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DEMO-0191-2022 Office Use Only J`T �lC�� ` 0 I�� DEMOLITION APPLICATION Permit#: f E ermit Fee: $ ��: Oo Toivn of QQecrtsbury I .voice#: Y(�-D-7 742 Bay Road,Queensbury,NY 12804 APR 15 2022 ,I1 P:518-761-8256 www.clueensbury.net Food Zone? y�eviewed By: TOWN OF OUEENSBURY BUILDING&CODES Demolition Location: /2) 0&C(Y10n ye_ Tax Map ID #: �� S **AN ASBESTOS REPORT IS REQUIRED WITH ALL DEMOLITION APPLICATION SUBMISSIONS** DEMOLITION INFORMATION: 1. Where will demolition material be disposed? P1 iI,rQ. INN )46) tJ 2. Type of structure to be demolished: a. Residence ✓ d. Storage Building b. Garage e. Other: c. Business 3. What type of utll' 'es are connected to the structure: a. Gas f. Well-Water Pump b. Fuel Oil g. Public Sewer c. Propane. h. Other d. Electric v7" i. None e. Public Water 4. Have ALL utilities (water, electric, etc.) been disconnected? Yes No ADDITIONAL INFORMATION: 1. Two inspections are required: an inspection to determine that utilities are disconnected, and a final inspection after the structure is removed and the site is cleaned up and graded. 2. Twenty-four (24) hour notification is required for inspections. 3. Workers' Comp insurance information is required to be submitted with this application. Declaration: I acknowledge that,no structure(s)-will be removed from the parcel until the demolition application has been reviewed and approved by the Town of Queensbury Building&Code Enforcement and Zoning Departments and a permit has been issued. I have read and agree to the above:` PRINT NAME: 2YCit �� cZK2 c•.� Jr� """ 1 SIGNATURE: DATE: Demolition Application Revised February 2022 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): >rol Id J— Mailing Address, C/S/Z: 10 - c LL))"n J S 6 5 _ 1/9,X6 I Cell Phone: 1 0060 Land Line: (SLIM :' J,3 09 7(o Email: pro, r lY1a 'o • Primary Owner(s): Name(s): 1-0(Z- Mailing Address, C%S/Z: Cell Phone: Land Line: Email: Check if all work will be performed by property owner only • Contractor: (List all additional contractors on the back of this form) Contact Name(s): `� v �I�I'\G Contractor Trade: Mailing Address, C/S/Z: Cell Phone: Land Line: Email: "Workers' Comp documentation must be submitted with this application" Contact Person for any questions regarding this project: C7i,-fn-1fJ- Cell Phone: 10 7`'' - DO(QD Lan d Line: (fig) a13 c177ea Email: erc- of M0,"1 ,. L 0 M` Demolition Application Revised February 2022 18 Blackberry Lane CLEARVQueensbury, NY 12804 INSPECTIONS ryanC@clearvuinspections.com 518.832.9213 Pre-Demolition Asbestos. Survey , W LL J E1 C/) Cl) z LEI W a < ljj0 .. , 0 z v 0 PROJECT NUMBER PREPARED FOR 10074 Gerald Baker 10 Baldwin Ave SITE LOCATION Glens Falls,Glens Falls 12801 Vermont Ave 13 Vermont Ave PREPARED BY Queensbury, New Y k- M4 h Wild C E D E 8LJ' lackberry Lane D krisbury, New York 12804 TowN OF 0'UEENSBURY APR 15 2022 BUILDING DEPARTMENT i Based on our limited examination,compliance TO��I'�" Cr QUEENSSSURY with our comments shall not be construed as Indicating the plans and specifications are in l3Ulj DING & � ODES full compliance with the Building Codes of �� New York State. Gerald Baker,13 Vermont Ave,Queensbury,New York,12804 April 14,2022 Executive Summary Asbestos-Containing Material Field Survey Single Family Tear Down 13 Vermont Ave Queensbury, New York, 12804 I. SUMMARY OF FINDINGS On April 04,2022,an asbestos-containing material(ACM)field survey was conducted at 13 Vermont Ave located in Queensbury, New York(Site).The site was inspected to determine the presence of ACM in preparation for renovation. The ACM survey was performed at the request of Gerald Baker. A summary of asbestos-containing materials is provided in the following table. However,this report should be read in its entirety,including detailed information that is contained in other sections and appendices.A total of 32 samples were collected from 16 suspect homogenous materials. Summary Table of Asbestos-Containing Materials I; There are no homogenous materials for this project.that are assumed or have tested positive containing asbestos Following the introduction,a table of ACM grouped by homogeneous areas is included in Appendix A of this report.A table presenting those materials sampled which did not contain asbestos can be found in Appendix B of this report.A complete listing of all suspect materials sampled is provided in Appendix C of this report.The original chain of custody &laboratory analytical reports are located in Appendix D of this report. Page 2 of 9 Gerald Baker,13 Vermont Ave,Queensbury,New York,12804 April 14,2022 INTRODUCTION GENERAL INFORMATION ClearVU Inspections was retained by Gerald Baker to conduct a pre-demolition survey.All methods and procedures employed in this survey were done in accordance with NYSDOL(New York State Department of Labor),OSHA (Occupational Safety and Health Administration),and USEPA(United States Environmental Protection Agency) regulations and protocol. The information contained in this report has been collected in accordance with existing regulations. If this document is to be utilized for bidding quotations, it cannot be held binding and must be field verified by those contractors submitting bids. PURPOSE The purpose of this survey was to identify,document,and measure specified asbestos-containing materials in this building,which may be disturbed during renovation/demolition/rehabilitation