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asbestos report I pir)e ENVIRONMENTAL SERVICES . - Z020 REPORT OF PRE-DEMOLITION ASBESTOS INSPECTION Location of Inspection: 38 Hiland Dr.,Queensbury,NY-Detached Garage FILE COPY Detached Garage ��- - <•"o °` f � �` , •, r cam. .� , >�, ✓ 3 - j✓ `:C•'#7^= d' • �r` ice+ 4.1,!•.t's+y dZI'Y,474,7 ,. Performed For: Manfred Unkauf 18 Island Rd. Franklin Rd.,MA 02038 n E LE Et - Report Date: August 24,2020 AUG 2 r52u2 6 Date(s)of Inspection: August.20,2020 TOWN OF QI-IEENGBURY I Project Number: 20-25888-A BUILDING&CODES Material.or Area Inspected: Detached garage Asbestos Materials Tested: None found Non-Asbestos Materials Tested: Brick mortar,concrete block mortar,chimney mortar Inspection By: Alpine Environmental Services,Inc. TOWN ®�����������, 438 New Kamer Road TOWN Albany,New York 12205 BUILDING &CODES DEPT. Phone(518)250-4047 Reviewed,Bye www.AlpineEnv.com Date: � —26 Inspector(s) Matthew Fiore Senior Industrial Hygienist NYS Department Of labor Asbestos Inspector(#04-04675) TOWN OF QUEENSBURY BUILDING DEPARTMENT Based on our limited examination,compliance with our comments shall not be construed as indicating the plans and se�w ad•-Albany,New York 12205•Phone:(518)250-4047 full compliance with the Bullding ides of New York State. • August 2020 38 Hiland Drive Queensbury,New York Scope and Purpose This report is intended to document the pre-demolition asbestos inspection of a detached garage located on the property of 38 Hiland Dr.,Queensbury, NY.The inspection was conducted on August 20, 2020 "Asbestos containing materials", as defined by the United States Environmental Protection Agency (EPA),is any material containing greater than 1%by weight of asbestos. Friable samples(samples easily crushed/pulverized by hand pressure), were analyzed via Polarized Light Microscopy (PLM) and Non- Friable samples (samples not easily crushed/pulverized by hand pressure), were analyzed via Transmission Electron Microscopy (TEM) by EMSL Laboratory of New York, New York, a New York State Department of Health Approved Laboratory(ELAP#11506). Description The structure was a one story wood garage with a metal roof built over a slab with a concrete block foundation. No vapor barrier was present under the metal roof. The walls and ceiling were particle board with fiberglass insulation.The electrical wiring was observed to be plastic coated. The garage was heated with a wood stove attached to the chimney with brick mortar. No pipe insulation was observed. Limitations Quantities of asbestos materials, if any, are estimated only and should be field verified by the user.This inspection was performed in order to facilitate the demolition of the detached garage pictured above only. Results of Asbestos Inspection Bulk samples were collected throughout the subject structure, as prescribed by US EPA ASHARA protocols for the number and types of samples. The following asbestos containing materials were found Table 1.Asbestos Containing Materials-38 Hiland Dr.Queensbury,NY—August 20,2020 Homogeneous *Estimated *Estimated Sample Material Location Substrate Dimension Quantity Friable? Condition #'s None Found *Quantities are estimated only and need to be verified by the client The following materials were sampled and determined not to contain asbestos: Table 2.Non Asbestos Containing Materials-38 Hiland Dr.Queensbury,NY-August 20,2020. Non-Asbestos Location Sample#'s Material Concrete Foundation Block, Mortars Brick Wood Stove Wall And Chimney 01-01,01-02,01-03 Page2of3 438 New Karner Road•Albany,New York 12205•Phone:(518)250-4047 r August 2020 38 Hiland Drive Queensbury,New York Conclusion According to 12 NYCRR 56, the building owner (or owner's agent) is required to transmit this asbestos inspection report to any local government permit issuing agency (i.e. building department) for any demolition,renovation or remodeling. If you encounter other building materials not tested they must be assumed to contain asbestos until tested and determined otherwise. This inspection report is required to be displayed on site during all related construction work. Disturbance/Abatement