)2 46 Location: Exterior-S Face-W Door-Red Door Frame Caulk (EPA 400 PC) by Jared C.Clarke on 03/22/20 Analyst Description: Red/Tan,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types:Anthophyllite <0.25%pc Other Material: Fibrous Talc 4%, Non-fibrous 17.3% 47-100 220032992-98 No NAD 47 Location: Exterior-N Face-E.Drain-Grey Drain Caulk (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 33.5% 47-101 220032992-99 No NAD 47 Location: Exterior-N Face-E.Center Drain-Grey Drain Caulk (by NYS ELAP 198.6) by Jared C.Clarke . on 03/22/20 Analyst Description: Grey, Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 25.9% 48-102 220032992-100 No NAD 48 Location: Exterior-S Face-E.Corner-Brick Base Caulk (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous, Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 29.4% 48-103 220032992-101 No NAD 48 Location: Exterior-S Face-E.Center-Brick Base Caulk (by NYS ELAP 198.6) by Jared C.Clarke on 03/22/20 Analyst Description:Grey,Homogeneous,Non-Fibrous,Bulk Material Asbestos Types: Other Material: Non-fibrous 51.1 % See Reporting notes on last page AmeriSci Job#: 220032992 Page 18 of 18 Client Name: PSI, Inc. PLM Bulk Asbestos Report 08213803; Golub Corporation/Price Chopper; 677 Upper Glen Street- PC#40, New York • Reporting Notes: (1) This PLM job was analyzed using Motic 1311119 P 1 S o e 932b Analyzed by:Jared C.Clarke 1. •NAD/NSD=no asbestos detected;NA=not analy Snot analyzed/positive stop,(SOF-V)=Sprayed On Fireproofing containing Vermiculite; (SM-V)=Surfacing Material containing Vermiculitet-PCM Bulk Asbestos Analysis by Appd E to Subpt E,40 CFR 763(NVLAP 200546-0),ELAP PLM Method 198.1 for NY friable samples,which includes the identification and quantitation of vermiculite or ELAP 198.6 for NOB samples or EPA 400 pt ct by EPA 600-M4-82-020(NY ELAP Lab 11480);Note:PLM is not consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound materials. NAD or Trace results by PLM are inconclusive,TEM is currently the only method that can be used to determine if this material can be considered or treated as non asbestos-containing in NY State(also see EPA Advisory for floor tile,FR 59,146,38970,8/1/94)National Institute of Standards and Technology Accreditation requirements mandate that this report must not be reproduced except in full without the approval of the lab.This PLM r relates ONLY to the items tested.Al P,LLC Lab ID 102843,RI Cert AAL-094,CT Cert PH-0186,Mass Cert AA000054. Reviewed By: END OF REPORT AmeriSci Job#: 220032992 Page 1 of r7 Client Name: PSI, Inc. .. Table I Summary of Bulk Asbestos Analysis Results 08213803; Golub Corporation/Price Chopper; 677 Upper Glen Street-PC#40, New York Sample Heat Acid insoluble Amer!Sci HG Weight Sensitive Soluble Non-Asbestos *"Asbestos%by *"Asbestos%by Sample# Client Sampled Area (gram) Organic% Inorganic% Inorganic% PLM/DS TEM 01 01-01 01 , 0.245 18.5 63.1 18.4 WAD WAD Location: 1 F25-SE Floor-12 X 12 White W/Tan Streak Floor Tile 02 01-02 01 0.193 . 14.0 84.0 1.9 NAD NAD Location: 1 F17-SW Floor-12 X 12 White W/Tan Streak Floor Tile 03 02-03 02 0.248 27.3 64.2 8.5 NAD NAD Location: 1 F25-SE Floor-12 X 12 White W/Tan Steak Floor Tile Mastic 04 02-04 02 0.345 16.2 67.1 16.7 NAD NAD Location: 1F17-SW Floor-12 X 12 White W/Tan Steak Floor Tile Mastic 05 03-05 03 0.269 16.1 68.6 15.3 NAD NAD Location: 1 F12-NE Corner-By Boller-12 X 12 Lt.Orange Floor Tile 06 03-06 03 0.288 14.7 83.3 2.0 NAD NAD Location: 1F35-NE Floor-12 X 12 Lt.Orange Floor Tile 07 04-07 04 0.238 74.1 12.2 13.6 WAD Chrysotile Trace Location: 1 F12-NE Corner-By Boiler-12 X 12 Lt.Orange Floor Tile Mastic 08 04-08 04 0.189 43.4 38.6 17.9 NAD Chrysotiie Trace Location: 1F35-NE Floor-12 X 12 Lt.Orange Floor Tile Mastic 09 05-09 05 0.238 15.6 66.9 17.5 NAD NAD Location: 1 F1-NW Of Door To 1 F8-12 X 12 Lt.Pink Floor Tile 10 05-10 05 0.306 16.3 78.0 5.6 NAD NAD Location: 1 F1-NW Of 1 F33-12 X 12 Lt.Pink Floor Tile 11 06-11 06 0.212 16.7 79.3 4.0 NAD NAD Location: 1 F1-NW Of Door To 1 F8-12 X 12 Red Floor Tile 12 06-12 06 0.245 16.4 78.8 4.7 NAD NAD Location: WI-NW Of 1F33-12 X 12 Red Floor Tile 13 07-13 07 0.208 39.1 59.1 1.8 NAD NAD Location: 1 F33-SW Corner-4"Grey Cove Base 14 -07-14 07 0.191 36.3 60.0 3.7 NAD NAD Location: 1 F33-NE Corner-4"Grey Cove Base 15 08-15 08 0.402 35.6 56.5 7.9 NAD NAD Location: 1 F33-SW Corner-4"Grey Cove Base Adhesive 16 08-16 08 0.326 35.1 56.3 8.7 NAD NAD Location: 1 F33-NE Corner-4"Grey Cove Base Adhesive See Reporting notes on last page AmeriSci Job#: 220032992 Page 2 of 7 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08213803; Golub Corporation/Price Chopper; 677 Upper Glen Street-PC#40, New York Sample Heat Acid Insoluble AmeriSci HG Weight Sensitive Soluble Non-Asbestos "Asbestos%©by "Asbestos%by Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLMIDS , TEM 17 09-17 09 -- — — — NAD NA Location: 1F17-S Wall-Above Ceiling-Drywall 18 09-18 09 — — — -- NAD NA Location: 1F8-S Ceiling-Drywall 19 10-19 10 — — — — NAD NA Location: 1F17-S Wall-Above Ceiling-Joint Compound _ 20 10-20 10 — — — — NAD NA Location: 1F8-S Ceiling-Joint Compound 21 11-21 11 0.184 29.6 46.0 24.4 NAD NAD Location: 1F17-S Ceiling-2'X 4'Mix Fissure Ceiling Tile 22 11-22 11 0.191 30.3 30.4 39.3 NAD NAD Location: 1 F12-S Ceiling-2'X 4'Mix Fissure Ceiling Tile 23 12-23 12 0.154 23.0 38.5 38.5 NAD NAD Location: 1 F1 -N.Of 1 F7-2'X 4'Mix Fissure Squares Ceiling Tile 24 12-24 12 0.170 24.1 34.5 41.3 NAD NAD Location: 1 F1-N.Of 1 F7-2'X 4'Mix Fissure Squares Ceiling Tile 25 13-25 13 0.174 61.6 37.2 1.2 NAD NAD Location: 1 F25-N.Wall-4"Black Cove Base 26 13-26 13 0.200 53.8 44.1 2.1 NAD NAD Location: 1F17-S.Wall-4"Black Cove Base 27 14-27 14 0.383 36.1 4.6 59.3 NAD NAD Location: 1 F25-N.Wall-4"Black Cove Base Adhesive 28 14-28 14 0.397 36.3 6.0 57.7 NAD NAD Location: 1F17-S.Wall-4"Black Cove Base Adhesive 29 15-29 15 0.194 29.8 68.9 1.2 NAD NAD Location: 1 F20-SW Ceiling-Grey Duct Sealant 30 15-30 15 0.184 29.8 69.9 0.4 NAD NAD Location: 1 F20-SW Ceiling-Grey Duct Sealant 31 16-31 16 — — --- ---- NAD NA Location: 1 F1 -W.Of 1 F12 N.Door-Stone Tile Grout 32 16-32 16 — ---- — -- WAD NA Location: 1 F1-SE Floor-Stone Tile Grout See Reporting notes on last page • AmeriSci Job#: 220032992 Page 3 of 7 Client Name: PSI, Inc. Table 1 Summary of Bulk Asbestos Analysis Results . 08213803; Golub Corporation 1 Price Chopper; 677 Upper Glen Street-PC#40, New York • Sample Heat Acid Insoluble AmeriSci HG Weight - Sensitive Soluble Non-Asbestos **Asbestos%by 'x Asbestos%by Sample# Client Sample# Area (gram) Organic% inorganic% Inorganic% PLM/DS TEM 33 17-33 17 — — — — NAD NA Location: 1 F1-W.Of 1F12 N.Door-Stone Tile Mortar 34 17-34 17 — — — — NAD NA Location: 1 F1-SE Floor-Stone Tile Mortar 35 18-35 18 0.268 44.5 53.2 2.2 NAD NAD Location: 1 F11-NE Wall-Above Ceiling-Plastic Wall Panel Adhesive 38 18-36 18 0.227 42.0 36.3 21.6 NAD NAD Location: 1 F33-SW Corner Wall-Plastic Wall Panel Adhesive 37 19-37 19 — — — — NAD NA Location; 1 F21-N Wall-By Door-Brick Mortar 38 19-38 19 — — -- — NAD NA Location: 1 F8-SE Corner Of 1 F7-Brick Mortar 39 20-39 20 — — — — NAD NA Location: 1F20-N Wall-By Water Main-White Fiberglass Insulation Jacket 40 20-40 20 — — — — NAD NA Location; 1F20-N Wall-On Water Main-White Fiberglass Insulation Jacket 41 20-41 20 — — — — NAD NA Location: 1F20-N Wall-By Compactor-White Fiberglass Insulation Jacket 42 21-42 21 — — — — NAD NA Location; 1F17-SE Duct-Silver Fiberglass Insulation Jacket 43 21-43 21 — — — — NAD NA Location: 1F17-S.Center Duct-Silver Fiberglass Insulation Jacket 44 21-44• 21 — — NAD NA Location: 1F12-S Duct-Silver Fiberglass Insulation Jacket 45 22-45 22 -- — — — NAD NA Location: 1 F21-N Wall-By Door-Block Mortar 46 22-46 22 — — — — NAD NA Location: 1021 -S Wall-By Door-Block Mortar 47 23-47 23 0.227 71.3 23.5 5.2 NAD NAD Location: 1 F8-W.Door-Grey Door Frame Caulk - 48 23-48 23 0.208 72.4 19.3 8.4 NAD NAD Location: 1 F8-W.Door-Grey Door Frame Caulk See Reporting notes on last page AmeriSci Job#: 220032992 Page 4 of 7 Client Name: PSI, Inc. Table Summary of Bulk Asbestos Analysis Results 08213803; Golub Corporation/Price Chopper; 677 Upper Glen Street-PC#40, New York Sample . Heat Acid Insoluble AmeriScl HG Weight Sensitive Soluble Non-Asbestos *"Asbestos%by "'Asbestos%by Sample# Client Sample# Area (gram) Organic% Inorganic% Inorganic% PLMIOS TEM 49 24-49 24 — — — — NAD NA Location: 1 F11-Center Floor-Quarry Tile Grout 50 24-50 24 — — — NAD NA Location: 1F9-SW Floor-Quarry Tile Grout 51 25-51 25 -- -- — - — NAD NA Location: 1 F11-Center Floor-Quarry Tile Mortar 52 25-52 25 — — — — NAD NA Location: 1F9-SW Floor-Quarry Tile Mortar _ 53 26-53 26 0.265 19.4 28.9 51.7 NAD NAD Location: 1F19-S.Ceiling-2 X 4 Sheetrock Ceiling Tile 54 26-54 26 0.217 10.2 43.1 46.7 NAD NAD Location: 1F9-E.Ceiling-2 X 4 Sheetrock Ceiling Tile, _ 55 27-55 27 — — — — NAD NA Location: 1 F11-N Corner-Quany Base Grout 56 27-56 27 — — — — .. NAD NA Location: 1F9-NW Corner Of 1 F9A-Quarry Base Grout 57 28-57 28 0.317 14.2 48.1 37.7 NAD NAD Location: 1 F11-N Corner-Quarry Base Adhesive 58 28-58 28 0.495 10.7 52.6 36.8 NAD NAD Location: 1F9-NW Corner Of 1 F9A-Quarry Base Adhesive 59 29-59 29 0.328 45.1 26.1 28.8 NAD NAD Location: 1 F26-N Wall-4"Dark Tan Cove Base 60 29-60 29 0.190 48.5 21.3 30.2 NAD NAD Location: 1 F26-N Wail-4"Dark Tan Cove Base 61 30-61 30 0.194 40.5 34.0 25.5 NAD NAD. Location: 1 F26-N Wall-4"Dark Tan Cove Base Adhesive 62 30-62 30 0.282 38.4 34.2 27.3 NAD NAD Location: 1F26-N Wall-4"Dark Tan Cove Base Adhesive 63 31-63 31 0.216 41.1 57.8 1.2 NAD NAD Location: 1 F39-N Wall-E Corner-4"Dark Grey Cove Base 64 31-64 31 0.214 40.2 59.1 0.7 NAD NAD Location: 1F39-N Wall-Center-4"Dark Grey Cove Base See Reporting notes on last page AmeriSci Job#: 220032992 Page 5 of 7 Client Name: PSI, Inc. Table Summary of Bulk Asbestos Analysis Results 08213803; Golub Corporation/Price Chopper; 677 Upper Glen Street-PC#40, New York Sample Heat Acid insoluble AmeriSci HG Weight Sensitive Soluble Non-Asbestos "Asbestos%by "Asbestos%by Sample# Client Sample# Area (gram) Organic% Inorganic% inorganic% PLM/DS TEM 65 32-65 32 0.229 42.9 46.9 10.2 NAD NAD Location: 1 F39-N Wall-E Corner-4"Dark Grey Cove Base Adhesive .6 32-66 32 0.281 44.1 39.6 16.3 NAD NAD Location: 1F39-N Wall-Center-4"Dark Grey Cove Base Adhesive 67 33-67 33 0.243 34.1 33.5 32.5 NAD NAD Location: 1F13-S.Sink-Black Sink Base 68 33-68 33 0.331 36.9 33.4 29.7 NAD NAD Location: 1F13-S.Sink-Black Sink Base 69 34-69 34 - --- - - NAD NA Location: 1F19-SW Corner-Ceramic Wall Tile Grout 70 34-70 34 - - - - NAD NA Location: 1F19-N.Wall Of SE Wash Station-Ceramic Wall Tile Grout 71 36-73 36 0.352 34.8. 55.1 10.1 NAD NAD Location: 1F19-NE Corner-Faux Ceramic Tile Adhesive 72 36-74 36 0.276 40.4 58.0 1.7 NAD NAD Location: 1F19-NE Corner-Faux Ceramic Tile Adhesive 73 37-75 37 0.269 53.7 42.0 4.3 NAD NAD Location: 1 F40-N.Floor-Green Carpet Adhesive 74 37-76 37 0.203 64.4 31.4 4.1 NAD NAD Location: 1F40-N.Floor-Green Carpet Adhesive 75 38-77 38 0.204 45.3 54.3 0.3 NAD NAD Location: 1 F39-N.Window-Grey Window Frame Caulk 76 38-78 38 0.255 41.5 54.9 3.6 NAD NAD Location: 1 F39-S.Window-Grey Window Frame Caulk 77 39-79 39 0.348 47.9 38.5 15.6 NAD NAD Location: 1 F8-SW Corner Window-Tan Window Frame Caulk 78 39-80 39 0.223 45.5 36.6 17.9 NAD NAD Location: 1 F8-S Center Window-Tan Window Frame Caulk 79 40-81 40 --- - - - NAD NA Location: 1 F8-SW Comer-Tan EFTS 80 40-82 40 - - - --- NAD NA Location: 1F8-S.Center-Tan EFIS See Reporting notes on last page AmeriSci Job#: 220032992 Page 6 of 7 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08213803; Golub Corporation/Price Chopper; 677 Upper Glen Street-PC#40, New York AmeriScl Sample Heat Acid Insoluble HG Weight Sensitive Soluble Non-Asbestos • **Asbestos%by --Asbestos%by Sample# Client Sampled Area (gram) Organic% Inorganic% Inorganic% PLM/DS TEM 81 40-83 40 - -•- - - NAD NA Location: Exterior-S Face-E End-Under Roof Overhang-Tan EFIS 82 40-84 40 - - - - NAD NA Location: Exterior-S Face-E Side Of E Pillar-Tan EFTS 83 40-85 40 - - - - NAD NA Location: Exterior-S Face-SW Side Of E Pillar-Tan EFIS 84 40-86 40 - - - - NAD NA Location: Exterior-S Face-SE Side Of W Pillar-Tan EFIS 85 40-87 40 - - - - WAD NA Location: Exterior-S Face-NW Side Of W Pillar-Tan EFIS 86 41-88 41 0.153 49.3 37.8 12.9 NAD NAD Location: 1 F19-NE Corner-White Wall Panel Caulk 87 41-89 41 0.201 38.9 50.0 11.1 NAD NAD Location: 1F19-NE Corner-White Wall Panel Caulk 88 42-90 42 0.144 32.1 31.7 36.2 NAD NAD Location: 1 F1-Ceiling E.Of 1F9-2 X 2 Mix Fissure Ceiling Tile 89 42-91 42 0.174 28.3 33.5 38.2 NAD NAD Location: 1 F1-Ceiling E.Of 1F9-2 X 2 Mix Fissure Ceiling Tile 90 43-92 43 0.143 49.0 24.5 26.5 NAD NAD Location: 1F8-SW Corner Wall-Beige EFIS Caulk 91 43-93 43 0.163 65.3 21.8 12.9 NAD NAD Location: 1F8-S Center Wall-Beige EFIS Caulk 92 44-94 44 0.221 35.1 47.0 15.9 Chrysotile 2.0 NA Location: Exterior-SE Face-N End-Expansion Joint Caulk 93 44-95 44 0.253 32.9 46.8 20.2 NAPS NA Location: Exterior-NE Face-N End-Expansion Joint Caulk - 94 45-96 45 0.250 58.9 24.4 16.7 NAD NAD Location: Exterior-NE Face-Center Window-Exterior Grey Window Frame Caulk 95 45-97 45 0.150 63.2 31.4 5.3 NAD NAD Location: Exterior-SE Face-N Window-Exterior Window Frame Caulk 96 48-98 46 0.232 45.9 30.6 23.3 Anthophyllite<0.25 Anthophyllite<1.0 Location: Exterior-S Face-W Door-Red Door Frame Caulk See Reporting notes on last page • AmeriSci Job#: 220032992 Page 7 of 7 Client Name: PSI, Inc. Table I Summary of Bulk Asbestos Analysis Results 08213803; Golub Corporation/Price Chopper; 677 Upper Glen Street-PC#40, New York Sample Heat Acid Insoluble AmeriSci HG Weight Sensitive Soluble Non-Asbestos "Asbestos%by "*Asbestos%by Sample# Client Sampled Area (gram) Organic% Inorganic% Inorganic% PLMIDS TEM 97 46-99 46 0.238 43.5 35.2 21.1 Anthophyllite<0.25 Anthophyllite<1.0 Location: Exterior-S Face-W Door-Red Door Frame Caulk 98 47-100 47 0.206 31.3 35.2 33.5 NAD NAD Location: Exterior-N Face-E.Drain-Grey Drain Caulk 99 47-101 47 0.194 28.7 45.3 25.9 NAD NAD Location: Exterior-N Face-E.Center Drain-Grey Drain Caulk 100 48-102 48 0.314 29.0 41.6 29.4 NAD NAD Location: Exterior-S Face-E.Corner-Brick Base Caulk 101 48-103 48 0.251 41.0 7.9 51.1 NAD NAD Location: Exterior-S Face-E.Center-Brick Base Caulk • Analyzed by:M Peysakhov-Hitachi#747/Noran i ;Date Analyzed 3/24/2020 "Quantitative Analysis(Semi/Full);Bulk Asbestos Analysis-PLM by Appd E to Subpt E,40 CFR 763 or NYSDOH ELAP 198.1 for New York friable samples or NYSDOH ELAP 198.6 for New York NOB samples;TEM(Semi/Full)by EPA 600/R-93/116(or NYSDOH ELAP 198.4;for New York samples);NAD=no asbestos detected during a quantitative analysis;NA=not analyzed;Trace=<1%;(SOF-V)= Sprayed On Fireproofing containing Vermiculite;(SM-V)=Surfacing Material containing Vermiculite;Quantitation for beginning weights of<0.1 grams should be considered as qualitative only;Qualitative Analysis:Asbestos analysis results of"Present"or"NVA=No Visible Asbestos"represents results for Qualitative PLM or TEM Analysis only(no accreditation coverage available from any regulatory agency for qualitative analyses):NVLAP(PLM)200546-0,NYSDOH ELAP Lab 11480,AIHA-LAP,LLC(PLM)Lab ID 102843. Warning Note:PLM limitation,only TEM will resolve fibers<0.25 micrometers in diameter.TEM bulk analysis is representative of the fine grained matrix material and may not be representative of non-uniformly dispersed ris for which LM evaluation is recommended(i.e.soils and other heterogenous materials). Reviewed By: 1("4- -1 IF DAMAGED IN SHIPPING RETURN TO PSI 104 ERIE Blvd.Schenectady NY 12303 518-377-9841 ® Information Slop (? 