activities.Samples were collected of suspect accessible asbestos-containing building materials.Should any materials be encountered that are not identified in this report,they should be assumed asbestos containing until a representative number of samples are collected to document these materials as non-asbestos containing.Return sampling is billed at$350,plus laboratory analysis fees. LIMITATIONS&SCOPE OF SERVICES Provide a visual inspection of all accessible building components to determine the presence of suspect materials.The inspector.physically assessed,quantified and conducted bulk sampling as required of suspect ACM (Asbestos Containing Materials)which were accessible or exposed.This report represents the locations and quantities of ACM (Asbestos Containing Materials) present as well as all sampled materials that tested negative for the presence of asbestos and their locations. Bulk sample analysis was performed by a participating New York State Department of Health Environmental Approval Program (NYSDOH-ELAP) certified laboratory. Buildings where power is connected, electrical wire sheathing could not and was not sampled. SAMPLING METHODOLOGY During the visual inspection process,an inventory of suspect materials similar in appearance and composition was created and grouped into homogeneous sampling areas.A homogeneous area is defined as a surfacing,thermal or miscellaneous material that is uniform in texture,age, and appearance.A representative bulk sampling plan was created in accordance with current USEPA(United States Environmental Protection Agency) requirements and guidelines. Bulk samples were then collected of suspect ACM (Asbestos Containing Materials)to identify the presence of asbestos. There are a number of materials,which rarely contain asbestos and are not specifically addressed in this report.Such materials include but are not limited to metal,glass, rubber,cinderblock and mortar. LABORATORY METHODOLOGY The friable bulk samples were analyzed by Polarized Light Microscopy(EPA Interim Method:Appendix A to Subpart F 40CFR Part 763)at magnifications ranging from 10x to 400x,and New York State Department of Health ELAP Item Number 198.1(Polarized Light Microscopy Methods for Identifying and Quantitating Asbestos in Bulk Samples).The estimated phase abundances are provided in weight percent and are accurate to within 10 to 15 percent of the amount reported.These methods are sensitive to the detection of asbestos to less than one percent. Page 3 of 9 Gerald Baker,13 Vermont Ave,Queensbury,New York,12804 April 14,2022 All non-friable organically bound (vinyl flooring,caulking, etc.) bulk samples were analyzed by New York State Department of Health ELAP Item Number 198.4(Transmission Electron Microscopy Method for Identifying and Quantitating Asbestos in Non-Friable Organically Bound Bulk Samples). NOB samples were first reduced by the Gravimetric Matrix Reduction Method to determine if greater than one percent of material remained. If greater than one percent of the NOB material remained by weight,the sample was analyzed by Polarized Light Microscopy by New York State Department of Health ELAP Item Number 198.6 to determine if it contained greater than one percent asbestos. In accordance with New York State Department of Health regulations, Polarized Light Microscopy is not consistently reliable in detecting asbestos in non-friable organically bound materials,and in cases of a negative result TEM analysis is performed.This method is sensitive to the detection of asbestos to less than one percent by weight.A material is considered asbestos containing if it contains more than 1%asbestos. NYSDOL and USEPA regulations define asbestos containing material as containing greater than one percent(1%). Materials found to contain asbestos at concentrations of less than one,percent(<1%) by weight are classified as containing trace amounts.of asbestos. It should be noted,OSHA's definition of"asbestos containing" does not have a one percent(1%)cut-off,therefore,asbestos that is present in percentages less than one percent(<1%)continues to be covered by OSHA Construction Standard 29 CFR 1926.1101. Eurofins CEI-Lab ID#12048,completed the analysis. WARRANTY The field and laboratory results reported are considered sufficient in detail and scope to determine the-presence of accessible and/or exposed asbestos-containing building materials.The findings contained within this report have been gathered in accordance with existing regulations and industry protocol. This survey and analytical methods have been used to provide information regarding the presence of suspect interior asbestos-containing building materials existing at the time of the inspection.This report is limited to the information available from the client at the time it was prepared. It is possible that conditions may exist which could not be identified within the scope of the survey or which were not apparent during the site visit. Page 4 of 9 Gerald Baker,13 Vermont Ave,Queensbury,New York,12804 April 14,2022 Appendix A: ACM Homogenous Area Table f There are no homogenous materials for this project that are assumed"or have tested positive containing asbestos Page 5 of 9 Gerald Baker,13 Vermont Ave,Queensbury,New York,12804 April 14,2022 Appendix B: Tested Negative Homogenous Material Table Ok Nll;�. I 3"i W� 'WA 6 — W 'N' I'''k"'5 Miscellaneous 007 007-Gypsum Wallboard Bedroom Exterior Tested Negative