of any asbestos containing materials, as well as air monitoring, must be performed by a NYS DOL licensed contractor, in accordance with state and federal regulations (NYS DOL ICR 56 and US EPA 40 CFR). If we can be of any further assistance to you on this matter,please contact Matthew Fiore at(518)250- 4047.Email: MattF@AlpineEnv.com Sincerely, Alpine Environmental Services,Inc. Matthew Fiore NYSDOL Certified Asbestos Inspector(#04-04675) Enclosures:Sample Results,Alpine's Asbestos Handling License,Asbestos Inspector Certificate and EMSL ELAP Certificate. Page 3 of 3 438 New Karner Road•Albany,New York 12205•Phone:(518)250-4047 EMSL Analytical, Inc. EMSL Order: 032014774 EMSL 307 West 38th Street New York,NY 10018 Customer ID: ALPI50 Tel/Fax:(212)290-0051/(212)290-0058 Customer PO: http://www.EMSL.com/manhattanlab@emsl.com Project ID:. Attention: Matthew Fiore Phone: (518)250-4047 Alpine Environmental Services Fax: 438 New Karner Road Received Date: 08/21/2020 10:21 AM Albany,NY 12205 Analysis Date: 08/21/2020 Collected Date: 08/20/2020 Project: 20-25888-A/38 HILAND DR/QUEENSBURY NY Test Report:Asbestos Analysis of Bulk Material Non-Asbestos Analyzed Test Date Color Fibrous Non-Fibrous Asbestos Sample ID 01-01 Description BRICK-MORTAR 032014774-0001 Homogeneity Homogeneous PLM NYS 198.1 Friable 08/21/2020 Gray 4.00%Cellulose 25.00%Ca Carbonate None Detected 26.00%Non-fibrous(other) 45.00%Quartz PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID 01-02 Description CONCRETE BLOCK-MORTAR 032014774-0002 Homogeneity Homogeneous PLM NYS 198.1 Friable 08/21/2020 Gray 4.00%Cellulose 25.00%Ca Carbonate None Detected 21.00%Non-fibrous(other) 50.00%Quartz PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed Sample ID 01-03 Description CHIMNEY-MORTAR 032014774-0003 Homogeneity Homogeneous PLM NYS 198.1 Friable 08/21/2020 Gray 20.00%Ca Carbonate None Detected 35.00%Non-fibrous(other) 45.00%Quartz PLM NYS 198.6 VCM Not Analyzed PLM NYS 198.6 NOB Not Analyzed TEM NYS 198.4 NOB Not Analyzed ( Initial report from:08/22/2020 08:19:42 / ASB_i98x_0009_0001 Printed 8/22/2020 8:19:46AM Page 1 of/2 EMSL Analytical, Inc. EMSL Order: 032014774 307 West 38th Street New York,NY 10018 Customer ID: ALPI50 Tel/Fax:(212)290-0051/(212)290-0058 Customer PO: http://www.EMSL.com/manhattanlab@emsl.com ; Project ID: Test Report:Asbestos Analysis of Bulk Material The samples in this report were submitted to EMSL for analysis by Asbestos Analysis of Bulk Materials.via NYS ELAP Approved Methods.The reference number for these samples is the EMSL Order ID above.Please use this reference number when calling about these samples. Report Comments: 'Sample Receipt.Date: 8/21/2020 Sample Receipt Time: 10:21 AM Analysis Completed Date: 8/21/2020 Analysis Completed Time: 6:48 PM Analvst(s): Angelica Serrano PLM NYS 198.1 Friable(2) Ghaly Hemaya PLM NYS 198.1 Friable(1) Samples reviewed and approved by: ���jl7 James Hall,Laboratory Manager or Other Approved Signatory NOB=Non Friable Organically Bound N/A=Not Applicable VCM=Vermiculite Containing Material -In New York State,TEM is currently-the only-method that can be used to determine if NOB materials can be considered or treated as non-asbestos containing. All samples examined for the presence of vermiculite when analyzed via NYS 198.1. -NYS Guidelines for Vermiculite containing samples are available at httpJ/www.wadsworth.orgllabcert/elapcert/forms/VenniculitelnterimGuidance Rev070913.pdf EMSL maintains liability limited to cost of analysis.This report relates only to the samples reported above and may not be reproduced,except in full,without written approval by EMSL.EMSL bears no responsibility for sample collection activities or analytical method limitations.Interpretation and use of test results are the responsibility of the client. Samples were received in good condition unless otherwise noted. This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST,or any agency of the federal government.This report may contain data that is not covered by the NVLAP accreditation. Samples analyzed by EMSL Analytical.Inc.New Yodc,NY NYS ELAP 11506 ( Initial report from:08/22/2020 08:19:42 , ASB_198x 0009_0001 Printed 8/22/2020 8:19:46AM Page 2 of 2 Order2D: 032 014774_ Services,Inc. Phone:(518)250-4047 vit 438 new Karner Rd. Fax: (518)250-4353 Albany,NY 12205 email: MattF@AlpineEnv.com CHAIN OF CUSTODY VU(L(771-1 CIient: Alpine Environmental Services, Inc. Project:. 