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2011-289 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20110289 Date Issued: Tuesday, February 05, 2013 This is to certify that work requested to be done as shown by Permit Number P20110289 has been completed. Tax Map Number: 523400-301-008-0001-029-000-0000 Location: 18 MANOR Dr Owner: EXECUTIVE PARK WEST LLC Applicant: EXECUTIVE PARK WEST LLC This structure may be occupied as a: Demolition By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building Srode 04hrcement Planning Board or Zoning Board of Appeals. TOWN .OF QUEENSBURY 742 Bay Road;Queensbury,NY 12804-5902. (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20110289 Application Number: A20110289 .Tax Map No: 523400-301-008-0001-029-000-0000 Permission is hereby granted to: EXECUTIVE PARK WEST LLC For property located at: 18 MANOR Dr 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. Twe of Construction Value Owner Address: EXECUTIVE PARK WEST LLC 333 AVIATION Rd Demolition QUEENSBURY NY 12804-0000 Total value Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2011-289 demolition of building $30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,June 30,2012 (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.Town o uee uryf ` rr h' - y,June 30,2011 SIGNED BY .z for the Town of Queensbury. may Director of Building&Code Enforcement ........................ ...... ... .... r' --7 ,J OFFICE USE ONLY f MA�I�O. PERMIT NO. EE PAID Permission is hereby granted to a above n ed Applicant to demolish the building(s) described herein a rth i p tion below, JUN 15 2011 ' Director Codes ate ' ' TOWN OF QUEENSBURY APPLICATION FOR DEMOLITION PERMIT: Fill in applicable spaces and submit two (?-) 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 'rye demolished. Indicate on the plot plan the location of.all utilities. APPLICANT/BUILDER: _ " OWNER: j?A y Gt1 7 S ADDRESS: YK ADDRESS:3 PHONE NOS. PHONE: t PERSON RESPONSIBLE FOR WORK: PHONE: LOCATION OF DEMOLITION: __ WHERE WILL DEMOLITION MATERIAL BE DISPOSED?� A) I/V. W e cd Wak P����1 fe,v,Ly ASBESTOS INFORMATION: ✓ Is there any asbestos within the building to be demolished? YES NO—X�. ✓ If YES, our office needs the following information: CS,ge'. �a 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 Report must be filed with our office before demolition begins. STRUCTURE INFORMATION: ✓ Indicate which structure(s)will be demolished: RESIDENCE GARAGE BUSINESS STORAGE BLDG. OTHER ✓ Size of structure: X ✓ Number of stories: ✓ Foundation type: FULL CELLAR CRAWL SPACE SLAB_ ✓ Foundation: WILL BE REPLACED WILL NOT BE REPLACED_ L ✓ Structures(s): WILL BE REPLACED_, WILL NOT BE REPLACED UTILITIES INFORMATION: ✓ Indicate utilities for this structure: GAS_, ELECTRIC PROPANE PUBLIC WATERONSITE WELL-WATER PUMP PUBLIC SEWER Have you notified the Town Water Dept. for public water and public sewer disconnect? YES NO Queensbury Building & Code Enforcement - ResidentFFspection Office No. (6 18)761-8256 Arrive: 17'r amDate Inspection request received: Inspectors Initia s:NAME: E)L�91LaN E a)PA- L��EhT 1 C PLOCATION: �; T — LA — t-22 TYPE OF STRUCTURE: I`AUnR Comments• Yes No NIA 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carton Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft:150 s .ft.vents Bathroom Fans if no window Plumbing fixtures Foundation insulation to floor/Sticker on Panel Duct work sealed property/Blower Door Test Certification Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade 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 operating Low water shut-off boiler Relief Valves installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Gas Logs in Sealed or Glass Enclosure Final Electrical;Energy Saving Light Bulbs 50% Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker c7 Site Plan /Variance required Flood Plain Certification,if required _ -Okay to issue C/C or C 10 Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08; Revised 12122/10,Revised 04/13/11 7S1 H'LE. TO N OF QUEENSSURY Revs w, ed By: ®at,:Z TOWN OF QUEENSBURY I BUILDING DEPARTMENT Based n our limited examination,compliance $; with ou comments shall not be construed as indicati g the plans and s eciflcations are in 1. full co Hance with the wilding Codes of New Yo State. b6�--2-1 Propogal WOOD WASTE REDUCTION SERVICES P.O. Box 133 Glens Falls, NY 12801 Office (518) 793-3602 , Fax (518) 798-2312 PROPOSALSUBMITTEDTO ^ 1 7 PHONE DATE $TREET3 33 JOB NAME CITY,STATE AND ZIP CODE JOB LOCATION DATE Ot LTS I' I JOB PHONE We hereby submit specifications and estimates for: ✓ +o�+S �a �e o 1 �►9 v y1 c a r vo-f" VI Y-n �r t'�a-� is i I' �J a p��S�og`e-J >F►� �Vilrv+., 1/ d��ac.J 1�G1�►S I r � �^ . /.DCkS (,ry i �1 r$V faw,47 by CA54-5ed,- /I-v A In the event of a catastrophic failure due to debris in your pile(metal,rocks,heavy Iron,concrete,etc.)you will be responsible for the cost of replacement parts needed to restore grinder to the condition it was in when it arrived.It's condition can be verified by you prior to commencing work.I will be responsible for labor to change parts.This does not include normal wear which I am responsible for. e rD Dge hereby to furnish material and labor—comppii te in accordance with the above specifications,for the sum of. NK�V S 4 l WL a' /!d v dollars($ —606, JO ) Payment to be made as follows:. Net 30 days unless prior arrangements are made. All material is guaranteed to be as specified.All work to be completed in a workman- ✓� — like manner according,to standard practices.Any alterations or deviations from the Authorized above specifications involving extra costs will be executed only upon written orders, Signature and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire, Note:This proposal may be wind damage and other necessary insurance.Our workers are fully covered by withdrawn by us if not accepted within days. Workman's Compensation Insurance. ZCreptattCC of propae al-Theaboveprices,specifica- Signature tions and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be made as outlined above. Date of Acceptance: Signature BOPdrding 4-01 EXHIBIT D-2 ATC ASBESTOS SURVEY REPORT HAZARDOUS MATERIALS SURVEY REPORT 18 Manor Drive Glens Falls,New York ATC Project Number 062.30691.0007 Prepared for: Northeastern Environmental Technologies Corp. 1476 Route 50 PO Box 2167 Ballston Spa,New York.12020 January 23,2011 Revised 10:Qcluin ft.privO�i Sure 101 . Albany,M`12M. Fax$3 -A QUO wimatcessaciatss.cofn alteasiet 1. ��u'rtinmcntai Tcctu�olnesr 147E mute: O � 3 p-6 I3o�2 1 G �Ba`I1stO �?�New L 1.2( 0 .�� i-iac�o�s`��ate�i�ls Stxry�y I���ort T( ro;ecttunif 0 :39ti ` 00 acca danc �utth ATE ssa��i ids icy � 'T I�r p sal d i d qS ax�ar3r 0 �, �A-T��s �1 ��to stibtnttth�ntfacled�i`ar'dous�Satei�i�ls°�t��>ay�Tzepart�`�r�hc���►e ����rct��ed �it�t� This r�pa ia�cludcs the pcu�ed�ire a�n7��ada�la��s-�al�owed analyt��ai;l�bh�r�t�ir� T—lb rip u�` � hTar st&A lLnvtro�tmental Techc�uingues Goy. 5E apptcctatas tfte csppa unt'y t�setvc at liea�let Et�var4n nc lt:i Technaloia s G'or . and .lo i fo a c� t i m. wr it h a to sthe attire In. ttre ncaftfi 6 t1"vau a�? questions ar: ointnetits Maxdata iiiti� m this rart opt t+ :c sae` 'tX�th'�:r ` aiic "lea do not he ittc�a �r�t �utccxel�� µfGsc�ciutes`Ctic ION' ( 3ratcE Adt�Yi�stcao�" C� 'G,m�nlA ert�8�, a�,s`vlinc2isa gnA�4��ca�Cj�,?�t87aanSar Bn'SQvp TABLE OF CONTENTS LETTER OF TRANSMITTAL............................................................................................i TABLE OF CONTENTS....................................................................................................ii 1.0 PURPOSE AND SCOPE OF SERVICES........................................................................3 2.0 PROPERTY DESCRIPTION............................................................................................3 3.0 REPRESENTATIVE ASBESTOS-CONTAINING MATERIAL SURVEY.................4 3.1 Homogeneous Areas........................... 