by Lab(No Southwest Asbestos Detected) Miscellaneous 008 008-Gypsum Wallboard Bedroom Exterior Tested Negative by Lab(No Southwest Asbestos Detected) Miscellaneous 012 012-Gypsum Wallboard Joint Bedroom Exterior Tested Negative by Lab(No Compound Southwest Asbestos Detected) Miscellaneous 013 013-Gypsum Wallboard Joint Bedroom Exterior Tested Negative by Lab(No Tape(Paper) Southwest Asbestos Detected) Miscellaneous 004 004-Gray Masonry Block Exterior Exterior Tested Negative by Lab(No Mortar Asbestos Detected) Miscellaneous 003 003-Gray Masonry Block Exterior Exterior Tested Negative by Lab(No (CMU) Asbestos Detected) Miscellaneous 006 6 006-Black Roofing Paper/Felt Exterior Exterior Tested Negative by Lab(No Asbestos Detected) Miscellaneous 005 005-White Sealant,Window Exterior Exterior Tested Negative by Lab(No Pane Glazing Asbestos Detected) Miscellaneous 007 007-Gypsum Wallboard Living Room Exterior Tested Negative by Lab(No Asbestos Detected) Miscellaneous 008 008-Gypsum Wallboard Living Room Exterior Tested Negative by Lab(No Asbestos Detected) Miscellaneous 002 002-Beige Roofing, Roof Exterior Tested Negative by Lab(No Composite Shingle Asbestos Detected) Miscellaneous 001 001-Black Roofing, Roof Exterior Tested Negative by Lab(No Composite Shingle Asbestos Detected) Miscellaneous 014 014-Beige Vinyl Flooring Bathroom First Floor Tested Negative by Lab(No Asbestos Detected) Surfacing 015 015-Beige Electrical Wire Interior First Floor Tested Negative by Lab(No Material Sheathing Asbestos Detected) Surfacing 016 016-Beige Electrical Wire Interior First Floor Tested Negative by Lab(No Material Sheathing Asbestos Detected) Miscellaneous 0 1 1 011-Beige Floor,Sheet Vinyl Kitchen First Floor Tested Negative by Lab(No — Paper Backing Asbestos Detected) Miscellaneous 010 010-Brown Floor,Sheet Vinyl— Kitchen First Floor Tested Negative by Lab(No Paper Backing Asbestos Detected) Miscellaneous 012 012-Gypsum Wallboard Joint Kitchen First Floor Tested Negative by Lab(No Compound Asbestos Detected) Miscellaneous 013 013-Gypsum Wallboard Joint Kitchen First Floor Tested Negative by Lab(No Tape(Paper) Asbestos Detected) Miscellaneous 009 009-Beige Floor,Sheet Vinyl Living Room First Floor Tested Negative by Lab(No Paper Backing Asbestos Detected) Miscellaneous 010 010-Brown Floor,Sheet Vinyl Living Room First.Floor Tested Negative by Lab(No Paper Backing Asbestos Detected) Page 6 of 9 Gerald Baker,13 Vermont Ave,Queensbury,New York,12804 April l4,2022 Appendix C: All Suspect Materials Sampled PMA ri ffIrgIAA"'r,,y, Muff in P A-09"1 001A Roof Exterior 001-Black Roofing,Composite 0% Tested Negative by Lab(No Shingle Asbestos Detected) 001E Roof Exterior 001-Black Roofing,Composite 0% Tested Negative by Lab(No Shingle Asbestos Detected) 002A Roof Exterior 002-Beige Roofing,Composite 0% Tested Negative by Lab(No Shingle Asbestos Detected) 002B Roof Exterior 002-Beige Roofing,Composite 0% Tested Negative by Lab(No Shingle Asbestos Detected) 003A Exterior Exterior 003-Gray Masonry Block 0% Tested Negative by Lab(No (CMU) Asbestos Detected) 003B Exterior Exterior 003-Gray Masonry Block 0% Tested Negative by Lab(No (CMU) Asbestos Detected) 004A Exterior Exterior 004-Gray Masonry Block 0% Tested Negative by Lab(No Mortar Asbestos Detected) 004B Exterior Exterior 004-Gray Masonry Block 0% Tested Negative by Lab(No Mortar Asbestos Detected) 005A Exterior Exterior 005-White Sealant,Window 0% Tested Negative by Lab(No Pane Glazing Asbestos Detected) 005B Exterior Exterior 005-White Sealant,Window 0% Tested Negative by Lab(No Pane Glazing Asbestos Detected) 006A Exterior Exterior 006-Black Roofing Paper/Felt 0% Tested Negative by Lab(No Asbestos Detected) 006B Exterior Exterior 006-Black Roofing Paper/Felt 0% Tested Negative by Lab(No Asbestos Detected) 007A Living Room Exterior 007-Gypsum Wallboard 0% Tested Negative by Lab(No Asbestos Detected) 007B Bedroom Exterior 007-Gypsum Wallboard 0% Tested Negative by Lab(No Southwest Asbestos Detected) 008A Living Room Exterior 008-Gypsum Wallboard 0% Tested Negative by Lab(No Asbestos Detected) 008B Bedroom Exterior 008-Gypsum Wallboard 0% Tested Negative by Lab(No Southwest Asbestos Detected) 009A -Living Room First Floor 009-Beige Floor'Sheet Vinyl 0% Tested Negative by Lab(No Paper Backing Asbestos Detected) 009B Living Room First Floor 009-Beige Floor,Sheet Vinyl 0% Tested Negative by Lab(No Paper Backing Asbestos Detected) 010A Kitchen First Floor 010-Brown Floor,Sheet Vinyl 7 0% Tested Negative by Lab(No Paper Backing Asbestos Detected) 010B Living Room First Floor 010-Brown Floor,Sheet Vinyl 0% Tested Negative by Lab(No Paper Backing Asbestos Detected) 011A Kitchen First Floor 011-Beige Floor,Sheet Vinyl 0% Tested Negative by Lab(No Paper Backing Asbestos Detected) 011B Kitchen First Floor 011-Beige Floor,Sheet Vinyl 0% Tested Negative by Lab(No Paper Backing Asbestos Detected) 012A Kitchen First Floor 012-Gypsum Wallboard Joint 0% Tested Negative by Lab(No Compound Asbestos Detected) 012B Bedroom Exterior 012-Gypsum Wallboard Joint 0% Tested Negative by Lab(No Southwest Compound Asbestos Detected) Page 7 of 9 Gerald Baker,13 Vermont Ave,Queensbury,New York,12804 April 14,2022 S WWI 013A Kitchen First Floor 013-Gypsum Wallboard Joint 0% Tested Negative by Lab(No Tape(Paper) Asbestos Detected) 013B Bedroom Exterior 013-Gypsum Wallboard Joint 0% Tested Negative by Lab(No Southwest Tape(Paper) Asbestos Detected) 014A Bathroom