15` Posi4ic . CHAIN OF CUSTODY SHEET To Build On man.ssewom ripmmg.. 5 OAy TAT Project Number: 08213803 Client: Golub Coraoration/Price Charmer Report Number: - Attn: Ms. Unda Beeble Date Delivered: Address:461 Nott Street Package Shipped From: Sebtrec}ad., . IV Schenectady, New York, 12308 Carrier: FeA 6, Project Name:677 Upper Glen Street—PC#40 Number Collected: 1O1 Project Location(STATE): New York Number Received: Date Sampled: 344 hneo Condition of Custody Seal on Receipt: Condition of Package on receipt: Shi••in• Manifest Attached: Shi••ed Bill Retained: • Laboratory ID Sample ID Other Location Sample Type Other ID IF2S-SE Floor I2rlt Vil:l . w 7 SSrea t! Floor VI., 01 -OI IFI -$w Flapr I2rJ2 wt+.le '-/-1 ,7 Shrvc,k Floor T1e 0 I•-02 _ j F2S- SE Fick; 12r1?whlJ•e "/Tay ,3fr•ok. Floor T,It 02-c - Mast-ic, IFI? -Sw Floor- 12r47 WI,•2e w/ 71., 02 -O4 . Sfreak Poor Tie Most-iv- . IF12-NC Corn C4-- by iOP•tCr ?r►z Lb Care. a Floor T'te I 03-05 .. IF35-NE Flow. WI Ii Li- Orange 03--06 Floor 1?l` • • I F 17-IVE O ner -b Y fib;f2r- 12r l 2 U• Orc+ncle . 04-07 Fkor'Me Maskic I F35C'-N E Floor 1202 14. ch-c.ne 04 -oa Firm-rie_ Mauer • f•FI-Nw o4 Qoor +o IF8 )202_ I� P•.,k 05- 09 • . F&,r ?' e, I FI-N." or I F32 120 Z id. ./P 1- . 05- 10 . • Floor- Ile to-AN/ o1 Obor 00 IF? )tilt tied 'F bG- I1 "Tile__. . 1FI-Nt✓ .off' IF33 12xt? Fled Flcer . 06- 12 Tie, . ' Sampled By: K.Szafranski k Report Routing: - . ./ Relinquish Signature Chain of Custody: Date: old Draft to: . Signature of Chain of Custody Recipient: Date: i LO 1 156 Draft Due: Disposition of Samples: Final Report To: • NOTE:if the package has sustained substantial damage or the custody seal is broken,stop and contact the project manager and shipper. 220 032992 Professional Service Industries,Inc.,•104 Erie Blvd,Suite 1•Schenectady New York 12305•Phone(518)377-9841•Fax(518)377-9847 2oP9 IF DAMAGED IN SKIPPING RETURN TO PSI 104 ERIE Blvd.Schenectady NY 12303 518-377-9841 Information CHAIN OF CUSTODY SHEET To Build On owassoului•OunielipTostIna Project Number: 08213803 Client: Golub Corporation/Price Chopper Report Number: Attn: Ms.Linda Beeble Date Delivered: • Address:461 Nott Street Package Shipped From: Scheneciiod, Schenectady, New York, 12308 Carrier: Fed Ev Project Name:677 Upper Glen Street-PC#40 Number Collected: Ioi Project Location(STATE): New York Number Received: Date Sampled: 3fal o?a Condition of Custody Seal on Receipt: Condition of Package on'receipt: Shi..in. Manifest Attached: Shi'•ed Bill Retained: Laboratory ID Sample ID Other Location Sample Type Other ID I F33-Si,.r Coro e• 4.Grey �� 07-t3 eise I F33• NE Corge.- 4"Grei Cot e 07 -14 Bone I F33-S w Corn., 41' Grey .G C O$ - t5 8c4, Adl�s;� I►=33-NE Cory 4" Grey Core 08'IC &se-tildk c;,e It=l7• S via il -Abo••c �,'►;n9 4ry...aa Oc7-l7 IFS- S 03., � Drift-vat Oq-18 t F1? -S '11;11- A bwe Ce;f X;h4- f ornpouno 10-14 4 T /•�- 1 i�8 - S C.'!i n9 Tp:,,} CompowA 10-2v �F17 S +e1;t9 Z1r4 ' 14;r I I -21 F%ssRre c.'/;.,y 7;- . 1 t=12-$' C¢:Iif - 2','4' M;; F,'ssu•e I -2.2 C1:,,y '-r:t• IFt-N• o4' I 2'r4'M;. F:SSu.e Set rk IF1- N. o3 IF? ?4.4'ti;, 1?-24 't', e$ Co./,,,, 7 4' Sampled By: K.Szafranski / Report Routing: Relinquish Signature Chain of Custody: /'L/� / Date: $)f,hero Draft to: . Signature of Chain of Custody Recipient ,/ Date:31 21 219. I I JO�p Draft Due: Disposition of Samples: Final Report To: • NOTE:if the package has sustained substantial damage or the custody seal is broken,stop and contact the project manager and shipper. • 220 032992 Professional Service Industries,Inc.,•104 Erie Blvd,Suite 1•Schenectady New York 12305•Phone(518)377-9841•Fax(518)377-9847 30� 4 IF DAMAGED IN SHIPPING RETURN TO PSI 104 ERIE Blvd.Schenectady NY 12303 518-377-9841 rim] Information CHAIN OF CUSTODY SHEET To Build On Project Number: 08213803 Client: Golub Corporation/Price Chopper Report Number: Attn: Ms.Linda Beeble Date Delivered: Address:461 Nott Street Package Shipped From: Scheectadj Schenectady, New York, 12308 Carrier: FedEY Project Name:677 Upper Glen Street-PC#40 Number Collected: is Project Location(STATE):New York Number Received: Date Sampled: 3/4/z a ze Condition of Custody Seal on Receipt: Condition of Package on receipt: Shi••in• Manifest Attached: Shi.•ed Bill Retained: ^_ Laboratory ID Sample ID Other Location Sample Type Other ID I Fes-N. VA► 4"(lack Comae i3-25 Ocrre I F'17.-,$' Wa tr 4',gkek Co,t 13-2C Quse 1F2S- N. Weal LP'elorck Cc‘''` 14 -2 7 ease-Idhem...e I F 17 -S tic a I" clack Cont. 14 -28 8cise Id/es.. I F?o'Sw ,'1' 5 Grey Ouc- 15-2A Sea o 4 j Flo-5w i 1' Grey Dc..c4 1 5 -30 sec,la.4 IFI- W. of I F12 N. Door Slone t le IC - 31 t3,-oc4.4- 1F)- SE Floor Slone_ T'le 16- 32 GroL.,i- 1 FI- .I. O� I F 12 N. Door S}prp'rte. 17-3.3 Mo r-fet.r--- tF l -SE Floor Sion e: Tt1� 3¢ Morta.- f FII- NE vaii- d'llaore �a.`1: P1a.sl;c Weldd. 18-35 •Pcme1 Alhes:..c I-F33- Stir Corner li t/ P1as'-:e Liar 18-36 P��.i 4dhes1.e_ Sampled By: K.Szafranski ,. Report Rooting: Relinquish Signature Chain of Custody: Z/ ^^� �i/ "net Date: S - _ Draft to: Signature of Chain of Custody Recipient !17 I Date: 3 haft Due: Disposition of Samples: Final Report To: NOTE:if the package has sustained substantial damage or the custody seal is broken,stop and contact the project manager and shipper. 220 0329.92 Professional Service Industries,Inc.,• 104 Erie Blvd,Suite 1•Schenectady New York 1230S•Phone(518)377-9841•Fax(518)377-9847 __� ... .........v.v.a, i v a VA iv7 AZ&LI LIMA.►7uuvne{:Iauy IN 11h311J JI -.3//-J541 Information CHAIN OF CUSTODY SHEET To Build On , rMlr•or.wrwr.t8ll� Project Number: 08213803 Client: Golub Corporation/Price Chopper • Report Number: Attn: Ms.Linda Beeble Date Delivered: Address:461 Nott Street Package Shipped From: Sebeneck+ Schenectady, New York, 12308 Carrier: Feel Er Project Name:677 Upper Glen Street-PC#40 Number Collected: 10I Project Location(STATE):New York Number Received: Date Sampled: .mayA.oro Condition of Custody Seal on Receipt: , Condition of Package on receipt: __ Shi.'in, Manifest Attached: Shi.•ed Bill Retained: Laboratory ID Sample ID Other Location Sample Type Other ID IFZI- N Wntl- by (Ow, 13r:ck rforic,.- Ia-37, In-SE Corner o' SF7 13-ick elor4cc. ja-38 I 1F20- N wail- by Weiler. 6.14:^ Wit:IC FbeQlass 20- 3cr Sn5.41a4:0n fackt4 I FZO-l J Wall- on 1,v44,- 01a:9 wh.4-e.Fibecg lass 20-46 Zsc.la1ioi 3;4,3 I Flo- iv ISO?!•11 Coripacla. VI+14-e Fbvea/a9- ZO-41 Insukrl;on .3cket I FI7-SE 0..c4 Liver rbe&ciar I F 17- S. CCn4er Or..c4 S:Iver- F-1ber_914s1 ZI.- 43 7.4s441-4.4 Tc e4 - I FI2-S riG4 S'iver 'bere�lyss 2 l-44 zs41441o. X.c l r4 IF71- N wall- 1ty► a•or (clock IMOr-4c,r- -22-45 IFS►- S wall - br Door - Block Mort*, 22-46 . 1Fe-t.✓. Door- - Grey Claw-- - 2 3-4? Frame_ Cr.,hIF IFa-W. Door- Grey 000r 23-48 Frq.,e Co„ Sampled By: K.Szafranski �i Report Routing: • Relinquish Signature Chain of Custody: ./ Date: L44/,este Draft to: Signature of Chain of Custody Recipient: Date:.3'74)240 I I raft Due: ' • Disposition of Samples: • Final Report To: NOTE:if the package has sustained substantial damage or the custody seal Is broken,stop and contact the project manager and shipper. 