3.2 Hazard Assessment Factors............................... 3.3 Sampling Strategy........................................................... .........................................4 3.4 Suspect Asbestos-Containing Material........................................................................7 3.5 Laboratory Analytical Results......................................................................................9 4.0 ASSUMPTIONS AND LIMITATIONS.........................................................................12 5.0 CONCLUSIONS ANDRECOMMENDATIONS.........................................................13 5.1 Asbestos 5.2 Lead APPENDICES APPENDIX A: INSPECTOR AND LABORATORY ACCREDIATIONS APPENDIX B:LABORATORY ANALYTICAL RESULTS V TC ii CADocuments and SettinSskhristina.agans\Dcsktop118 manor drive.doc 1.0 PURPOSE AND SCOPE OF SERVICES The purpose of this project was.to co:onduct"an asbestos containing,materials survey of the structure located at 18 Manor Dr.,Glens Falls,New.York,hereinafter referred to as the Site. The survey was conducted in accordance with ATC's written Proposal dated November 30, 2010. ATC provided the following services in accordance with the referenced agreement. Conduct a representative survey in the identified.structures,which includes: 1. Visually.inspect the structure. 2. Identify accessible suspect asbestos-containing materials (ACMs)that were not previously_tested. 3. Quantify ACMs,including material,condition and location. 4. Collect and analyze bulk samples of suspect friable and non-friable materials to determine asbestos content. 2.0 PROPERTY DESCRIPTION The main structum is a two (2) story, cement walled building formerly used as a dry cleaner on I".floor;2nd floor contains and apartment. Typical'interior finishes including carpeting,floor tile,ceiling,tiles and sheetrock walls. 3.0 REPRESENTATIVE ASBESTOS-CONTAINING MATERIAL SURVEY An asbestos-containing material survey of-the structure located at 18.Manor Dr. in Glens Falls,New York was conducted.. New.York State Asbestos Inspectors (Copies of certificates are located in Appendix A)'conducted the asbestos survey. ATC's personnel collected`38 .bulk samples. for analysis. The buildings were- visually inspected-for building materials suspected to contain asbestos. Bulk-samples of identified suspect ACMs Iwere collected and._placed into individual containers for transport to a National Voluntary Laboratory Accreditation Program (NVLAP) and a New York State Department..of Health Environmental Laboratory Approval 'Program (FLAP)-accredited laboratory for analysis. Materials not suspected of.containing asbestos (fibrous"glass,foam rubber, wood, etc.)" were :not.sampled. The asbestos survey consisted of three basic procedures: 1) conducting a visual inspection of the structures;2)identifying homogeneous areas-(HAs):of suspect surfacing;'thermal system insulation, and miscellaneous materials; and-3)sampling accessible,friable and non-friable suspect materials. U AT C C:1Documrnis and Settings\ch6stina.agans\D4ktop\18 manor dme doc. 3.1 Homogeneous Areas Prior,to collecting any samples, Homogeneous Areas (HA) were identified and listed to develop a sampling strategy'. An HA can be described as one or,more areas of material that are similar'in appearance and-texture with the same installation date and function. The actual number of samples collected from each homogeneous sampling area may vary based on the type of material and the professional judgment of the inspectors. 