First Floor 014-Beige Vinyl Flooring 0% Tested Negative by Lab(No Asbestos Detected) 014B Bathroom First Floor 014-Beige Vinyl Flooring 0% Tested Negative by Lab(No Asbestos Detected) 015A Interior First Floor 015-Beige Electrical Wire 0% Tested Negative by Lab(No Sheathing Asbestos Detected) 015E Interior First Floor 015-Beige Electrical Wire 0% Tested Negative by Lab(No Sheathing Asbestos Detected) 016A Interior First Floor 016-Beige Electrical Wire 0% Tested Negative by Lab(No Sheathing Asbestos Detected) 016B Interior First Floor 016-Beige Electrical Wire 0% Tested Negative by Lab(No Sheathing Asbestos Detected) Page 8 of 9 Gerald Baker,13 Vermont Ave,Queensbury,New York,12804 April 14,2022 Appendix D: Laboratory Report Page 9 of 9 W-20063 III II II 11111111111 IN 111111111 Caw Z®K5YB ,,rplrj,r,; Chain of Custody CleairVU Inspections 18 Blackberry lane !Project: 10074 Queensbury,New York 12804 Site Location:Vermont Ave 13 Vermont Ave ; �� Queensbury,New York 12804 JEUROFINS CEI3_ Sampled By: Ryan Wild(ryan@clearvuinspections.com) 1- SAMPLES ACCE�t E® Reporting By:Ryan Wild(ryan@clearvuinspections.com) Purpose:Pre-Demolition Laboratory Notes Turn Around Time Request Stop after first positive for each HM 15 Day Samples Sample ID Material Floor/Section Space Analysis NY ELAP 198.1 & 001A 001 -black Roofing,Composite Shingle Exterior Roof 198.4 PLM&TEM where applicable NYELAP 198.1 & 001 B 001-Black Roofing,Composite.Shingle Exterior Roof 198.4 PLM&TEM where applicable NYELAP 198.1 & 002A 002-Beige Roofing,Composite Shingle _ Exterior Roof 198A PLM&TEM where applicable NYELAP 198.1 & 0028 002-Beige Roofing,Composite Shingle Exterior Roof 198A PLM&TEM where applicable NYELAP 198.1 & 003A 003-Gray Masonry Block(CMU) Exterior Exterior 198.4 PLM&TEM where applicable ClearVU Inspections-Chain of Custody For Gerald Baker Vermont Ave-10074 1 of 4 t Sample ID Material Floor/Sectlon Space Analysis t NY FLAP 198.1 & 003B 003-Gray Masonry Block(CMU) Exterior Exterior 198A PLM&TEM where applicable NY ELAP 198.1 & 004A 004-Gray Masonry Block Mortar Exterior Exterior 198.4 PLM&TEM where applicable NYELAP 198.1 & 004E 004-Gray Masonry Block Mortar Exteriot Exterior 198A PLM&TEM where applicable NY ELAP 198.1 & r— 005A 005-White Sealant,Window Pane Gla;dng Exterior Exterior 198A PLM&TEM where applicable NYELAP 198.1 & 005E 005-White Sealant,Window Pane Glaang Exterior Exterior 198A PLM&TEM where applicable NYELAP 198.1 & 006A 006-Black Roofing Paper/Felt Exterior Exterior 198.4 PLM&TEM where applicable NYELAP 198.1 & 006E 006-Black Roofing Paper/Felt Exterior' Exterior 198A PLM&TEM where applicable NYELAP 198.1 & 007A 007-Gypsum Wallboard Exterior Living Room 198A PLM&TEM where applicable NYELAP 198.1 & 007E 007-Gypsum Wallboard Exterior Bedroom Southwest 198A PLM&TEM where applicable 008A 008-Gypsum Wallboard Exterior Living Room 9 A PLM&TEM where applicable NY ELAP 198.1 & 008E 008-Gypsum Wallboard Exterior Bedroom Southwest 198.4 PLM&TEM where applicable NY ELAP 198.1 & 009A 009-Beige Floor,Sheet Vinyl Paper Backing First Floor Living Room 198.4 PLM&TEM where applicable ClearVU Inspections-Chain or Custody For Gerald Baker Vermont Ave-10074 2 of 4 I e u rofi n s GEI April 14, 2022 ClearVU Inspections 18 Blackberry Lane Queensbury, NY 12804 CLIENT PROJECT: 10074 LAB CODE: N220063 Dear Customer: Enclosed are asbestos analysis results for Asbestos Bulk samples received at our laboratory on April 6, 2022. The samples were analyzed for asbestos using polarizing light microscopy (PLM) and / or transmission electron microscopy (TEM) by New York State ELAP approved methods. Sample results containing >1% asbestos are considered asbestos-containing materials (ACMs) per EPA regulatory requirements. The detection limit varies with the method chosen for the analysis. Eurofins CEI is accredited by the New York State Department of Health (NYSDOH) Environmental Laboratory Approval Program (ELAP), certificate#12048. Kind Regards, Tianbao Bai, Ph.D., CIH Laboratory Director r4vt TESTIN NVLARLAB CODE 101768-0 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 e u rofi n s AEI ASBESTOS ANALYTICAL REPORT By: New York State ELAP Method Prepared for ClearVU Inspections CLIENT PROJECT: 10074 LAB CODE: N220063 TEST METHOD: NYS ELAP METHODS 198.1, 198.4 REPORT DATE: 04/14/22 TOTAL LAYERS ANALYZED: 40 # LAYERS >1% ASBESTOS: 0 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 Asbestos Report Summary e u rof i n s By: NEW YORK STATE METHOD CEI PROJECT: 10074 LAB CODE: N220063 ASBESTOS BULK, NEW YORK STATE METHODS �: � , c b yrdf.. (q}� a%?+`au ''Sr $. �tr `v'SLiJ ;2f4.,a C�FW�I{®:K Sfy {J rM/✓j 4; "� �I. .> >" sle��?