220 032992 Professional Service Industries,Inc.,•104 Erie Blvd,Suite 1•Schenectady New York 12305•Phone(518)377-9841•Fax(518)377-9847 IF DAMAGED IN SHIPPING RETURN TO PSI 104 ERIE Blvd.Schenectady NY 12303 518-377-9841 ot Information CHAIN OF CUSTODY SHEET - To Build On isosomanockonoshpustase • Project Number: 08213803 Client: Golub Corporation/Price Chopper Report Number: Attn: Ms.Unda Beeble Date Delivered: Address:461 Nott Street Package Shipped From: &•hdnevefo•+ Schenectady,New York, 12308 Carrier: Ride, Project Name:677 Upper Glen Street-PC#40 Number Collected: to/ Project Location(STATE):New York Number Received: Date Sampled: 3Act/7o ze Condition of Custody Seal on Receipt: Condition of Package on receipt: Shi.•in Manifest Attached: Shi.'ed Bill Retained: Laboratory ID Sample ID Other Location Sample Type Other - ID IFII- fank - Floor 044r». T,' e 24- 4 q Groc. IF' —St,/ Fleur QuQr Y 24 - 50 G roc..l I Fll-C.errl�� Fluor Quarry 1 C 25—Si "f0r4-4r IF4-S' ' Floor Quarry T'le 2 S-52 No r4G,- IFIet- S. Ga;I:ds 2r4 Shee-trcck 2G- 53 . _ a:I;is . vie . 1 E4-E. a.'I;1 214 Sbee4i-oek 26_ �4 a,rn9 7 k I F1 I- N f oe,c.- QHq rry Bose: • ?7 -.67S Grac,c I Fq- r4w'Corn cr o I F9 A QtAariy /3ase -56 G1 l FI I- N Corne,- Gkearrys 2IT-57- Adhs1..L I Fel- Nu/ Corner [PP I FL A as.Qrr. Ckee • 28 -58 Adnes1� IF2.6-IJ 4" fArk T4, 2A-541 ai.e. ,3 I FZ6-N WaV 4" Dark r42 24-60 Cow &St Sampled By: K.Szafranskl Report Routing: Relinquish Signature Chain of Custody: /. • / Date: A,�7o Draft to: Signature of Chain of Custody Recipient -/4, li Date:3!� 11 Due: • Disposition of Samples: (� `J Final Report To: - ' NOTE:if the package has sustained substantial damage or the custody seal Is broken,stop and contact the project manager and shipper. • 220 032992 • Professional Service Industries,Inc.,•104 Erie Blvd,Suite 1•Schenectady New York 12305•Phone(518)377-9841•Fax(518)377-9847 6 0P4 IF DAMAGED IN SHIPPING RETURN TO PSI 104 ERIE Blvd.Schenectady NY 12303 518-377-9841 Fl� Information CHAIN OF CUSTODY SHEET --11 To Build On ssamoompassonimipTomina Project Number: 08213803' Client: Golub Corporation/Price Chopper Report Number: Attn: Ms. Linda Beeble Date Delivered: • Address:461 Nott Street Package Shipped From: Sche,,eck ri, Schenectady, New York, 12308 Carrier: FelLk Project Name:677 Upper Glen Street-PC#40 Number Collected: Io l Project Location(STATE): New York Number Received: Date Sampled: 34a/e Res Condition of Custody Seal on Receipt Condition of Package on receipt: Shi.•in. Manifest Attached: Shi..-d Bill Retained: Laboratory ID Sample ID Other Location Sample Type Other ID WIG-N 1-/AY 4"Oco-k Tao 30-61 Cove-ease ii ,_ 1 F76-N wall 4"Qcv-k %a4 30-62 Core &tse Adh,14A_ f f34 N Walt—t E s. G5r.ra.- 4"Dori G-e. 31 -0 Cove Br,re.. jF34- Aj tIc,If— G,,-er, 4"Dark Grey 3/-64 Co.e ease IF39- IJ titg16- E-Co-ne- 4r' Dark Greg 32-65 eo•e ease 4e Psa.L jF3C— IV wo ii_ Censer— 4e'Oc.-k G'rei 32-6.6 G.r C3r.ci AkilPs%e.t IFI3-S. S,,,k . f3l.c4 P.,F 3 3 -67 klo se 33-68 .1 Fi3 - S Sne . ' 414c1c. S•,k Qasc ,FIq- SW Cork• Ceras„e waft 34,6a 77le Gro,+ 1 Fig-.s_ Ceram;a t.✓ce tl 34-70 N. watt o4'SE Wass, S-q :n, re G-a„r Ce ram:c Wean t.7e.id/vs:..2_ Sampled By: K.Szafranski Report Routing: Relinquish Signature Chain of Custody:/ - Date: .g/4 J,4O&) 1 Draft to: Signature of Chain of Custody Recipient /' , !L Date: -- 2'i? (' D�►►aft Due: Disposition of Samples: Final Report To: NOTE:if the package has sustained substantial damage or the custody seal Is broken,stop and contact the project manager and shipper. 220 0329 .92 Professional Service Industries,Inc.,•104 Erie Blvd,Suite 1•.Schenectady New York 12305•Phone(518)377-9841•Fax(518)377-9847 IF DAMAGED IN SHIPPING RETURN TO PSI 104 ERIE Blvd.Schenectady NY 12303 518-377-9841 o Information CHAIN OF CUSTODY SHEET To Build On �lr•or.w�r•���r Project Number: 08213803 Client: Golub Corporation/Price Chopper Report Number: Attn: Ms.Linda Beeble Date Delivered: Address:461 Nott Street Package Shipped From: 3che.,eciad' Schenectady, New York, 12308 Carrier: 1—r1lEi Project Name:677 Upper Glen Street—PC#40 Number Collected: tot Project Location(STATE):New York Number Received: • Date Sampled: 3/ta/2or c Condition of Custody Seal on Receipt: Condition of Package on receipt: Shi••in• Manifest Attached: Shi.•ed Bill Retained: ^_ Laboratory ID Sample ID Other Location Sample Type Other ID I Flq- t4E Corner. CQa^0c 7:r 3C- 73 eats f F tJE Cornee- Facer Cera...'r Tie 36 74 A�hesi...e IF4O- N• Float^ Green Carpel-- S-4- 75 I F40- N. Floor Green Carpe4 3 7- TG Adksi� IF31- N. w1.4doa Grey window 38- 77 _. Fr*rr►a C.a../k ) F3gt -S. w•:n,do�.✓ Grey L✓i,)do.� • 38-7B }ra,v,e Ca....fit tF8'SIN Corner w;ndo... Torn '✓indow. • 3ei - '�� Frame Ca ill' I F3. S Ge4c, win do'. 7 , l•,r�,d0.r 3 t'l -86 Fret I F8'Sw Corns„ To. EF.C.$ • 4v-Si IFS- S. Carat, Tam EFrs 4012 qq E,Liertot-- S Fare- E Fna -ra fFSS . 4o•ai under evor c.,(44.5 • E.Awor S Fare- Es;de.,,PE /iO4r Tan PETS 90-84 Sampled By: K.Szafranski Report Routing: Relinquish Signature Chain of Custody: Date: 3/i . Co Draft to: Signature of Chain of Custody Recipient I Date: E7 %Draft Due: Disposition of Samples: Final Report To: • NOTE:If the package has sustained substantial damage or the custody seal is broken,stop and contact the project manager and shipper. 220 0. 329. 92 • Professional Service Industries,Inc.,•104 Erie Blvd,Suite 1•Schenectady New York 12305•Phone(518)377-9841•Fax(518)377-9847 IF DAMAGED IN SHIPPING RETURN TO PSI 104 ERIE Blvd.Schenectady NY 12303 518-377-9841 8 of 9 F• Information CHAIN OF CUSTODY SHEET To Build On suossumiaoummillillationol Project Number: 08213803 Client: Golub Corporation/Price Chopper Report Number: Attn: Ms.Linda Beeble Date Delivered: Address:461 Nott Street Package Shipped From: .5c'he7srfr,.d y Schenectady, New York, 12308 Carrier: Fi clk P Project Name:677 Upper Glen Street-PC#40 Number Collected: rot Project Location(STATE):New York Number Received: Date Sampled: S/t a/707 G Condition of Custody Seal on Receipt: Condition of Package on receipt: Shi••in• Manifest Attached: _ Shii••ed Bill Retained: Laboratory ID Sample ID Other Location Sample Type Other ID EXkrto'--S Face-SW s:•.Ie a4' E P'11yr ran EFTS 40- g5 Exier:ep, s Fare- .SES:•ic o1' cP. 4-V,,, EFis 40-86 FX4e,'or- gle•e- NW s;dd op W Pl r An EFTS 40 -87 Inc,- NE Comex- cn/h.'k i✓a11 i 41-8 8 P i c4tilt 1 F lq-Ng Corner Whl l✓a y IFI- aili29 E. o-C' 1 F- ' _ 2rz ri,'r 'ss4'.& 4 2-q0 c:l/ay T.'le IFI- aeI.: E o' 1Fci 2x2 Mir Figs ee- 4 Z-9t , CQ, 114y 1. 2,e___ )F$-514# Corner IAAa e (3eL94 CF?S • 43-�12 C'a...& I Fd• 5 Ce,,4-cr 1-'4 a L3ej e EFTS 43-qf3 Co..* Ex-kr:or- SE Fete*.N Ei r Exp4nS:o., Toi, 44-q4 C,r.rlk Ex4er:n-- NE Fe,ee - NI E„ Exponston -:i; . 44-qs C.az i- Exler:or - NE ktce -Qnkr, Exlen Grey a.S -46 hi;neio.y Frar e w^do,. 04.411E Sampled By: K.Szafranski / Report Routing: Relinquish Signature Chain of Custody: "1--- Date: 3/r9 70 PO Draft to: Signature of Chain of Custody Recipient Date: iE ._&vP 1 15Xft Due: Disposition of Samples: Final Report To: ' NOTE:if the package has sustained substantial damage or the custody seal is broken,stop and contact the project manager and shipper. 220032992 Professional Service Industries,.Inc.,•104 Erie Blvd,Suite 1•Schenectady New York 12305•Phone(518)377-9841•Fax(518)377-9847 oPci IF DAMAGED IN SHIPPING RETURN TO PSI 104 ERIE Blvd.Schenectady NY 12303 518-377-9841 Information CHAIN OF CUSTODY SHEET To Build On MolorM18•OrmimpTailike Project Number: 08213803 Client: Golub Corporation/Price Chopper Report Number: Attn: Ms. Linda Beeble Date Delivered: Address:461 Nott Street Package Shipped From: c5Cheneckdy Schenectady, New York, 12308 Carrier: Ffd, Project Name:677 Upper Glen Street—PC#40 Number Collected: to/ Project Location(STATE):New York Number Received: Date Sampled: 3/9/7o wn Condition of Custody Seal on Receipt: Condition of Package on receipt: Shi••in. Manifest Attached: Shi•.ed Bill Retained: Laboratory ID Sample ID Other Location Sample Type Other ID Eoerior- SIF Fc1e--- N W in(Are-, EE4e4-ior 45-ell Frame CatilF Ex*r;or-S Rice.