3.2 Hazard Assessment Factors From the list of suspect homogeneous materials; a physical assessment was performed for each material on the list. A physical assessment includes evaluating the condition,assessing the potential for disturbance, and determining the friability of each material. Friability is.a- term used to describe the ease in which a building material inherently lends itself to disturbance. By definition, "friable"materials are those that can be crumbled or reduced to powder by hand pressure when dry. Each material on the list was further classified into one of three categories,which have specific sampling requirements for each category. Surfacing_ Materials: Refers to spray-applied or troweled surfaces such as plaster -ceilings and walls, .fireproofing; textured paints, textured' plasters,and spray-applied acoustical surfaces. Thermal System-Insulation: Refers to insulation used to inhibit heat gain or loss on pipes, boilers,tanks,ducts,and various other building components. Miscellaneous Materials: Refers to friable and non-friable products and materials that do not fit in anyy of the above two categories such as resilient floor covering, baseboards, mastics, adhesives, roofing ' material, caulking, glazing.'and siding. This category also contains wallboard and ceiling tile. The condition of all confirmed ACMs were then assessed.as good(intact),fair(damaged)or poor (significantly damaged) per Title 40 Code of Federal Regulations Part 763 (40CFR Part 763). Material with localized significant damage.was also. assessed as poor when observed. 3.3 Sampling Strategy The asbestos inspection was conducted in accordance with 40 CFR Part 763 and New York State Industrial Code Rule 56. V..TCADomments and Settings\christina.agans\Desliop\IS manor drive.doc - _ _ The number of samples collected is dependent upon the.category of the homogeneous area and the amount of material present,as follows: Surfacing Materials <1,000 SF 'w 3 1,000-5;000 SF 5 >5,000 SF 7 or more Thermal System No Stipulation 3+(Must also sample all repair patches) Insulation Miscellaneous Materials No Stipulation Per, AHERA, these materials must be sampled "in a manner sufficient to determine whether or not they contain asbestos" typically 1-3 samples based upon inspector judgment. If the analytical results indicated that all the samples collected per HA did not contain asbestos, then the HA (material) would be considered a non-ACM. However; if the analytical results of one or more of the samples collected-per HA indicate that asbestos is present in quantities of greater than 1 percent asbestos by weight,all of the HA (material) would be treated as an ACM regardless of any other analytical results. Materials,which are not suspected to contain asbestos (i.e., fibrous glass, foam rubber, etc.) by the accredited inspector,are not required to be sampled. Miscellaneous materials require adequately representative sampling,which is typically done by collecting from.one to three samples per material. Inspectors typically rely on other survey observations such as the condition, friability, and quantity of material to determine what would be a sufficient number of samples to accurately determine asbestos content. Collection of a bulk asbestos sample involves physically-removing a small piece of the material and placing it in a marked,airtight container. Sample containers are marked with a unique identification number,.which is also noted in the field notes. 3.4 Suspect Asbestos-Containing Material Thirty-eight(38) bulk samples were collected from the building and analyzed for asbestos content by Polarized Light Microscopy(PLM). Samples comprised of multiple layers were split into individual layers.. For example, floor the and associated mastic are collected as one bulk sample but are analyzed as two distinct materials by the asbestos laboratory 3.5 Laboratory Analytical Results The samples were sent to AmeriSci, New York. Upon arrival at the lab, the samples were Jogged-in and stored. All initial analyses were performed using the Polarized Light Microscopy (PLM) method for 'asbestos detection_using guidelines and procedures established from the Interim Method for the Determination of Asbestos in Bulk Insulation Samples (EPA-600.M4-82-020 DEC.1982). Ten percent of the samples are routinely re- M.. _ CADocuments and Seitings\dirWinaagans\Desktop\IB manor dmadoc - analyzed by a second analyst for the purposes of quality control. Copies of the laboratory analytical reports and corresponding chains of custody are included in Appendix B. e umm�ry o .