®GS�/A■[�IV LFY t; 001A N0991 Black Roofing,Shingle No Asbestos Detected by 198.4 001B N0992 Black Roofing,Shingle No Asbestos Detected by 198.4 002A N0993 Black Roofing,Shingle No Asbestos Detected by 198.4 002B N0994 Black Roofing,Shingle No Asbestos Detected by 198.4 003A N0995 Gray Masonry Block No Asbestos Detected.0% 003B N0996 Gray,White Masonry Block No Asbestos Detected.0% 004A N0997 Gray Masonry Block Mortar No Asbestos Detected.0% 004B N0998 Gray,White Masonry Block Mortar No Asbestos Detected.0% 005A N0999 White Sealant,Window Pane Glazing No Asbestos Detected by 198.4 005B N1000 White Sealant,Window Pane Glazing No Asbestos Detected by 198.4 006A N1001 Black Roofing Paper/Felt No Asbestos Detected by 198.4 006B N1002 Black Roofing Paper/Felt No Asbestos - Detected by 198.4 007A N1003 Beige Gypsum Wallboard No Asbestos Detected.0% 007B N1004 Beige Gypsum Wallboard No Asbestos Detected.0% 008A N1005 White Gypsum Wallboard No Asbestos Detected.0% 008B N1006 White Gypsum Wallboard No Asbestos Detected.0% 009A N1007 Beige Sheet Vinyl Paper Backing No Asbestos Detected by 198.4 009B N1008 Beige Sheet Vinyl Paper Backing No Asbestos Detected by 198.4 Page 1 of 3 Asbestos Report Summary tiff e u rof i n s By: NEW YORK STATE METHOD CEI PROJECT: 10074 LAB CODE: N220063 ASBESTOS BULK, NEW YORK STATE METHODS C. ZIN 010A N1009 Brown Sheet Vinyl Paper Backing No Asbestos Detected by 198.4 010B N1010 Brown Sheet Vinyl Paper Backing No Asbestos Detected by 198.4 011A N1011 Beige Sheet Vinyl Paper Backing No Asbestos Detected by 198.4 011 B N1012 Beige Sheet Vinyl Paper Backing No Asbestos Detected by 198.4 012A N1013 White Gypsum Wallboard Joint Compound No Asbestos Detected.0% 012B N1014 White Gypsum Wallboard Joint Compound No Asbestos Detected.0% 013A N1015 Off-white Gypsum Wallboard Joint Tape No Asbestos Detected.0% 013B N1016 Off-white Gypsum Wallboard Joint Tape No Asbestos Detected.0% 014A N1017 beige Vinyl Flooring No Asbestos Detected by 198.4 014E N1018 Beige Vinyl Flooring No Asbestos Detected by 198.4 015A N1019A Gray Electrical Wire Sheathing No Asbestos Detected by 198.4 ------------------------------------------ --- - -- --------------- N1019B Black Electrical Wire Sheathing. No Asbestos Detected by 198.4 015B N1020A Gray Electrical Wire Sheathing No Asbestos Detected by 198.4 --------------------------------------------- -- ---------------- N1020B Black Electrical Wire Sheathing No Asbestos Detected by 198.4 016A N1021A Gray Electrical Wire Sheathing No Asbestos Detected by 198.4 -------------------------------------- - ---------- -------------- N1021 B Black Electrical Wire Sheathing No Asbestos Detected by 198.4 --------------------------------------------------------------- N1021 C White Electrical Wire Sheathing No Asbestos Detected by 198.4 ------------------------------------------------------- -- ------ N1021 D Brown Insulation No Asbestos Detected.0% Page 2of3 ® % Asbestos Report Summary tioti e u rof i n s By: NEW YORK STATE METHOD CEI PROJECT: 10074 LAB CODE: N220063 ASBE)STOS.BULK,j�NE�W.YORK STATE METHODS CFlefl�C ,: 016B N1022A Gray Electrical Wire Sheathing No Asbestos Detected by 198.4 ----------------------------------------------------- ---------- N1022B Black Electrical Wire Sheathing No Asbestos Detected by 198.4 ------------------------------------- ---------- ------------t --- N1022C White Electrical Wire Sheathing No Asbestos Detected by 198.4 N1022D - -f-Brown- -f Insulation No Asbestos Detected.0% Page 3 of 3 i tiff eu rofi n s ASBESTOS BULK ANALYSIS By: NEW YORK STATE METHOD CEI Client: ClearV. 0 Inspections Lab Code: N220063 18 Blackberry Lane Date Received: 04-06-22 Queensbury, NY 12804 Date Analyzed: 04-14-22 Date Reported: 04-14-22 Project: 10074 ASBESTOS BULK, NEW YORK STATE METHODS -fitOr a : 001A Roofing,shingle NOB Black Initial Observations: N0991 Fiberglass 75% Matrix 25% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 0016 Roofing,shingle NOB Black Initial Observations: N0992 Cellulose 70% Matrix 30% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 002A Roofing,shingle NOB Black Initial Observations: N0993 Fiberglass 20% Matrix 80% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected Page 1 of 13 ASBESTOS BULK ANALYSIS ti�ti e u rof i n s By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220063 18 Blackberry Lane Date Received: 04-06-22 Queensbury, NY 12804 Date Analyzed: 04-14-22 Date Reported: 04-14-22 Project: 10074 ASBESTOS.BULK, NEW YORK STATE METHODS *' �e> .u'w+n�_ .11h.. .L ..,��. S^8:+�LA'tF.. :;nq.. .n'9.4.(.:i„T`958..:n.'Y,'I:3:�.s& 6iKFAkk s� ��'R�.6a Je,+ ''�Y,.yS.✓eJ).�'4N 002B Roofing,shingle NOB Black Initial Observations: N0994 Fiberglass 30% Matrix 70% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 003A Masonry Block Friable Gray Initial Observations: N0995 Silicates 75% Binder 25% Method: Final Results: 198.1 No Asbestos DetectdTobtal Asbestos: No Asbestos Detected.0% 003B Masonry Block Friable Gray, Initial Observations: N0996 White Paint 5% Silicates 70% Binder 25% Method: Final Results: 198.1 No Asbestos Detect&Wl Asbestos: No Asbestos Detected.0% 004A Masonry Block Friable Gray Initial Observations: N0997 Mortar Silicates 70% Binder 30% Method: Final Results: 198.1 No Asbestos DetectdTabtal Asbestos: No Asbestos Detected.0% Page 2 of 13 �� eurofins ASBESTOS BULK ANALYSIS By: NEW YORK STATE METHOD AEI Client: ClearVU Inspections Lab Code: N220063 18 Blackberry Lane Date Received: 04-06-22 Queensbury, NY 12804 Date Analyzed: 04-14-22 Date Reported: 04-14-22 Project: 10074 ASBESTOS BULK, NEW YORK STATE METHODS rb ` ;-^k, ph wkj } `t, s. t ;s` 'y�,`1"a"-° .: •.. �.;fy"�si,!y". 