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2007-149 a p o N ~ d' ~., W W C ~ ~ .~ ~ U ~ ~ ~W N ~ ~ a ~° a '' °o ~ ~ u ~ o ~, ~ N ~ ~ "'a ~ fA H ~ ~ ~ ~ ~ ~ ~ ~ .~ o F' a U ,~ •• z a C/) ~ ~ O ~ ~ ~ °o o ~ A '~ ~ ~ ~ ~, ~ W ~ ~ ~o ~ ~ ~ ,~ o ~ ~ ~ ~ W x 0 ~~o ~~~ ~ ~ a r ~ ~ O ~ °o •d ~ a o z O ,~, o z " o ~; ~ ~ o o ~ W x `~ ~ ~ Q ~~y W '~ ~ O ~ ~ o H -~s ~ o ~ ~ ~' ~ ~~~ ~ a ~ ~ ° g~~~ (~ ~ ~ ~ ~ ~ ~ cn h ~ W ~ ~ ~ ~~ o~ a. ~ ~ o ~ ~ U ~ ~ ~ ~ ~ ~ °~~ o~ob o ~ ,..,~ o N ~' ... U ~"'' I-~ a ~ a ~ ~ a a ~ ~ ~ ~ ~ •~ ~ ~ .n ~~ y N ~ /~1 ~ .~ ~ ~I °~' Li }~~.y1 ~' o ~ o y ~ O W ~ - ` fli,M ~ ~ ~ ° z ~ ~ ~ o ~ ~ ~ ~ ~o~~~ ~ H ~ x H a ~' H Q ~ a~ a TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development -Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20070149 Application Number. A20070149 Tax Map No: 523400-303-019-0001-061-000-0000 Permission is herebygranted to: QUAKER & DIX NORTHERN DR., L.L.C. For property located at: 777 QUAKER Rd in the Town of Queensbury, to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Tyke of Construction Value Owner Address: QUAKER & DIX NORTHERN DR., l 8049 MAIN St Demolition TROY, NY 12180 Total Value Contractor or Builder s Name /Address Electrical Inspection Agency Plans & Specifications -149 of canopy & other buildings $20.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, April 17, 2008 (If a longer period is required, an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To of Que b T ~la~; A ri1 17, 2007 ~ ~ .,~~~, SIGNED BY for the Town of Queensbury. Director of Building & Code Enforcement ~. ~~i7 ~~ ~W ~_ ~ r~ Gy I USE ONL r i ~~"~=~~ ' I, TAX MAP NO.~~ ~ y ~_( ''I"R~T NO.~~ ' ~~FEE PAID ; ; ~ ~ Permission is reby grant to the above n med Applicant to demolish the building(s) i ~ f 5 - described rein set fart i th Appli n low. ; ; ,TO~vrv ~~- :.~u~~~~.~~~SRY BUILDING AND CODE ~~ Dire or of Building & G ate ~ ~ ~~ , APPLICATION FOR DEMOLITION PERMIT: Fill in applicable spaces and submit two (2) plot plans, drawn to scale, showing lot boundaries with dimensions and adjacent roads /streets. Show all existing structures on the property and indicate which are to be demolished. Indicate on the plot plan the location of all utilities. Q~ 1 APPLICANT UILDEP3JTL .J ~ ~ OWNER~kI.( ~ ~ tJ ~Y~tr-~-V ADDRESS: LLjj ~~ ~~ ADDRESS: ~ ~ ~ ~n PHONE NOS. ~~- I~il ~~'-1 ~~ PHONE: _ PERSON RESPONSIBLE FOR WORK: I PHONE: C LOCATION OF DEMOLITION: WHERE WILL DEMOLITION MATERIAL BE DISPOSED? `~ ASBESTOS INFORMATION: / Is there any asbestos within the building to be demolished? YES NO / tf YES, our office needs the following information: o Name of firm removing the asbestos: o License number of firm: o Indicate where the asbestos material will be disposed: NOTE: A copy of Asbestos Removal Resort must be filed with our office before demolition begins. STRUCTURE INFORMATION: / Indicate Which StrUCtUre(S) WIII be demOllShed: RESIDENCE GARAGE BUSINESS CQ(~fY~ fj STORAGE BLDG. OTHER / Size of struct r ~ X nu(~~~ - ~ e ~~ Q-t~ / Number of stories: / Foundation type: FULL CELLAR CRAWL SPACE SLAB V / FOUndatlOn: WILL BE REPLACED ~ WILL NOT BE REPLACED / Structures(s): WILL BE REPLACED / WILL NOT BE REPLACED UTILITIES