• W Door-. Red 0 or Frc m . 46-q S CH Ik Exterior- SFitee- ' Q3,1- ged Caw- Frrr„-,c_ 46-qq C�r,�lk E><lerior-- N Fcrre- E. Drr;,:1 Grry %•� 47-Its E,.kr:o r- N Fevre - E Cei,kr Ora,:7 Grey G•'7 47-10I c. . . . . - Ex4er:or- S Fee- E. Corne- Brick Ouse 48-102. cGw IF Exterior- S F4re - C. Cen4- 8r;c1 Bate 98-103 a.Ik • • Sampled By: K.Szafranski Report Routing: • Relinquish Signature Chain of Custody:7‘- Date: 3194'o24'> Draft to: Signature of Chain of Custody Recipient: , e Date: 3/-V � 115- raft Due: Disposition of Samples: / Final Report To: NOTE:if the package has sustained substantial damage or the custody seal Is broken,stop and contact the project manager and shipper. 220032992 • Professional Service Industries,Inc.,•104 Erie Blvd,Suite 1•Schenectady New York 12305•Phone(518)377-9841•Fax(518)377-9847 • tntertek Intertek-PSI Tel +i 518-377-9841 • 104 Erie Boulevard Fax+1518-377-9847 Schenectady,New York 12305 intertek.com/building Report of Bulk Sample Analysis for Asbestos by Polarized Light Microscopy Page 1 of 1 client: Golub Corporation Project: 08213803 461 Nott Street 677 Upper Glen Street Schenectady, NY 12305 #40 Attn: Linda Beeble Report#: B018 Date: 6/19/2020 ( ASBESTOS NON-ASBESTOS Non Serial Analyst Date of Sample Sample Number/ Asbestos Total Act Glass Fibrous Number Initials Analysis Type Material Description Homo Layers Fibrous Color Present Asb. Chry. Amo. Cro. Ant. /Tre Fibers Cell Other Material 49-104 Ceramic Tile Adhesive 2001848 JS 6/18/20 F YES NO NO GRAY N/D N/D <1% <1% 98% 49-105 Ceramic Tile Adhesive 200185E JS 6/18/20 F YES NO YES GRAY N/D N/D_ 5% 1% 94% N/D=None Detected Sample Type: F=Friable;N=NOB -Quantitativn is based on a determination of the relative volume of bulk sample components. The results are valid only for the Items tested. This report may not be used by the client to claim product endorsement by NVLAP or any agency of the U.S.Government. Methods Used:E.P.A.Interim Method for the Determination of Asbestos in Bulk Insulation Samples EPA/600/M4/82/020 and NYELAP Item#198.1 Polarized Light Microscopy for Identifying and Quantitating Asbestos in Friable Bulk samples (Non-Friable materials according to ELAP Item#198.6,2016). Polarized Light Microscopy is not consistently reliable in detecting asbestos in floor covering and similar non-friable organically bound materials. Quantitative Transmission Electron Microscopy is currently the only method that can be used to determine if this material can be , considered or treated as non-ACM. Samples will be disposed of within 60 days unless otherwise notified in writing by client. No part of this report may be reproduced except in full without the written permission of PSI. The reporting limit is 1%by weight. 'According to NYSDOH ELAP,all loose bulk Vermiculite material must be designated and treated as ACM. All other non-surfacing materials that contain>10%vermiculite must be analyzed by method 198.6. Vermiculite found in other materials may be analyzed according to NYELAP Item#198.1 or 198,6,however,this method does not remove vermiculite and may underestimate the level of asbestos present in a sample containing greater than 10%vermiculite. ANALYST(S): Jenny Scholl Respectfully submi ed, GRAVIMETRIC REDUCTION BY: N/A PROFESSIONAL SERVICE INDUSTRIES, INC. SAMPLED BY: John Tranter ELAP#10849 m ar ',Ail AGED IN SHIPPING RETURN TO PSI 104 ERIE Blvd. Schenectady NY 12303 518-377-9841 M�i Information��• ToBuildOn CHAIN ® F CUSTODY SHEET fiteltstricsoessaaaheattedlig Project Number: 0g213r03 Client: , -,;Ao.iq Cor pc.rjion _ Report Number: 01$ Attn: •L1 nd c-- (; eak (e- Date Delivered: _ Address: 4 t'o t 1‘,..)c,--c... sk- Package Shipped pped From: Sc.!,en ee c_j-vim KIT Carrier:ProIect Name: b7' ✓PPS' Gtee fkz2f��� Number Collected: Project Location (STATE): Number Received: Condition of Custody Seal on Receipt: r Date Sampled: Condition of Package on receipt: gma Shipping Manifest Attached: . Shipped Bill Retained: Laboratory ID _Sample ID Other ' Location ID Sample Type Other SJ.r l-.i Deto4. c«.;,_ Ts\r— F496/84/ yY/Q PIA cov‘e,,.).. s0,l6 PePf- All) )aa/86,a y7-10.5 Pun cam- ,� � CttJ�e1 «% L� l Sampled By: �jvl,.,-, �-2v - h Report Routing: Relinquish Signature Chain of Custody: -_____ Date: -(( --2-4 4?) cJtfrJJ Draft Signature of Chain of Custody Recipient: ,{,rla,l /J Date: &//$��p Draft D Due: Disposition of Samples: 60 ddipS Final Reort To: ` NOTE:if the package has sustainhd substantial damage or the custody seal is broken,stop and contact the project man age and shipper. Professional Service Industries,Inc.,• 104 Erie Blvd,Suite 1 •Schenectady New York 12305• Phone(518)377-9841 • Fax(518)377-9847 Limited Asbestos Renovation Survey Price Chopper Store#40 677 Upper Glen Street, Queensbury,New York, 12804 Revised June 18, 2020 PSI Project Number 08213803 APPENDIX B - SITE LAYOUT AND SAMPLE LOCATION DRAWING(S) Yr Samp1e Locc loos 2a-s1, o-6o $cafe So-GI,3o 62 ®j o3 22-715?G QI IA-3� 1z-46 Q? toe • Scimplc. L0ca:e4 Noy IO 14-27 N • I r7c p 13-25 - g ' P-tot 20.3 \,�y IF21 a • 6 A. . ...__- - 9 1_ 11 mil'` �? •y.�=r r ° - ' tom'$ g is I. I f g � l 'i g4 j I ss I - m REVISIONS { an, .••['- IF23 -1F1z _J' 17 3g 1 F30 I. _ r `,€� 1— '):.-.. 1 IILLA� -�aB I a®._ I �6 15•z4 L__. — • IF141 lIF2Y° 1 �� IF7dJ 'l IF2/..[H 1- y I -- t5 30 r-, —z r { } t "I.:t t Ir _w I Ca v- t I 1 CJ `_ �W � tcaiks� yI- i 7 !I I = r �� f r �34 70 ?I-43 I L 4: i,.�, �" .:f'F' I -v'•" 'I�,V ,r' - , tFl�o'� 14-z 1 -R 1. an el _ o `\ to zs' I— _ b . 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I u 1 IFS 1 t IFS 1 �� • m3 „ . 8EL0-al I,6:64. - A6 IS s� qq 2��,- 16 32 A6 aq 0? 13 05 IO OS 16 — 11-39 `: E0-1 08-15 12 08-1 O D 40•S6 34-?. - _ai-• � -,.> 2� 2841803 �O o �G O --i3-a2 F 4o•2,5 zs. $1, STATUS: DATE: 18.36 q 17-73 05-042:5 O4-IE Q 11.24 06-1 1 10'70 4 Limited Asbestos Renovation Survey Price Chopper Store#40 677 Upper Glen Street, Queensbury,New York, 12804 Revised June 18, 2020 PSI Project Number 08213803 APPENDIX C - ASBESTOS ASSESMENT SPREADSHEETS 0 errA71 Information !'ram® .To Build On ASBESTOS ASSESSMENT SPREADSHEETS • Engineering•ConruWng•Testing Project: 677 Upper Glen Street-Price Chopper#40 Inspector: Krzysztof Szafranski Queensbury,New York,12804 Certificate Number: 15-09637 Project Number: 8213804 Date of Inspection: 3/19/2020&6-16-20 Samples Collected: 103 Attn: Linda Beeble I { } 1 y i Floor I Room ID} I Horpogeneous Area t Quantify Friability Condition .