'k R", •Y9bii'9w. "",�.;' 5»'e" P.s .v 's 004E Masonry Block Friable Gray, Initial Observations: N0998 Mortar White Paint 5% Silicates 70% Binder 25% Method: Final Results: 198.1 No Asbestos Detectiffittal Asbestos: No Asbestos Detected.0% 005A Sealant,Window NOB White Initial Observations: N0999 Pane Glazing Matrix 100% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 005B Sealant,Window NOB White Initial Observations: N1000 Pane Glazing Matrix 100% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected Page 3 of 13 ASBESTOS BULK ANALYSIS tiff e u rof i n s By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220063 18 Blackberry Lane Date Received: 04-06-22 Queensbury, NY 12804 Date Analyzed: 04-14-22 Date Reported: 04-14-22 Project: 10074 ASBESTOS BULK, NEW YORK STATE METHODS La n% ' Numbe Ga e �oN_4cipt 006A Roofing Paper/ NOB Black Initial Observations: N1001 Felt Cellulose 80% Matrix 20% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 006B Roofing Paper/ NOB Black Initial Observations: N1002 Felt Cellulose 80% Matrix 20% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 007A Gypsum Friable Beige Initial Observations: N1003 Wallboard Cellulose 10% Gypsum 90% Method: Final Results: 198.1 No Asbestos Detectefttal Asbestos: No Asbestos Detected.0% 007B Gypsum Friable Beige Initial Observations: N1004 Wallboard Cellulose 10% Gypsum 90% Method: Final Results: 198.1 No Asbestos DetectEfttal Asbestos: No Asbestos Detected.0% Page 4 of 13 • j i �• eurofins ASBESTOS BULK ANALYSIS By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220063 18 Blackberry Lane Date Received: 04-06-22 Queensbury, NY 12804 Date Analyzed: 04-14-22 Date Reported: 04-14-22 Project: 10074 ASBESTOS BULK, NEW YORK STATE METHODS s;^"�;� '� 'A's 4ta� x '..,e nNb 1JCT". <. ,� :�'� P'' y< L�`r.< �''Y, -��'..vf�<<;zzc, �;:`, ' ��S ;;F �3 L38S 1 SIC} %#< r F=-€<. ,tegu�y� Cn oC W ,...<." ., ':.rr x- " 'k;:;`si°ai ''`:`°i^,4=..:.s:z '' m..'. 'G �:i�:;': �Z° 008A Gypsum Friable White Initial Observations: N1005 Wallboard Cellulose 10% Gypsum 90% Method: Final Results: 198.1 No Asbestos Detectdabtal Asbestos: No Asbestos Detected.0% 008B Gypsum Friable White Initial Observations: N1006 Wallboard Cellulose 10% Gypsum 90% Paint <1% Method: Final Results: 198.1 No Asbestos Detect6libtal Asbestos: No Asbestos Detected.0% 009A Sheet Vinyl Paper NOB _ Beige Initial Observations: N1007 Backing Cellulose 25% Matrix. 75% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 009B Sheet Vinyl Paper NOB Beige Initial Observations: N1008 Backing Cellulose 25% Matrix 75% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected Page 5 of 13 1 " ti•� eu rof i n s ASBESTOS BULK ANALYSIS AEI By: NEW YORK STATE METHOD Client: ClearVU Inspections Lab Code: N220063 18 Blackberry Lane Date Received: 04-06-22 Queensbury, NY 12804 Date Analyzed: 04-14-22 Date Reported: 04-14-22 Project: 10074 ASBESTOS BULK, NEW YORK STATE METHODS !�. L,♦',�:", g,�ra�� 4f, `��;,i�"..,a.. ;•'�;'.:,.4;"�,f§"�r.,.,;., "�.,,. k 'ra"#.�......i�„�;�: "� � ,s.,.y,y„y .i ��;�;,, Lab�IDg � I] C[I" �a .'�a�e�"il: ''�• � '"�', o-� „v°nw';>v��.: �: c;� 'r�„;,�`�.µ, 4;a�� 'Fri'�;�iC�r.,z':�5��tr':s&' �':;��c,. 010A Sheet Vinyl Paper NOB Brown Initial Observations: N1009 Backing Matrix 100% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 0106 Sheet Vinyl Paper NOB Brown Initial Observations: N1010 Backing Matrix 100% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 011A Sheet Vinyl Paper NOB Beige Initial Observations: N1011 Backing Matrix 100% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected Page 6 of 13 'f 1 ASBESTOS BULK ANALYSIS tiffe u rof i n s By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220063 18 Blackberry Lane Date Received: 04-06-22 Queensbury, NY 12804 Date Analyzed: 04-14-22 Date Reported: 04-14-22 Project: 10074 ASBESTOS BULK, NEW YORK STATE METHODS I Fitt D = ff' 1 bl b rr�ytlayy ,.{�a�fe o�j Gi a ` H d'.`�AM-- ,• 24:aCt'e ¢. .t 'V 5� � 011B Sheet Vinyl Paper NOB Beige Initial Observations: N1012 Backing Matrix 100% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 012A Gypsum Friable White Initial Observations: N1013 Wallboard Joint Calc Carb 70% Compound Binder 30% Method: Final Results: 198.1 No Asbestos Detect(Tobtal Asbestos: No Asbestos Detected.0% 012B Gypsum Friable White Initial Observations: N1014 Wallboard Joint Calc Carb 70% Compound Binder 30% Method: Final Results: 198.1 No Asbestos Detectd'obtal Asbestos: No Asbestos Detected.0% 013A Gypsum Friable Off-white Initial Observations: N1015 Wallboard Joint Cellulose 100% Tape Method: Final Results: 198.1 No Asbestos DetectiTobtal Asbestos: No Asbestos Detected.0% Page 7 of 13 eurofins ASBESTOS BULK ANALYSIS tis By: NEW YORK STATE METHOD CEt Client: ClearVU Inspections Lab Code: N220063 18 Blackberry Lane Date Received: 04-06-22 Queensbury, NY 12804 Date Analyzed: 04-14-22 Date Reported: 04-14-22 Project: 10074 ASBESTOS BULK, NEW YORK STATE METHODS ;3 i-. s . �: k" ,�" �� . v '!:^rya, ;� ",Aa .•.�' l:.8-2 ra..w ° �xpx.ei►� Catgalr „Goclnrr 013B Gypsum Friable Off-white Initial Observations: N1016 Wallboard Joint Cellulose 100% Tape Method: Final Results: 198.1 No Asbestos Detectdtbtal Asbestos: No Asbestos Detected.0% 014A Vinyl Flooring NOB beige Initial Observations: N1017 Cellulose 25% Matrix 75% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 014B Vinyl Flooring NOB Beige Initial Observations: N1018 Cellulose 25% Matrix 75% Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 015A 1 NOB Gray Initial Observations: N1019A Electrical Wire Matrix 100% Sheathing Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected Page 8 of 13 t t 1 eurofins ASBESTOS BULK ANALYSIS By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220063 18 Blackberry Lane Date Received: 04-06-22 Queensbury, NY 12804 Date Analyzed: 04-14-22 Date Reported: 04-14-22 Project: 10074 ASBESTOS BULK, NEW YORK STATE METHODS `'`e5p; � "rt"�i 'i'. $lr r;r• iwz' (,NO t �,r. .Q r tlo Ga e u. Co i : ^., p.