INFORMATION: / Indicate utilities for this structure: GAS '~ ELECTRIC v PROPANE PUBLIC WATER ONSITE WELL-WATER PUMP PUBLIC SEWER Have you notified the Town Water Dept. for public water and public sewer disconnect? YES / NO Have a utilities been disconnected: YES ~ NO • QUESTIONS ? CALL 761-8256 OR EMAIL codes(tDaueensburv.net SI ATURE OF APPLICANT VISIT OUR WEBSITE FOR MORE INFORMATION www.gueensburv.net ,;: Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 Queensbury Building & Code Enforcement -Residential Final Inspection Office No. (518) 761-8256 Date Inspection request received: NAME: `~T~~ LOCATION: 7 7 7 y~k~~ TYPE OF STRUCTURE: PERMIT #: DATE: Yes No N/A Building Number /Address visible from road Chimne Hei ht / "B" Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbin Vent throu h roof minimum 6 inches Roof Com lete /Exterior Finish Com lete Platform at all exterior doors Guards at stairs, decks, atios more than 30 inches above ade Guard at stairwell at 34 inches or more Guard at deck, orches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railin s 34 inches to 38 inches Interior Handrails stairs 2 or more risers Grade awa from foundation 6 inches with 10 feet 6 inch clearance to sill late Gas Valve shut-off exposed /regulator 18 inches above grade Interior rivac /trim /doors /main entrance 36 inches Bathroom /Kitchen waterti ht Safe lazin /Window in stairwells safet lzin Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Batte backu Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches hei t in accessible area Crawl S aces 18 inch x 24 inch access, 1 s . ft.-150 s . ft. vents Bathroom Fans, if no window Plumbin fixtures Foundation insulation Floor truss, draft sto in fmished basement 1,000 s . ft. Emer enc a ess below de Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater o eratin Low water shut-off boiler Relief Valves installed /Heat Tr /Water Tem 110 Enclosed Stairs Sheetrock Underside minimum'/~" Gypsum Basement stairs closed rise > 4 inches Gara a Floor Pitched Gara a fire roofin /'/< hour fire door /door closer Duct work Sealed ro erl Gas Lo sin Sealed or Glass Enclosure Final Electrical Final Surve Plot Plan As Built S tic S stem /Sewer De t. Ins ection Sticker Site Plan /Variance re uired Flood Plain Certification, if re uired Oka t Arrive: D; p ~ ~: Inspector's Initials: ~_T amlpm 07-~ ~ Co ~l l c. O t t 6-5 r 1~~ ~' '~crc5- n.J C ~JV L:~Building & Codes Forms~Building & Codes~Inspection Forms~Residential Final Inspection Form revised 100405.doc Queensbury Building & Code Enforcement - Office No. (518) 761-8256 Date Inspection request received: Arrive: Inspector's Initial Inspection _ am/pm NAME: P IT #: LOCATION: TE: TYPE OF STRUCTURE: -`!" Yes No N/A Buildin Number /Address visible from road Chimne Hei ht / "B" Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbin Vent throu roof minimum 6 inches Roof Com Iete /Exterior Finish Com lete Platform at all exterior doors Guards at stairs, decks, atios more than 30 inches above ade Guard at stairwell at 34 inches or more Guard at deck orches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railin s 34 inches to 38 inches Interior Handrails stairs 2 or more risers Grade awa from foundation 6 inches with 10 feet 6 inch clearance to sill late -`~` Gas Valve shut-offexposed /regulator 18 inches above grade Interior rivae /trim! doors /main entrance 36 inches Bathroom I Kitchen waterti ht Safe lzin /Window in stairwells safe lzin Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: _ Inter Connected: Batte backu Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches hei tin accessible area Crawl S aces 18 inch x 24 inch access, 1 s . ft.