> Notes Interior 1 F1 12"x12"White w/Tan Streak Floor Tile NA NA NA N 12"x12"White w/Tan Streak Floor Tile Mastic NA NA NA N 12"x12"Red Floor Tile NA NA NA N 12"x12"Lt.Pink Floor Tile NA , NA NA N 4"Black Cove Base NA NA NA N 4"Black Cove Base Adhesive NA NA NA N Stone Tile Grout NA NA NA N Stone Tile Mortar NA NA NA N 2'x4'Mix Fissure ceiling Tile NA NA NA N 2'x2'Mix Fissure Ceiling Tile NA NA NA N 2'x4'Mix Fissure Squares Ceiling Tile NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N White Fiberglass Pipe Insulation Jacket NA NA NA N 1F2 12"x12"Lt.Orange Floor Tile NA NA NA N 12"x12"Lt.Orange Floor Tile Mastic NA NA NA N 4"Grey Cove Base NA NA NA N 4"Grey Cove Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 2'x4'Mix Fissure Ceiling Tile NA NA NA N 1F3 12"x12"Lt.Orange Floor Tile NA NA NA N 12"x12"Lt.Orange Floor Tile Mastic NA NA NA N 4"Grey Cove Base NA NA NA N 4"Grey Cove Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 2'x4'Mix Fissure Ceiling Tile NA NA NA N 1F4 12"x12"White w/Tan Streak Floor Tile NA NA NA N 12"x12"White w/Tan Streak Floor Tile Mastic NA NA NA N 4"Black Cove Base NA NA NA N 4"Black Cove Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 2'x4'Mix Fissure Ceiling Tile NA NA NA N 1 F5 12"x12"White w/Tan Streak Floor Tile NA NA NA N 12"x12"White w/Tan Streak Floor Tile Mastic NA NA NA N 4"Black Cove Base NA NA NA N 4"Black Cove Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 2'x4'Mix Fissure Ceiling Tile NA NA NA N 1 F6 12"x12"White w/Tan Streak Floor Tile NA NA NA N 12"x12"White w/Tan Streak Floor Tile Mastic NA NA NA N 4"Black Cove Base NA NA NA N SF-Square Feet LF-Linear Feet EA-Each iii'il Information I`" .ToBuild On ASBESTOS ASSESSMENT SPREADSHEETS Engineering•Coneurt,g•TO.fing Project: 677 Upper Glen Street-Price Chopper#40 Inspector: Krzysztof Szafranski Queensbury,New York,12804 Certificate Number: 15-09637 Project Number: 8213804 Date of Inspection: 3/19/2020&6-16-20 Samples Collected: 103 Attn: Linda Beeble s G 1 I "o { r j I [ I ': i lZ I t r r Floor r Room ID j. _ 1 Homogeneous Area l Quantit! Friability i Condition I .r 1 Notes; 4"Black Cove Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 254'Mix Fissure Ceiling Tile NA NA NA N 1F7 Block Mortar NA NA NA N 1F8 Stone Tile Grout NA NA NA N Stone Tile Mortar NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N Brick Mortar NA NA NA N Tan EFIS NA NA NA N Beige EFIS Caulk NA NA NA N Tan Window Frame Caulk NA NA NA N Grey Door Frame Caulk NA NA NA N 1 F9 Quarry Tile Grout NA NA NA N Quarry Tile Mortar NA NA _ NA N Quarry Base Grout NA NA NA N Quarry Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N Plastic Wall Panel Adhesive NA NA NA N 2'x4'Sheetrock Ceiling Tile NA NA NA N 1 F9A Quarry Tile Grout • NA NA NA N Quarry Tile Mortar NA NA NA N 1 F10 12"x12"White w/Tan Streak Floor Tile NA NA NA N 12"x12"White w/Tan Streak Floor Tile Mastic NA NA NA N 4"Black Cove Base NA NA NA N 4"Black Cove Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 2'x4'Mix Fissure ceiling Tile NA NA NA N 1 F11 Quarry Tile Grout NA NA NA N Quarry Tile Mortar NA NA NA N Quarry Base Grout NA NA NA N Quarry Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N Plastic Wall Panel Adhesive NA NA NA N 2'x4'Mix Fissure Ceiling Tile NA NA NA N 1F12 12"x12"White w/Tan Streak Floor Tile NA NA NA N 12"x12"White w/Tan Streak Floor Tile Mastic NA NA NA N 12"x12"Lt.Orange Floor Tile NA NA NA N 12"x12"Lt.Orange Floor Tile Mastic NA NA NA N SF-Square Feet LF-Linear Feet EA-Each �ag>e Infonnation ,. I►" .To Build On ASBESTOS ASSESSMENT SPREADSHEETS E„*,ea.rne•Coe. •Thsting Project: 677 Upper Glen Street-Price Chopper#40 Inspector: Krzysztof Szafranski Queensbury,New York,12804 Certificate Number: 15-09637 Project Number: 8213804 Date of Inspection: 3/19/2020 8 6-16-20 Samples Collected: 103 Attn: Linda Beeble I t ot } . ri i t i I r 1 ( r• G Floor Room ID Y 1 Hornoyenaous Area I Quantity Friability I Condition r a Notes; 4"Black Cove Base NA NA NA N 4"Black Cove Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 2'x4'Mix Fissure Ceiling Tile NA NA NA N Silver Fiberglass Duct Insulation Jacket NA NA NA N 1F13 12"x12"Lt.Orange Floor Tile NA NA NA N 12"x12"Lt.Orange Floor Tile Mastic NA NA NA N Black Sink Base NA _ NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 2'x4'Mix fissure Ceiling Tile NA NA NA N 1 F14 12"x12"White w/Tan Streak Floor Tile NA NA NA N 12"x12"White w/Tan Streak Floor Tile Mastic NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 2'x4'Mix Fissure Ceiling Tile NA NA NA N 1 F15 12"x12"White w/Tan Streak Floor Tile NA NA NA N 12"x12"White w/Tan Streak Floor Tile Mastic NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 2'x4'Mix Fissure Ceiling Tile NA NA NA N 1F16 12"x12"Lt.Orange Floor Tile NA NA _ NA N 12"x12"Lt.Orange Floor Tile Mastic NA NA NA N 4"Dark Grey Cove Base NA NA NA N 4"Dark Grey Cove Base Adhesive NA NA NA N Drywall NA NA _ NA N Joint Compound NA NA NA N 2 x4'Mix fissure Ceiling Tile NA NA NA N 1 F17 12"x12"White wl Tan Streak Floor Tile NA NA NA N 12"x12"White w/Tan Streak Floor Tile Mastic NA NA NA N 4"Black Cove Base NA NA NA N 4"Black Cove Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 2'x4'Mix Fissure ceiling Tile NA NA NA N Silver Fiberglass Duct Insulation Jacket NA NA NA N 1F18 Quarry Tile Grout NA NA NA N Quarry Tile Mortar NA NA NA N Quarry Base Grout NA NA NA N Quarry Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N Plastic Wall Panel Adhesive NA NA NA N SF-Square Feet LF-Linear Feet EA-Each spifagril Information I" ' .To Build On ASBESTOS ASSESSMENT SPREADSHEETS Engineering•Consulting•Testing Project: 677 Upper Glen Street-Price Chopper#40 Inspector: Krzysztof Szafranski Queensbury,New York,12804 Certificate Number: 15-09637 Project Number: 8213804 Date of Inspection: 3/19/2020&6-16-20 Samples Collected: 103 Attn: Linda Beeble e F i. i i I I I I ' o , „ t I, t °az i Floor i Room ID i Hon?ogeneous Area , t Quantit Friability 1 Condition . I. Notes 2'x4'Sheetrock Ceiling Tile NA NA NA N 1 F18B Quarry Tile Grout NA NA NA N Quarry Tile Mortar NA NA NA N 1 F18C Quarry Tile Grout NA NA NA N Quarry Tile Mortar NA NA NA N 1 F18D Quarry Tile Grout NA NA NA N Quarry Tile Mortar NA NA NA N 1 F19 Quarry tile Grout NA NA NA N Quarry Tile Mortar NA NA NA N Quarry Base Grout NA NA NA N Quarry Base Mortar NA NA NA N Ceramic Wall Tile Grout NA NA NA N Ceramic Wall Tile Adhesive 250 SF NF Good N No asbestos detected Plastic Wall Panel Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N Faux Ceramic Wall Tile Adhesive NA NA NA N 2'x4'Sheetrock Ceiling Tile NA NA NA N 1 F19A Quarry Tile Grout NA _ NA NA N Quarry Tile Mortar NA NA NA N 1F20 Block mortar NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N Grey Duct Sealant NA NA NA N White Fiberglass Pipe insulation Jacket NA NA NA N 1F21 Block Mortar NA NA NA N Brick Mortar NA NA NA N 1 F22 Quarry Tile Grout NA NA NA N Quarry Tile Mortar NA NA NA N 2'x4'Sheetrock Ceiling Tile NA NA _ NA N Plastic Wall Panel Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 1 F23 Quarry Tile Grout NA _ NA NA N Quarry Tile Mortar NA NA NA N 1 F24 Quarry Tile Grout NA NA NA N Quarry Tile Mortar NA _ NA NA N Drywall NA NA NA N Joint Compound NA _ NA NA N Quarry Base Grout NA NA NA N SF-Square Feet LF-LIneer Feet EA-Each y riVEril Infonnalion y it.— To Build On ASBESTOS ASSESSMENT SPREADSHEETS Engineering•Consulting•Testing Project: 677 Upper Glen Street-Price Chopper#40 Inspector: Krzysztof Szafranski Queensbury,New York,12804 Certificate Number: 15-09637 Project Number. 