> u.a�.. �.mom: ,-.:� :. :a» - �'. -N1019B ---2 -f--R R--NOB -- Black -- ---- - ---Initial Observations: - Electrical Wire Matrix 100% Sheathing Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected 016B 1 NOB Gray Initial Observations: N1020A Electrical Wire Matrix 100% Sheathing Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected N1020B 2 NOB Black Initial Observations: Electrical Wire Matrix 100% Sheathing Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected Page 9 of 13 ASBESTOS BULK ANALYSIS e u rof i n s By: NEW YORK STATE_ METHOD AEI Client: ClearVU Inspections Lab Code: N220063 18 Blackberry Lane Date Received: 04-06-22 Queensbury, NY 12804 Date Analyzed: 04-14-22 Date Reported: 04-14-22 Project: 10074 ASBESTOS BULK, NEW YORK STATE METHODS A��yti lea Nbt'N ��" �• � g.P>.;� ^.; � •"a. dd'F't',, "'t e`.... � i.{�'`,j'}':iYw;,a fi; 5✓�i'''.`::: �`�� SH4'&'r.�4 ' 7i..`1:1. 016A 1 NOB Gray Initial Observations: N1021A Electrical Wire Matrix 100% Sheathing Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected N1021B 2 NOB Black Initial Observations: Electrical Wire Matrix 100% Sheathing Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected N1021C 3 NOB White Initial Observations: Electrical Wire Matrix 100% Sheathing Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected ----------------------------------------------------------------- N1021D 4 Friable Brown Initial Observations: Insulation Cellulose 100% Method: Final Results: 198.1 No Asbestos Detect('(Otal Asbestos: No Asbestos Detected.0% Page 10of13 BULK ANALYSIS tiffASBESTOS e u rof i n s By: NEW YORK STATE METHOD CEI Client: ClearVU Inspections Lab Code: N220063 18 Blackberry Lane Date Received: 04-06-22 Queensbury, NY 12804 Date Analyzed: 04-14-22 Date Reported: 04-14-22 Project: 10074 ASBESTOS BULK, NEW YORK STATE METHODS D-' puw' e�f• � 'S'. bQ_ �I tlotiv' r«�c7tWOW Coigra�� 016B 1 NOB Gray Initial Observations: N1022A Electrical-Wire Matrix 100% Sheathing Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected _------__- ------------------------------ ------- ------- -- --------- N1022B 2 NOB Black Initial Observations: Electrical Wire Matrix 100% Sheathing Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected ----------------------------------------------------------- ------- N1022C 3 NOB White Initial Observations: Electrical Wire Matrix 100% Sheathing Method: Final Results: Total Asbestos: No Asbestos Detected by 198.4 198.4 None Detected ------------------------------------ -- --------------------- ---- - -- N1022D 4 Friable Brown Initial Observations: Insulation Cellulose 100% Method: Final Results: 198.1 No Asbestos DetectfiTebtal Asbestos: No Asbestos Detected.0% Page 11 of 13 eurofins CEi LEGEND Non-Anth = Non-Asbestiform Anthophyllite Non-Trem = Non-Asbestiform Tremolite Calc Carb = Calcium Carbonate NOB = Non-Friable Organically Bound SM-V = Surfacing Material Containing Vermiculite GLOSSARY OF TERMS Inconclusive- No Asbestos Detected PLM is not consistently reliable in detecting asbestos in floor coverings and other NOB materials. Currently, quantitative TEM must be used to determine if this material can be considered or treated as non-asbestos containing. Inconclusive- CR Conflicting Results: Sample yielded 1% or less asbestos as determined by gravimetric reduction and TEM analysis but had protruding fibers identified as asbestos during preliminary examination -.further sampling and analysis needed. Inconclusive-Trace (type of asbestos) detected at 1% or less Asbestos identified at 1% or less by the 198.6 method, and 0 asbestos points out of 400 (or more) nonempty points were counted. Further testing by TEM using NYS 198.4 method is required. Trace asbestos detected at less than 1% For methods 198.1 and 198.8, NYSDOH defines trace as samples where 0 asbestos points out of 400 (or more) nonempty points were counted, but did contain asbestos positively identified by PLM. Trace asbestos detected at less than 1% For method 198.4 NYSDOH defines trace as asbestos detected at 1% or less. REGULATORY LIMIT: > 1% by weight 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 Page 12 of 13 tiff eurofins AEI DISCLAIMERS: Reported asbestos content verifiable only as the percentage of asbestos in residue submitted to laboratory. Samples with inconclusive results must not be interpreted as being non-ACM. This report relates only to the samples tested or analyzed and may not be reproduced, except in full, without written approval by Eurofins CEI. Eurofins CEI makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. Interpretation of the analytical results is the sole.responsibility of the customer. Samples were received in acceptable condition unless otherwise noted. This report may not be used by the client to claim product endorsement by NVLAP, NYSDOH or any other agency of the U.S. Government. Information provided by customer includes customer sample ID, location, volume and area as well as date and time of sampling. ANALYST(S): Samantha Card - 198.1 Brunilda Gjoka- NA APPROVED BN Tianbao Bai, Ph.D., Cl Laboratory Director HV(A TESTING NVLAP LAB CODE 101768-0------ . ._ 730 SE Maynard Road • Cary, NC 27511 • 919.481.1413 Page 13 of 13 ',"' r ,� N . ('oik Stag®ep rtmentfxab o ` Division o S�obt nd ealth License��da'I•tificatis1l�riit State Campus;Byll ng 12 AI any,,,rY.,12240 ;., ' ASBESTOS HANDLING LICENS V"',, r' ate S aces dba ClearWITs tion LE NUMBER: LICENSE NUMBER: 2$ � �- 28� 90 1&Black erry LEI e LICENSE CLASS: RED RI�TEC3 � 4 DATE OF ISSUE: 01/282Q22 :4 sb Y 12 �s �- 02 "- rY,f ` Mr. EXPIRATI DATE: 01/31.1202 - -a J '. o ,jA i ( k .