-150 s . ft. vents Bathroom Fans, if no window Plumbin fixtures Foundation insulation Floor truas, draft sto in finished basement 1,000 s . ft. Emer enc a ess below ade - Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater o eratin Law water shut-off boiler Relief Valves installed /Heat Tra /Water Tem 110 Enclosed Stairs Sheetrock Underside minimum t/x" Gypsum Basement stairs closed rise > 4 inches Gara a Floor Pitched Gara a fir roofin /'/a hour fire door /door closer _ Duct work Sealed ro erl Gas Lo sin Sealed or Glass Enclosure Final Electrical Final Surve Plot Plan As Built S tic S stem /Sewer De t. Ins ection Sticker Site Plan / Variance re uired Flood Plain Certification, if re uired Oka to issue C / C or C / O Tem or /Permanent omments ~ p~ l~' ~ L:~Building 8c Codes FormslBuilding & Codes'<Inspection FormslResidential Final Inspection Form_revised_10040S.doc ,~s STATE OF NEW YORK WORKERS' COMPENSATION BOARD SELF-INSURANCE OFFICE ~' , '~ 20 PARK STREET -ROOM 206 .,« ~ R ALBANY, NY 12207 (518) 402-0247 FAX (518) 402-6199 COMPLIANCE WITH DISABILITY BENEFITS LAW (Pursuant To Section 220, subd. 8 of the Disability Benefits Law) f b.r" \T .e~ e f~jrf i ~e,~iq ~~ t1 1, ~', 4 4t ` ~~ ~,• o~- i4 ~ EMPLOYER FEDERAL EMPLOYER IDENTIFICATION NUMBER Stewart's Shops Corp. 14-1323607 LOCATION-0F OPERATIONS New York State ADDRESS (HOME OR MAIN OFFICE) P.O. Box 435 OPERATIONS TO BEGIN ON OR ABOUT: Saratoga Springs, NY 12866 Self-Insured Status Effective: March 9, 1994 Carrier ID No.: B843134 There are on file with the Workers' Compensation Board, documents indicating that the above-named employer has complied with the Disability Benefits Law with respect to all of his or her employees in the following manner: [x By approved self-insurance pursuant to Section 211, subdivision 3 of the Disability Benefits Law. [] By a combination of approved self-insurance pursuant to Section 211, subdivision 3 of the Disability Benefits Law and insurance with authorized insurance carrier(s). Date: January 2, 2007 gy: ,,!~ L,J,~~~ Gina Wagoner Calculations Clerk II DB-155 (3/04) _.__ -- . THIS AGENCY EMPLOYS & SERVES PEOPLE WITH DISABn,]TIES WITHOUT DISCRIMINATION _.., ~ STATE OF NEW YORK , ,APSE of N~ `~'°- .. ,. WORKERS' COMPENSATION BOARD a~tif ' ~ ~;..r*~`~ ~~ `- ~ ~ `~ SELF-INSURANCE OFFICE '~ ~:~ - ~ ,, ~:,,'; ~ `~ 20 PARK STREET -ROOM 206 '~,,°~, J~y~ ~- _:`~, ~ ALBANY, NY 12207 4 ~" ~~~~~ Office of the Secretary I, Sandra M. Olson ,Secretary to the Workers' Compensation Board of the State of New York, DO HEREBY CERTIFY, that Stewart's Shops Corp. has secured compensation to its employees as aself-insurer in the following manner: Pursuant to Section 50, subdivision 3 of the Workers' Compensation Law. Pursuant to Section 50, subdivisions 3 and 4 of the Workers' Compensation Law (County, city, village, town, school district, fire district or other political subdivision). Pursuant to Article 5 of the Workers' Compensation Law (County Self-Insurance Plan). The status of self-insurer was effective as of January 1,1992 and such status still remains in full force. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of the Workers' Compensation Board this ,-~'~ day of January 2007. STATUS CONFIRMED By ~~~l~r~-,-~ Gina Wagoner Self-Insurance Office S1-I2 (3-04) THIS AGENCY EMPLOYS AND SERVES PEOPLE WITH DISABILITIES WITHOUT DISCRIMINATION ~~ /~ '~...r' ACORD_ CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MM/DDIYYYY) STEWA-7 03/19/07 PRODUCER N O ATI NL I O S O Y AND C NFER NO RIGHTS UPON THE CERTIFICATE Marshall s sterling upstate SA HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 267 Broadway, PO Box 931 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELO Saratoga Springs NY 12866 Phone: 518-587-1342 Fax:518-5871348 INSURERS AFFORDING COVERAGE NAIC# NVSURED INSURERA: Selective Ins. Co of pew York 117 INSURER B: SteW8rt ~ S ShOpa COrp INSURER C' P O BOX 435 Saratoga Springs NY 12866 INSURER D'. INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENi, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YY) DATE (MMIDOM') LIMR6 GENERAL LIABILRY FACH OCCURRENCE j ], D Q D Q D Q A }{ X COMMERCIALGENERPLLIPBILITY 51730730 01/01/07 01/01/08 PREMISESIEeocarencel 5100000 CLAIMS MADE ~ OCCUR MED EXP (Any one Derson) $ 10 Q O Q PERSONALBADV INJURY 51000000 GENERAL AGGREGATE T 2000000 GENL AGGREGATE LIMIT PPPLIES PER: P PRODUCTS-COMP/OP AGG S 2000000 Ea LOC POLICY AllT OMOBN.E LVIBLITV COMBINED SINGLE LIMIT : ANY AUTO (Ee eccidenq ALL OWNED AUTOS BODILY INJLTiV = SCHEDULED AUTOS (Per Derson) HIRED AUTOS BODILY INJURY 3 NON~OWIJED AUTOS (Per eccitlent) PROPERTY DAMAGE (P r id t f e acc en ) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT t ANY AUTO OTHER THAN FA ACC i W1T0 ONLY: AGG S EXCESSAJMBRELLA LUIBILITY EACH OCCURRENCE 5 OCCUR ~ CLAIMS MADE AGGREGATE _ _ S DEDUCTIBLE S RETEMION S 3 WORKER8 COMPENSATON AND EMPLOYERS' LLABILITV TORY LIMITS ER ANV PROPRIETORiPARTNER/EXECUTIVE E.L. EACH ACCIDENT S OFFICER/MEMBER EXCLUDED9 If yes Oescnbe under E.L. DISEASE - EA EMPLOYEE i , SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT : OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECULL PROVISIONS Respects to demolition o£ 777 Dix Ave, Queettabury, NY shop, the Certificate Holder is included as Additioaal Insured. CERTIFICATE BOLDER CANCE<_LOTI~N 9NOULD AHY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATON DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAN- 3O DAYS WRfTTEN NOTCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SHALL TOwa o£ Queensbury IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGEM9 OR 742 Bay Road REPRESEMATNES. Queensbury NY 12804 A~~M~ Au,vlcv ~D I~w~/val ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 4/2/07 NYS Asbestos Survey Certification, 9 pa~ ges Site Owner ~ Address: Site Location Address Site Agent 8 Address: Asbestos Survey Co.: Certified Asbestos Insc Asbestos Testing Lab: Quaker