8213804 Date of Inspection: 3/19/2020&6-16-20 Samples Collected: 103 • Attn: Linda Beeble r i v i .0 z Floor Room ID j. Hoologeneous Area Quantity Friability i Condition G> Notes Quarry Base Adhesive NA NA NA N • 2'x4'Sheetrock Ceiling Tile NA NA NA N - . Plastic Wall Panel Adhesive NA NA NA N 1F24A Quarry Tile Grout NA NA NA N Quarry Tile Mortar NA NA NA N 1F25 12"x12"White w/Tan Streak Floor Tile NA NA NA N 12"x12"white w/Tan Streak Floor Tile Mastic . NA NA NA N 4"Black Cove Base NA NA NA N 4"Black Cove Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 2'x4'Mix Fissure Ceiling Tile NA NA NA N 1F26 12"x12"White w/Tan Streak Floor Tile NA NA NA N 12"x12"White w/Tan Streak Floor Tile Mastic NA NA NA N ' 4"Dark Tan Cove Base NA NA NA N 4"Dark Tan Cove Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 2'x4'Mix Fissure Ceiling Tile NA NA NA N 1 F27 12"x12"White w/Tan Streak Floor Tile NA NA NA N 12"x12"White w/Tan Streak Floor Tile Mastic NA NA NA N 4"Black Cove Base NA NA NA N 4"Black Cove Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N • 2'x4'Mix Fissure Ceiling Tile NA NA NA N 1F31 Quarry Tile Grout NA NA NA N Quarry Tile Mortar NA NA NA N 1 F32 12"x12"White w/Tan Streak Floor Tile NA NA NA N 12"x12"White w/Tan Streak Floor tile Mastic NA NA NA N 1F33 Stone Tile Grout NA NA NA N Stone Tile Mortar NA NA NA N 4"Grey Cove Base NA NA NA N 4"Grey Cove Base Adhesive NA NA NA N Plastic Wall Panel Adhesive NA NA NA N Drywall NA _ NA NA N Joint Compound NA NA NA N 2'x4'Mix fissure Ceiling Tile NA NA NA N 1F34 Stone Tile Grout NA NA NA N Stone Tile Mortar NA NA NA N Brick Mortar NA NA NA N Drywall NA NA NA N SF-Square Feet LF-Linear Feet EA-Each //9 r • Information I"�� ,To Build On ASBESTOS ASSESSMENT SPREADSHEETS - Engineering•Consulting•Meting Project:677 Upper Glen Street-Price Chopper#40 Inspector: Krzysztof Szafranski Queensbury,New York,12804 Certificate Number: 15-09637 Project Number: 8213804 Date of Inspection: 3/19/2020&6-16-20 Samples Collected: 103 Attn: Linda Beeble t ' 1 o e b i r ' a 2 Floor Room ID i Honioyoneous Area i Quantity Friability Condition ' G? Notes+ Joint Compound NA NA NA N 1F35 12"x12"Lt.Orange Floor Tile NA _ NA NA N 12"x12"Lt.Orange Floor Tile Mastic NA NA NA N 4"Black Cove Base NA NA NA N . ' 4"Black Cove Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 2'x4'Mix fissure ceiling Tile NA NA NA N 1F36 Security Room ,Drywall NA NA NA N Joint Compound NA NA NA N 4"Gray Cove Base&Adhesive NA NA NA N 2'x4'Fissured Ceiling Tile NA NA NA N 12"x12"Lt.Orange Floor Tile NA NA NA N 17x12"Lt.Orange Floor Tile Mastic NA NA NA N 1F37 Stone Tile Grout NA NA NA N Stone Tile Mortar NA NA NA N 1 F38 Quarry Tile Grout NA NA NA N Quarry Tile Mortar NA NA NA N Quarry Base Grout NA NA NA N Quarry Base Mortar NA _ NA NA N Drywall NA NA NA N Joint Compound NA NA NA N Plastic Wall Panel Adhesive NA NA NA N 2'x4'sheetrock Ceiling Tile NA NA NA N 1 F38A Quarry Tile Grout NA NA NA N Quarry Tile Mortar NA NA NA N 1F38C Quarry Tile Grout NA NA NA N Quarry Tile Mortar NA NA NA N 1F39 12"x12"White w/Tan Streak floor Tile NA NA NA N 12"x12"White WI Tan Streak floor tile mastic NA NA NA N 4"Dark Grey cove Base NA NA NA N 4"Dark Grey cove Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 2'x4'mix Fissure ceiling Tile NA NA NA N Grey Window Frame Caulk NA NA NA N 1 F40 12"x12"White w/Tan Streak Floor Tile NA NA NA N 12"x12"White w/Tan Streak Floor Tile Mastic NA NA NA N Green Carpet Adhesive NA NA NA N 4"Black Cove Base NA NA NA N 4"Black Cove Base adhesive NA NA NA N Drywall NA NA NA N • SF-Square Feet LF-Linear Feet EA-Each //ree�f Infomtation it ' ' IoBuildOn ASBESTOS ASSESSMENT SPREADSHEETS E,grnoerrng•Consura„g•Taatlng Project: 677 Upper Glen Street-Price Chopper#40 Inspector: Krzysztof Szafranski Queensbury,New York,12804 Certificate Number: 15-09637 Project Number: 8213804 Date of Inspection: 3/19/2020&6-16-20 Samples Collected: 103 Attn: Linda Beeble i 1 f I • I y Floor r Room ID, HonSogoneous Area Quantity Friability : Condition i .i ' Notes; Joint Compound NA NA NA N 2'x4'Mix fissure Ceiling Tile - NA NA NA N 1 F41 12"x12"White w/tan Streak Floor Tile NA NA NA N 12"x12"White w/Tan Streak floor Tile Mastic NA NA NA N 4"Black Cove Base NA NA NA N 4"Black Cove Base Adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 2x4'Mix Fissure Ceiling Tile NA NA NA N 1F42 12"x12"White wI Tan Streak floor Tile NA NA. NA N 12"x12"White w/Tan Streak Floor Tile Mastic NA NA NA N 4°Black Cove Base NA NA NA N 4"Black Cove Base adhesive NA NA NA N Drywall NA NA NA N Joint Compound NA NA NA N 2'x4'Mixz Fissure Ceiling Tile NA NA NA N 1 F43 125(12"White w/Tan Streak Floor Tile NA NA NA N 12"x12"White w/Tan Streak Floor Tile Mastic NA NA NA N 4"Dark Grey Cove Base NA NA NA N 4"Dark Grey Cove Base Adhesive NA NA NA N Drywall NA NA NA N - Joint Compound NA NA NA N 2'x4'Mix fissure Ceiling Tile NA NA NA N Exterior SE Face Brick Mortar NA . NA NA N Expansio°7.15iin`tiGaulk.w i u i.I ;.`,.,� ?,,::.1., ';4# ii' 6011 NE/SilstMER ii Gcod4 1.Y `l:ICIIN N 1 ;', triht SE4 I."! Tan EFIS NA NA NA N Exterior Grey window Frame Caulk NA NA NA N E Face Brick Mortar NA NA NA N Ezpaniion�'Jo:nt?CiaiiIii = ' 1i t,` 20ILF 1VES iVitiGantiffij Yx_.,r riPtI u :+. Ik1 I' _:'. M,-1 Tan EFIS NA NA NA N Exterior Grey Window Frame Caulk NA NA NA N NE Face Brick Mortar NA NA NA N Ezpaits1571051fittCa6114.3 ,=+,. „2.' .:::f.. ;,till _.j'I., i'"100YLF,NF.o k, w?^_ Gootl.t.?ert Y 4,;k; <s i5s r..i ai ,.i.. 3; ii ais4M";!R Tan EFIS NA NA NA N Exterior Grey Window Frame Caulk NA NA NA N N Face Brick Mortar NA NA NA N Block Mortar NA NA NA N Ex00-615 ilfrifeaul& :;I±? A _'Flo ;r t,wii,`>'. IA 41200FLF NF ?,!L 4 i f.: Geood 1;c:MiftWetntif iti'I _rs A. 4.t 'k:.,i.. .r,-.,,1-'';i V! Grey Drain Caulk NA NA NA N W Face Brick Mortar NA NA NA N ExgansionPJotnttCa`ulk f;. L. - 10011!F NF.tr>/' 1 Good F.-•• M v V M &XeL _IK=^1 ':y'' i'+ 6 SF-Square Feet LF-Linear Feet EA-Each w wriraFt71 Infonnation P'�� .ToBuildOn ASBESTOS ASSESSMENT SPREADSHEETS • Engrneethm•Consulting•Testing Protect: 677 Upper Glen Street-Price Chopper#40 inspector: Krzysztof Szafranski Queensbury,New York,12804 Certificate Number: 15-09637 Project Number: 8213804 Date of Inspection: 3/19/2020&6-16-20 Samples Collected: 103 Attn: Linda Beeble 0 t I . , a i III Z Floor Room ID ' Homogeneous Area Quantity Friability Condition R Notes S Face Tan EFIS NA NA NA N Brick Mortar NA NA NA N Red Door Frame Caulk NA NA NA N . Brick Base Caulk NA NA NA N Exterior Grey Window Frame Caulk NA NA NA N EFIS Caulk NA NA NA N Ezpanslonitaffit,craTi1k 8011!F NUN/BM Goody 7i2MENNON K' N SF-Square Feet LF-Linear Feet EA-Each Limited Asbestos Renovation Survey Price Chopper Store#40 • 677 Upper Glen Street, Queensbury,New York, 12804 Revised June 18, 2020 PSI Project Number 08213803 APPENDIX D - INSPECTOR & LABORATORY CERTIFICATIONS _ -New-York State _ Department=of•Labor`_- _- _ t ', ° Division of Safety and Health,` r' - License and Certificate:Unit' ' State Campus,`Building 12' -" .' - Albany,.NY__12246 - -- ' ASBESTOS HANDLING LICENSE Professional Service Industries, Inc. ` -1,,, i _':FILE NUMBER: 99-0046, . LICENSE NUMBER: =29878 ,104-Erie Blvd . LICENSE CLASS: RESTRICTED- ` : ' , DATE OF ISSUE: 03/26/2020 Schenectady, NY 12305 EXPIRATION DATE: 03/31/2021 s �� t �i ' • ' "i rFPsl _ _iy 4 i !` r r' '1 1{ r f Duly Authorized Representative;-�John''J Tranter _ r` --, :; ' it l r 1 'ji ,�;' i - --- _! ' - This`license has been issued in accordance with_applicable-provisions,of Article'30 of the Labor Law of New York State and of the New Y6rk State,Codes,Rules and Regulations:(12:NYCRR Part 56) It is,subject to suspension or revocation for a(1) serious"violation of state,federal or local laws with gard to the conduct'of an.asbestos project,or(2)demonstrated lack of ; responsibility inthe conduct of any job involving asbestos or asbestos material , , This licensertis valid only for the contractor named 1above and this license or aphotocopy must be-prominently displayed at the asbestos project worksite.'°This license verifies that allpersons employed;by;the licensee on an'asbestos project in New York State have been.issued an Asbestos Certificate,appropriate for the typeof work they perform,by the New York.State ;" Department of Labor. __ "______ -- - 7 _ --Eileen M.Franko, Director SH 432(8/12) For the Commissioner of Labor • STATE OF NEW YORK-DEPARTMENT OF LABOR r , —_I� ASBESTOS CERTIFICATE ( 1`-Y . KRZYSZTOF M`SZAFRANSKI CLASS(EXPIRES)- . ! CATEC(11/20) D INSP(1,1/20) - • H PM (11/20).