__::_.... y•T rs C)ulYAu od Representative6; �is then n issued in ac da is = ith k-A �� a a !:'ly' ; p, ihst" 1, r�,an�utti�'a ;� 'of fhe ! r Law of New or 3` a e o 1*�Te, i� t Codes,Ruleseg (at% S tPart�rTt�s` �ect tb su a sion or revoc ttinor a(1) sl�ou vio atio o tate,federal .. "' a vs i tja tie c ndpet&af liesto prof or(2)demo sirate'A, cic.p e6 duct of any -� ir�Vixi' �os`� •„ h; r po ibi m n w or,' s'tr {ds' tee F f _• a Thi 'i et{'e is v ; - only,for ttfe contractor r fiXn i°alio a an tense or J.a phut }r mu t b plpmi,e�tly displaye t at yt i asbestos pro or, ite'„� hi se veni xc s tha ,.il, 5rsons.e ;ee on sbest s, ro n ,,e YEa It o p J ,�" State h�c enis "ed a sbestos Certificate;ap :oprAtoflr�ty e�f�o�they perform,by th 4ew Yost - ata� r Ir&Departm4nt oK> orb ''' �. 1g1 / A ....., 'u, ,. Y Amy Phillips,Director SH 432(8/12) For the Commissioner of Labor mar AC' n- ................f- ,m;a MAN ros ,fir`.:^;.• .r>s�;: �;�f„jai S F.v='r$�•,,�J+21,17�;?�l"�sSflt�f:-,y°��',2�c.sl2c:a:l"�1R�,3GT+::[�?�';`^-' ✓/' `'" i .89C CLEARVU O • O I N S P E C T I O N S a ea -: . ANDRtwWI M..CUQMO;--:`s` - - HOWARD A.:ZUCKEi[t :M,D.r J.D. . :#ISA7 P�O,aM,A:R 3.D:`: Gavernszr__ Cornmrssfoner == ExeruUve Deputy Coinimsiorn .77 -=_ LAB-ID:.12048 .;_.' = _ April 91;2021 :. : DR:TIANBAO BAI__. EUROFINS-CEIJI& - - _ - -__- 73DE MAYNARD-ROAD _ Certificate.:.Expiratioh Dater: CARY,_,NCC.27511 Dear Dr. Bai;- - __ -- == Enclosed are certificate(b),of:approval Issued to your environmental laboratory for the current pennityear.The- ___cerfiticate(s).supersede(s)any previouslyissued ones)andts(are)in effect through the expiratimi=date°listed. _- Pfease=carefully examine=the cerf ffeate(s)to Insure that-the-categories,subcategories;analytes;=and_methods for which your laboratory_is approved_are=carrei;L In addition,verify that your laboratory's name,address,lead =-- _ -_, 1echi►icai director,and identification numberaire 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 our laborato-- - - y _ ry 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 ..to Program(NELAP)name,reference to=trio laboratory's approval status,and/or using---_ the NELAP logo in:any catalogs,advertising,_business sollcitations,.proposals,quotations,laboratory analytical - ;_reports-or other materials must include=the laboratory's ECAP identification number and distinguishtietween testing for which:the.laboratory]s approved and testing for which the laboratory.Is hotapprovad °_ -If= ou hove an - -_= _ - y- y 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) 489-;5 ;liy facsimile t:(518)485-5568;and by email`at slap@health.ny.gov. _ -- :. -.Sincerely,: _ -- Victoria Pretti -- - -_ Director°and QA,Officer Environmental Laboratory Approval-Program -. . 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I.l Insb i `�ie uroo,lp� 14518) 85-6R -: - .. ..:- v ,t,-,fi,�j-,,dqh, !t,,:iO1�'�,--,-.yd- a,',-cp:,1 p4"dI ,I."--,--:-�-1 .,-:-I --I 4"I.: -1I1 - -, " E ` "1, , - - - -;l I ";, - ,-,,. faIp of l ��- -!--,,- ; -,^, ,, - . -. --,-- -I "�i,.... , _- NEW__YORK STATE:DEPART HEALTH'HEALTH - WADSWORTH CENTER . ...: :...... Expires 12:01 AMApril.-_0'Ir2022:___ ..:..-°Issued .A ri - =, CERTIFICATE OF APPROVAL FOR LABORATORY SERVICE-- Issued In accordance with and pursuant to section 502:Pubild Health Law of New Yolk.State --- ___ _ DR. T/AN8AO NY Lab Id No:1204_8 == EUROFINS CEI, ING=- 730 SE MAYNARD:ROAD CARY,NC .2751-9 _ wFberebyAPPROVED as an Environmental Laboratory for the-category. ENVIRONMENTAL ANALYSES=SOLD A.ND HAZARDOUS'WASTE- -_ - -- approved subcategories and/6rbiFd1!tes_are listed below: Miscellaneous — Asbestos-InTriable Material_ Item 198.1 of Manual- E. 600M14/82/020 Asbestos lwWn-Friable Material-PLM Item=198.6 of Manual(NOB by PLIVI Asbest. in Non-Friable=iViaterial TEM Item 198.4 of Manual - Asbestos-Vermiculite-Contalning:Matertal Item 198.8 of Manual Serial No::=632$7._ Pmpertyr cf.6 New York State Department of Health. Certificates are valid only at h address'' shcwm must be conspicuously posted.and are QrtntetYon severe-paper Continued accredttayo�r d ads - cn suacesstul ongoUtg parddpation In the Program. Consumers are urged to calt(518)485-55ZQ#o_ verify the.la6oratorys accrafttlon status NWYORKSTATE.DEPARTMENT_OFHEALTH:-:: - - - - - = WADSWORTH.CENTER Expires 12:01 AM April 01 -2022= .-Issued-April 01,2021.. - =CERTIFICATE_OF=APPROVAL FOR LABORATORY SERVICE - _ = _ = issued In accordance with and pursuant to section so2_P.ubllc-ealth`Law o_f-.New Yorlc.State = == - _ =DR. T/ANBAO BA/=__ NY Lab Id No:12048..=,-- - EUROFINS CEI,INC- _730 SE:MAYNARD RO_A_O :_:CARY, NC .27541 ==W-ht prebyAPPROVED-as an.-Environmental Latiorafory fgr the category = - =- : MISSIONSENVIRONMENTALANALYSESAIR;AN)E w:-_Al aA roved subcate ories andlor_analYteelisted belch!" . - .. _ Mistiellaneous Astit3sttis :. - 40 CFR-763 APXA No.III - _: NIOSH 7400 A RULES Serial No:::.63298 Property of the New York State Depa trni of Hea@h.=Ced4cates are Galid oNy at the address- _- _-shown;must be i onsptcubusiy posted,and are piirgedori:seoure=paper. Continued accreditaUon.depends -- — __tiri sditesstul ongolrtg.partidpatlon in the Progrsrn Consumers are urged to call{578)485-5579 io— _ —verify tbe.laboiatorys accreditation-status. - -=Pagel of 1.-` .