aqd Di hern Dr, LLC, POB 838, Troy, NY 12180 777 D~~; Quee sbury, NY 12804 Scott Shearing, PO BOX 435, Saratoga Springs, NY 12866 Stewart's Ice Cream, PO BOX 435, Saratoga Springs, NY 12866 _ Scott Shearing, 21 Michael Drive Schenectady, NY 12303 Sample Date 3/28/07 Professional Service Industries (PSI) 850 Poplar Street Pittsburgh, PA 15220 Testing Date: 3/29/07 This is to certify that the Asbestos Inspection Survey for the above site location has been conducted in accordance with the requirements of the New York State Attorne General Asbestos Ins ection Guidelines The New York State Department of Labor and The New York a e epa ment o ea This asbestos survey shall, at a minimum, identify and assess with due diligence, the locations, quantities, friability and conditions of all types of installations at the affected portion of the building/ structure relative to the ACM, suspect miscellaneous ACM's, PACM or asbestos material contained herein. In addition to the required above information, this report also contains (when applicable): the firms current asbestos handling license, a copy of the current asbestos handling certificate, a listing of homogeneous areas identifying which ones are ACM, all laboratory analyses reports for bulk samples collected, and copies of the appropriate certifications for the laboratory used for analysis of samples taken during the asbestos survey. O~b'ect~ive The objective of this inspection was to determine the presence of Asbestos Contained Building Material in all suspect bulk samples. This survey is limited to the structure as noted above. Site Ins ection and Material Anal sis e a ove s ruc ure emg priman y o wood and block was ph sically and thoroughly inspected for asbestos laden materials per the requirements of code rule 56-5. This includes surface treatments, thermal system insulation, roofing and siding, other material and all subparts thereof. Bulk samples of all suspected materials were collected for testing on the basis of my professional knowledge with building materials and known areas of usage for asbestos materials. Asbestos Ins ection Results: as een a ermine rom oth the on site inspection and the laboratory analysis of the samples that the structure does not contain any asbestos. I am a certified Asbestos Inspector Licensed by the New York State Department of Labor current with recertification requirements. I am free from financial interests that may conflict with the proper performance of my duties. The data presented in this report is accurate to the best of my knowledge, as per the day the survey had taken place. This report is 11 pages. Respectfully Submitted, Scott SYiea , -- cot Banngg NYS Lic #182510C /Certif. # 06-0013 Cc: NYS DOL Asbestos Bureau Cc: Code Enforcement Office for the Town of Queensbury Cc: Stewarts Ice Cream File # 417 TOV1/ [~ ~~ ~ ~? ~..1 n ~~ ~ 9J RY BUIg ~I~:~ ?~ ~~ T C)A,TE ~ 1'1 '1 ~ «--- - ~°` "~"~ ?~~ $t~ ifd Can BreD'lrrd~Rinp.~ ~ancir7tdKD•'}`~t2inD ~ ,...,, ,. r' _ el~lrsn!~~ +~ ~ I ~f -z-- ~ ~,~d1'eSS; pa~ka~e S~Epcre>d Fran.: r C.urnbe~ Rtaeivtd: a..ei~t. Ceh~ lion a~ ~us.~ dT ~ gal tsn R ta~n..d' ~~;~iti®~ ~f packs;- Dt; rer~:~:. Sni~~-d ~ij's Rd ~ _._ ..._,_,,. M....,,~..r~~....