` • "CERT11,1:5-0963; DMV# 690661196 MUST BE CARRIED ON ASBESTOS PROJECTS nnmm11maHiumim IIIIII III11111111111111 IF FOUND RETURN TO: NySDOL - L&C UNIT ▪ EYES BRO ' ROOM 161A BUILDING 12 O HAIR BRO Ear 5' 11" STATE OFFICE CAMPUS g ALBANY NY 12240 O n. • • • • • • STATE OF^NEW YORIf DEPARTMENT OF LABOR ASBESTOS CERTIFICATE .. ;; • l ` JOHN-J TRANTER- CLASS(EXPIRES). • D-I NSP(06/20); CERTir 89-07517 --. Dr_2VP 1 u4639033 MUST BE CARRIED:ONASBESTOOS PROJECTS - • mum Emimem€a ;. - - - NEWYORK De ent. •.STATE OF - :. OP1M711NRY. ofHealth - _ - -. _ANDREW M.CLJOMO HOWARD A.-ZLICKER,M.D.,ID. SALLY ORESLIN,.M.B,;:Out- Governor Commissioner Executive Deputy Commissioner • LAB ID: 11480 April 01,2020 - - - MR. PAUL J. MUCHA - . • =. AMERICA SCIENCE TEAM NEW YORK, INC . _ - -. . 117 EAST 30TH ST Certificate Expiration Date: - -_ NEW YORK, NY 10016 April 01,2021 - - Dear Mr.Mucha, - - . Enclosed are cerKBcate(s)of approval issued to your.environmental laboratory for the current permit year.The _-. _ certificate(s)supersedes)any previously Issued one(s)and is(are)in effect through the expiration date listed. - _ Please carefully examine the certificate(s)to insure that the categories,subcategories,analytes,and methods - - for which your laboratory is approved are correct.In addition,verify that your laboratory's name,address,lead _ - technical director,and identification number are'accurate. - . .- -" Pursuant to NYCRR Subpart 55-2.2,original certificates must be posted conspicuously in the laboratory and copies shall be made available to any client of the laboratory upon request. - . Pursuant to NYCRR Subpart 55-2.6,any misrepresentation of the fields of accreditation(category-method- analyte)for which your laboratory is approved may result in denial,suspension,or revocation of your -- -. • - • certification. Any use of the Environmental Laboratory Approval Program(ELAP)or National Environmental. . -- Laboratory Accreditation Program(NELAP)name,reference to the laboratory's approval status,and/or using =_ f. - - the NELAP logo in any catalogs,advertising,business solicitations,proposals,quotations,laboratory analytical - reports,or other materials must include the laboratory's ELAP.identification number and distinguish between _ . testing for which the laboratory is approved and testing for which the laboratory is not approved. . ._-_ - . — If you have any questions,please contact us at the Environmental Laboratory Approval Program,Wadsworth - Center,New York State Department of Health,Empire State Plaza,Albany NY,12237;by phone at(518) - 485-5570;by facsimile at(518)485-5568;and by email at elap@health.ny.gov. _ • -- - - Sincerely, -= Victoria Pratt'. - Director and QA Officer - - Environmental Laboratory Approval Program - - - Empire stale Plaza,.com ng1ower,A4a10%NY tf37(health,ny.gav. - - - - ". NEW YORK STATE DEPARTMENT OF HEALTH - -- • _ -- - WADSWORTH CENTER - := -r:= ' Expires 12:01.AM April 01,2021- Y: ��.' --Issued April 01,2020 CERTIFICATE OF APPROVAL FOR LABORATORY SERVICE-.7.2 _ . ._ . ,:- fie:A:4 •: . . - • - Issued in accordance with and pu suant to section 502 Public Health Law of New York State MR.PAUL J.MUCHA NY Lab id No; 11480 _ AMERICA SCIENCE TEAM NEW YORK, INC-- - • _ _ 117EAST 30TH ST NEW YORK,NY 10016 •-- • = - • - = Is hereby APPROVED as set Environmental Laboratory for the category --ENVIRONMENTAL ANALYSES AIR AND EMISSIONS = . All approved subcategories and/or analytes are listed below • Miscellaneous - - -- Asbestos 40 CFR 763 APX A No.III - _- YAMATE.AGARWAL GIBS _ - - NIOSH 7402 - _ -. Fibers NIOSH 7400 A RULES • • - Serial No.:6.1967 - - - - . = - Proporgr of t e Now Park State Department of Heath Certificates are vaUd ontyat the address = - -_- ohow%must be conspicuously posted.and we printed on secure paper. Continued accreditation depends - _ • - —_ - on auccesetul ongoing:participation-1n the Program..Consumers are urged to call(518)485-5570 to • - - . - - verify the iaboratoya accredItatt on status. • Page 1 of 1 - = NEW YORK STATE DEPARTMENT OF HEALTH . WADSWORTH.CENTER =•- = - • AN! 4` -l `:: :01;2021 .-: - . Ex • _:. p res 12 0 pr Issued••April 01,2020 .--. : • = - .. ..,, . - • CERTIFICATE OF APPROVAL_FOR LABORATORY SERVICE •_=_ = _= Issued In accoafance with and pursuant to section 502 Public.Health Law of New York Late . = MR.PAUL J.MUCHA _:NY Lab_Id No:1 f480 =_ . AMERICA SCIENCE T :NEW YORK,,INC-: - -.117 EAST 30TH ST:: _- _ NEW YORK.NY i001t3 - _ :_ - _ __ Is hereby APPROVED 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.E of Manual(NOB by KM) _- • __. _ _ - Asbestos In Non-Friable Material-TEM Item 198.4 of Manual - -. 7- • • • serial No.:61966 -... - - Property of the York'State Department of Health: Certificates are valid only at the address - Omni ntust be conspicuously posted;and are printed on secure paper. Continued accreditation dependa - _ = —__ .. nn suocessiul ongo ng participation in the Program.-Consumers are urged to cap(518)485-5570 to i the Iatronitoya accreditation statue. ;•Page 1 of 1 _ _ ___ r } NEW YORK STATE DEPARTMENT OF HEALTH WADSWORTH CENTER ''+a Expires 12:01 AM April 01, 2021 V) ,. ._. Issued April 01, 2020 CERTIFICATE OF APPROVAL FOR LABORATORY SERVICE Issued in accordance with and pursuant to section 502 Public Health Law of New York State MR. PAUL J. MUCHA NY Lab Id No: 11480 AMERICA SCIENCE TEAM NEW YORK, INC 117 EAST 30TH ST NEW YORK, NY 10016 is hereby APPROVED as an Environmental Laboratory in conformance with the National Environmental Laboratory Accreditation Conference Standards (2003) for the category ENVIRONMENTAL ANALYSES POTABLE WATER All approved analytes are listed below: Miscellaneous Asbestos EPA 100.2 Serial No.: 61965 Property of the New York State Department of Health. Certificates aro valid only at the address „a£s ��o', shown,must be conspicuously posted,and are printed on secure paper. Continued accreditation depends ;.- on successful ongoing participation in the Program. Consumers are urged to call(518)485-5570 to a �' 4 verify the laboratory's accreditation status. v� , .: rniranoc��•-. Page 1 of 1 i • NEW YORK STATE DEPARTMENT OF HEALTH WADSWORTH CENTER Expires 12:01 AM April 01, 2021 Issued April 01, 2020 CERTIFICATE OF APPROVAL FOR LABORATORY-SERVICE Issued In accordance with and pursuant to section 502Public Health Law of New YorlcState MR. JOHN J. TRANTER NY Lab Id No: 10849 - PROFESSIONAL SERVICE INDUSTRIES INC 10.4 ERIE BLVD, STE 1 SCHENECTADY, NY 12305 is hereby APPROVED-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-Ffiable Material-PLM Item 198.6 of Manual(NOB by PLM) Serial No.: 61195 Propertyof-the-New York State Department of-health. Certificates are valid only at the address shown,..musf be_conspicuously posted,and are printed on secure paper. Continued accreditation depends on successfuLongoing participation In the Program. Consumers-are urged to call(518)485-5570 to verify the laboratory's accreditatlan•status. Page 1 of 1 ia ,X` - _ NEW YORK STATE DEPARTMENT OF HEALTH- WADSWORTH CENTER- Expires 12:01 AM April 01, 2021 i i' c Issued April 01, 2020 = CERTIFICATE OF APPROVAL FOR LABORATORY SERVICE Issued in accordance with and pursuant to section 502Pu6lic Health Law of New-York State MR. JOHN J. TRANTER NY Lab id No: 10849 PROFESSIONAL SERVICE INDUSTRIES INC 104 ERIE BLVD, STE 1 - SCHENECTADY;NY 12305 is hereby APPROVED-as an Environmental Laboratory for the category ENVIRONMENTAL ANALYSESAIRAND EMISSIONS All approved subcategories and/or analytes are listed below: Miscellaneous Fibers. NIOSH 7400 A RULES. Serial No._61196 - Propertyofdhe-New York State Department of Health. Certificates are valid only at the-address shown must be conspicuously posted,and are punted on-secure paper. Continued'accreditatlon depends on successful ongoing participation In the Program. Consumers are urged to call(518)- 85-5570 to verify the laboratory's accredltatlon-status. = Page 1 of 1