38 Hiland Dr. Queensbury,NY Project Number: 20-25888-A Contact: Matthew Fiore Sampled By: Matthew Fiore Ph/Email: 518-250-4047 MattF@AlpineEnv.com Date/Time Collected: 8/20/2020 Turnaround Time:24 hr P.O. Number: Log Sample Sample Sample Analysis Results No. No. Location Material (V 01-01 Brick Mortar NYS Stratified PLM 01-02 Concrete Block Mortar NYS Stratified PLM 01-03 Chimney Mortar NYS Stratified PLM i-� T O • '. • 1- r>> rig j^ r ■o ^^fir Disposition of Samples: Accept Reject Explain Comments: Relinquished By: Received By: Date: Time: Page of Page 1 Of 1 F �'- ---New-York State r-Department-_of.L'abor,., <--,..- r� ,.,\ Division of6Safetyand.Health { I' �ti '�� / •�\��di License and Ceitificate Uh / i i �.. -.,4, -1...-- l � S_fate.Campus,Building 12 —! r / ��`.' l Albany,-NY 12240 / `/ .,. ��`'"' ',L ' ) `-'ASBESTOS HANDLING ENS •.E ; t"' ;\ /•r, `.1,, 1-- r•. - �� ,� \ / ) \\ Alpine Environmental Services, Inc. A_J � FILE NUMBER`00:0320 , .1". , f ,' �;f;�`' •., ,: ?,,.-1:.. `~� 'f LICENSE NUMBER:*29095=--s%;�' \ \ \ '438•New'Karner"Road { �-'= LICENSE,CLASS: RESTRICTED ', `��� h:r. ' f _ f'f '` t`^' ' % ' DATE.OF ISSUE: 07/06/2020 / f r 'Albany;_NY,.12205 tom. � ;f I EXPIRATION;DATE: 07/31/202r1 __ \�\ li '� _' fit' cr .3 r'. ``�i ;'`>^t-•^� S�'�'� �l '` `�,�4 I f r`�`� ``\ \ /.1 - i_f f U . 2'-' f ( -fl i. kc� i,),_. _. ,1- Y- ) —Z k �R.,1 `�zli,r�1 l t Di IIy,Authorizedl Representative'_Craig Pekteiki = _:,. _ !`Y ;, `� •�1. � r 1 1 1 1 -1 j k: Ilt 'I "i. [ , .,1bri-6 -9 ; '1' ,J �:3 f_____i,:-'1 • ` iIr _ rr t. s' 1• t ;j r,.n ' .cs ▪ '1;Ir�1l �)i'�t.;..;.1 }F3�t( )'. { ,---'-, d This license has been.issued in accordance3wrth,applicable•provisioti§'OPArticle,30 of the Labor Law of New York,State,and of 11 • s t £'.(,I 1.' I 1 tti,.., — . 1 r• 1 ,1 .i r Ji ' 1 the New York-State�C• odes,Rules aand Regulations-,(1 NY,CRR Part 56) It,is subject to suspension orrevocation,for a(1) '},I j serious violation of state,federal or local laws with regard:to.the conduct of antasbestos project,or(2)demonstrated lack-of r i t i -' 1 i 1 1 j 6:rt^.`,',a g!li&i "9y #;7,1•q,.:4'`' 4•H' (,rl 1 / i. ,! �` / responsibility in the conduct of any job mvolvmg asbestos or asbestos matenal r `,I' tf lr ,' ( 7r t ,; + lt...•-:r-' I, T1us.license is valid only,for the contractor namedabove and•thi license or a-photocopy must be-kr minently displayed,at the asbestos project worksite.'This-license verifies that=all.persons-employed:by;the licensee on ai asbestos.project_in-New York State have beentissued an Asbestos Certificate;-appropr_iate for the,type;of wo_rk they perform,by the New York:State' / Department of Labor. ; ' `` t j ` ii t I ▪ �I 1 i t —__ _..------_—--. -Eileen M.Frank.o, Director SH 432(8/12) - ` _ For the Commissioner of Labor STATE Of NEW YORK-DEPARTM€NT OF LABOR SSSt CERTIFICATI Y.1 MA1THEW J FIORE CLASS{EXPIRES) C ATEC(03/21) D INSP(03/21) H PM (03/21) CfFrI C Cwi's itM * G.!x'i:'1§t MUST BE CARRIED ON ASBESTOS PROJECTS stei1Itx'xnniaPI ID TOME, RETURN 140: me* "maw Itty oL ^ LAC UNIT ENT S 07' STAMM orrECE CAMPUS s ALBANY ET 12240 NEW YORK STATE DEPARTMENT OF HEALTH WADSWORTH CENTER Expires 12:01 AM-April01,-2021 Issued April 01, 2020 • CERTIFICATE OF APPROVAL FOR LABORATORY SERVICE issued in accordance with and pursuant to section 502 Public Health Law of New_Yorh.State MR. JAMES HALL NY Lab Id No: 11506 • EMSL ANALYTICAL, INC 307.WEST 38TH STREET NEW YORK, NY 10018 • 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 188.6 of Manual(NOB by PLM) Asbestos-in Non-Friable Material-TEM Item 198.4 of Manual Asbestos-Vermicullte-Containing Material Item 198.8 of Manual 1 � Serial No.:61413 Property of- :New York State Department of-Health. Certificates are valid-only-at the address 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= verify the,laboratory's accreditation status. Page-1 of 1