~ t r i i } r..c.~ Gb ~ ~ am L~'• ~~ ~a ,.p~r~ ~f: ~~y ~ n (j1 u:s`t^ ~.graht~a ra~, o. m>r ea} pa:•. S'd g`tSCC 4X ~'s[':3t 0 G 5+„7w" SC~v ty rir~r°~+'7,f.~.'JD ~-s.s r.i~~~it'l ~t `d~ti~rAl~. ~ S~y,a~fE~' ua.'Ti&~~` Q~'+~lJ L J ' ~ ~ NJ7``. IfH~~ p~ck~~~ Via,, s~siaina W ~~:'~ GC3l3i~G'~ k~ll'~' pi'Yt19+~+i C:3r7i3QQ~~IPt: Se~Ft~a?t'. '~~i It~~~r~rtc~~rc~~~ ,. ~tr~~trclc~' ~~ Cnnsa~r~ting • 'Tbes>dng REPaI~T {3F 81:L.K SANtPLE AIVAt_YSIS FC?R ASBE~T~S TESTEE~ FAR: Stewafrts shops Project 1C}: 8"~5-TAQZfi P.C~. Box 4~5 Quaker Road s~tratoga springs, NY 12866 Glens FaEls Attn: Scott shearing ?ate Fteceieed: 312912{it)7 i~a#e Contpleteti 3i30t20fi7 Qafi+~ Reported: 3/3©f2Dit7 Analyst: DA Work girder: (9703623 Pale: 1 of 1 Ctie>at ID Lab II3 Sample D~sc;<ptian .9.sbestos ?V'on-asbestos I~i.aver} {Gotor, Texture, Etc:j tGontent Fibers ~nut''xt~s. G"a~~enl: (Percent and Tope) (Percent and. I'~•pe) ~ t9()'tA (1 j C}r~~e. Aci.he~ive, Homogeneous NC} tl593E5T(35 t1ETECTEd None Reported 4h2fi [7) White, t:auii~ing, t•tornc~geneous Nf3 ASBEST£?5 t?ETECTEt) None ReporEed 3 CF(33A (~ j Sfai~!c, self, Homogeneous t~() A~SF-.STCIS €3ETECTED None Ftetaorted' c~°6 ~ubsarx~Je ~ OfktA {1 j White. Joint ~ampound, ~tt3 ASBESTt3S tai=TESTED None t~eporte~d Homogeneous 0058 ~1) White. Jotnt Compound, HO ASEit=ST£3S DETECTED gone Reported HcmtcsgeneouS k Ot~SA (1 } White, Joinf Compountt, NG} {9SBE5TC}S DETECTED None Reported Hofnogeneous Repo~•tfirftes: (PTA PointC:ouat~esults o±aanti~cation rs used on a cietemiination ofi the re=~atis,e area cf tyulk sample cornpan~ts. The results are vapid only ft~r Nre items leafed, r his report rrta;,~ not be used b, ilea cfie!rt to cla€rn praduzt andarsernent b~+ N+iLw~ ur any agsnc~y of tl?e t,?.S, Gaveraxment. R9eshod used: N.'r:E.L.A.P. Pe~larwed-Light btuerascaae Methods ter lr9en=~af`~ng and Ltuantiiating :strestos rn Bulk, Samp~s #ltt=nn, #t9r3,1: 20~s:r .and t'd'Y:F,L.a.P. Polarized-Light Microscopy Method for €derrlfi;~ing and C];tantltatiirg Asltestos ~; tan-Enable i~rgantr~lly 6aund Buck Santtrles them #19E.B, 2{tL~SY. Paeanzed-Light f~4icroscopy as not sonsisten;ty relidbfe in rietezting asdl.esia; in fl+3rsr caverangs and sintiler non.frtabfe arganrca6ly lxwnd msteriais. Quantitative Tra~massiore Electron l~licrascopyas currently the aNely method that can t+e used t~ determrr~ if kris mated can be considered dr lryated as non-asbestos earrtaining. Sam~ies will be dispasgtf of within. fi~ days u~ess atihenuise rtotifred in ~ritin9 by c'aieht. Pda part a3 this report nTay tie reproducyd except in full wilhcrut the writehy7emtsssioit of PSI. The redact+rsg lim+t is t~ hp weigtzt. t~Y #~oratnry # 1 ~ E?34. RespeCtfulty sutxtlitted, PSt, Inc. ~CYti+ ~'~~ ~agr-atoly _ t4taureen 5ammcrns Professlatta(Service rxiusfries, tnc. 8~a(l Poplar Sheet Pifts#ltlrgtl. PA 9522'[Y f~ttone ~92~3~2-447'tQ Eax ~~2r9~-729 j ,~I'~l~i'~'~~L~~I~3~1 k~~I-G~'~ tf ~.^!~}ROElB~'' + trif/!'b~f~ill{~ y ~BSfaiiii~ R~p~rt cif TEMP Ar>Eaty~is far Asbestos TESTEC} Fi?R: Stewarts Si~ops Pr~~ect 1[~: X15-7Af126 P.C3. Box ~5 Quak+rr Road Sarat~rga Spr~ngst NY 'I2;~66 Guns Fal4s Attn: S~c+tt Shearixrg Date ReJ~erred: 3f29I2C~07 fate Analyzed: 4121'807 date v#lssue: 41212047 Analyst: ~C Wark t7rder: a7Ci362? Pager '1 ofi 1 Lab Sample Percent Asbestias CGien# Sample Number fJumber in Residue Concentratlan 1 I~Q1F~ NC3 A~DE~TGS DETECTED ~fC) ASBESTOS DETECTED 0~2~1 t~C7 ASBESTOS DETECTED X10 ASBESTCJS CETECTED The resa~s are valid cr..!y for the items tested. PYe-cree;,~ared NJH sarnaie results are val!>d onl for 46. asbestos. in residue. This report may riot be used tryr the client to cairn product endorsement i%y a~JL,~:- ~~ any'agea^r_•y o°1e 11.5. Gover~nrerr": tvtethod used: fd.`l.E.L.t~.+--.: 7ransenisston E€ectran rvticrossope falettsad for Idsntsfyarr~ and 1~uantivarirea nsbe<stas in t-!wr r=riaFr!e ~rre~nical#~ Hound Bu11; ~anxples fltent #1~6 d, 2L?C5~ or EP"~60~.1R-98x116 July fi953 where appl€,caWe. 5anr~les vrili be disFosed o' witfun fi0 days u>rJess ottaervrise no"fieCr in venting #~y clien#. No G$rs of fhis repari Wray k~e ra„~rc~ruced ezceet m ful v~~i9haut 1ne vrtten ..emrsaia+r c` ~~ ~ha reporting rimR is 1':; ask~estos t;s~ weight. N,., Laboratory#to139. fJvLaP !~~c~ratoryf?7Ct1350-c~. Fi:;OS}]'ect~Ftt~ly SIJI.NT!!l[~ ~~~. inC. Approved Signatory AAaureen Sammons professional Service IndtRStries„ inc_ 8bo Poplar L~reet, Pi#dsburgh, ~A `l522J Ptson~ ~'fil522~L~14 Fax ~!'t?1~2?-72a'~ NE1M'~GdE~K STFiTE [7EP'~RTN{~~JT a~ M~IEA~.Tl 'I~IaD~WY{~FiTH CE~1TE~ AttBcxara ~. h~o~,Ua, ~M'.13., il+!l.F. H , Ct f' lid. ~.:: i$~u~s AprFl ~'[.. 2~10~ R~wKS?t~ Aprif 2~: X06 Z :wciu~';~. 0111=~A't'E t7F APP'I~QVAL FQFt i_A~tlFkA1'~tY SERVICE ~~-:~ M ~ tWih±nrle! ~x+'rsr,~rr! is sa~iorr 5C2.Pra@ta[ NesNh i_r~w<o~Fae~• Y~ac~Y flu ~~ ~At+Jd~~. J~': ~~'£~,EF'~SC~#af fuY' L~ pfd :' 7f}.~3G4 ~~1, 1t~d~G. ~iP,q Ccad'e: P,~CJ~'Id7 85~Q PI~Zr~F? ~ rRE~T F~~7TS~L1~GFi, PA ;~i~'.~ r~ ~r~b}~ A~3'PF~Jt~~ ~s as*? ~rnvrrcrnnrncsri'tr~~ ~.~bvr~t~i~ I`CM' .'he c~~ ~fVYfRfJAr~i4'P~AfT`~iL ~AtAL'~S~S ~~Lt17 ~'~ tdAZ~h~4pOL'~ Wr4S7~ A~~ ~,eaf+aaF&~d ~udrG~k+9~orres ara~,~nr arr~iyt~s a~ fisted bt~ie~: Adcatiane~o~wlp A~b®sias drv ~'rietlie hi.~lia~ EPA 6£b4182N2ra ~treWo~ in lawn-Frdatrle 1~s~8r~9-PLh~I ller~ 1s,6 ~t hep~ust fFK3l~ by PtA~) •~xD+sstas in, leon-Fti~t~ld rNa~,t`I"1 dt"Ekl 148 ~ CIF AAANL&tl. 1 past fn LSusl'i+y(~s EPA ,'42p L~rad 1n 7~as+t ERA ?41U F`°ect?~ty cd7M 1Aew vcak S~1e elepnatrnerrt aY Mrt1<rtls 1ta~t7 IX'iY~iM 1~.9ddf~lta-lM>w+n )AmiffiF bar G^.7cy~CMn41B7p~ S~'f64i5C1. 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Gath~ine 2a~c?dee Pone: ~1~_~?'~--4~10~?Sb ~~.x:4]~-;1~4-~{k1~ t:'-A~~it: catEa~.mcnan~ec~a~~s~usa.ct~rr~ ~~}tE,: h~:~,fw-w~,av.p~sius~.ct~~ i#CIGIti AS~BE~'['t?s F[B~~ A?VAL4'S[5 (['LMj ~1'1~L~~' L,~:B CfDDtE ]413-~ ,~t?l 1:e9aP' ~e~de ' l:~esig+rntifl+~ r`rriptian 1 ~;~I~ t ErF.~-btl~'1+4~-$:?-~~ El : interim '.x1c?,hod far the ~7etvr~si~t~eerzi ~rf Aslacs#c~s i~t Utk E~tsulutia~i ~euttpies ~~ 2{)[lfi-i?7-~i thratt~~,'~d3~57-~~~~(~ ~~'J~~,~~'.~~: ~h~tivm deA6~s ~ttr`tt~e 1Y~fio~s' {nsfr~ushe of ~d~ ernd T~~ ~~~;~ 1 ~~ 1 ~~ot~ ts~+r a~ata~-~~~ ~~ ~~ ~~ ! ~ ~ - ~~ ~ ~ ~+ '~ ,~ «~ :~ ~ ~ ~ ~ " c ,~,.~ .~.. E F C ~,. .~ r ~'4 '~ m •~ ••,, ~ ~ ~ ~~ ~, o ~ `~ ~ ~ S ~ ~ ~ c~ ~ ~, c ~ ,.a ~~ ~r, a "" ~ ~' ~ ~ .` 4 ~ .~ ~ ~ t ". '~i ~. 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