$ S:ainp .An .R u t .. . ................: .......:... :... ...:....... ...... ...:.: •lens, .:alTs`:N.ew:'Y'rk'�� �: °:;:' : ``;'::�'' �'��: �: � � ';: ;:':.;; a .Type of Sample. ..: .. Location of Sample Number _ 121-01 Glazing Ext window -int. <1%Chrysotile Anthropylite 121-0 lA Glazing Ext window—int. trace 67-02 Cement wall Ext walls NA 67-02A Cement wall Ext walls NA 61-03 Drywall Room 2 NA 61-03A Drywall Room 10 . NA 62-04 Joint compound Room 2 NA 62-04A Joint compound 'Room 6 NA 93-05 12 x 12 FT grey Room 2 Chrysotile trace 93-05A 12 x 12 FT grey Room 5 NAD ; 94-06' Adhesive Room 2 -NAD 94-06A Adhesive Room 5 NAD P 07 Leveler floor Room 2 NA 07A Leveler floor Room 5NA 08 Cove base black Room 2 NAD -08A Cove base black -Room 5 , NAD 103-09 Adhesive Room 2 NAD 103-09A Adhesive. Room 5 NAD 67A-10 Cement foundation Room 2 NA 67A-10A. Cement foundation Room 8 NA 93A-11 Vinyl 12 x 12 FT- Room 13 NAD 93A-11A Vinyl 12 x 12 FT Room 13 NAD 109-12 2 x 4 ceiling tile Room 5 NA 109-12A 2 x 4 ceiling tile Room 8 NA 120-13 Sink sound coat Room 16(kitchen) <1%Chrysotile 120-13A Sunk sound coat Room 16.(kitchen) <1D/o Chrysotile 97-14 Vinyl sheet Room 16 NAD 97=14A Vinyl sheet : Room 15 NAD 61 A-15 Drywall Room 16(apartment) NA •••� CADocumenis end Settingg\clvistina.agansOesktopU8 manor drive.doc - Table;1:;: ummry,.Af;Bulk.S.�nple.:Aualy_sis Results: rD v .......:.. .......... Number Type of Sample Loeatton of Sample :..<:, 61A-15A Drywall Room 17 NA 62A-16 Joint compound Room 16(apartment) NA 62A-16A Joint compound Room 17 NA 149-17 Adhesive paneling Room 9 2.9%Chrysotile 149-17A Adhesive paneling Room 9 NA/PS 136-18 Roofing shingle Room 1 NAD 136-18A 'Roofing shingle Room 1 NAD Closet top of stairs 154-19 Fiberglass backing NAD (apartment) Closet top of stairs 154-19A Fiberglass backing NAD . (apartment) NAD-No Asbestos Detected NA/PA—Not Analyzed/Positive Stop 4.0 ASSUMPTIONS AND LIMITATIONS The results,-findings,conclusions;and recommendations expressed in the report are based only on conditions that.were noted during the ATC inspection,of the 18 Manor Dr. property located in Glens Falls,New York. ATC selection of sample: locations .and `frequency of sampling was based on-ATC - observations and the assumption that like materials in the same area are homogeneous in . content. The report.is designed to aid the building owner,architect,construction manager, general contractors,and potential asbestos or lead abatement contractors in locating ACM. Under no circumstances is the report to be utilized as a bidding document or as a project specification document since it does-not have all the components required to serve as an Asbestos Project Design document or an Abatement Work plan." Our professional services have been performed, our findings obtained, and our conclusions and recommendations prepared in accordance with customary principles and practices-in the fields of environmental science and engineering: , This statement.is in lieu of other statements either, expressed or implied. This report does not warrant against future operations or.'conditions, nor does it warrant against operations or conditions present of a type or at a location not investigated. This report is certified-to Executive -Park West LLC and-Northeastern Environmental Technologies Corp. The scope of services performed.in execution.of this evaluation may • ••• C:\Docvments and Settings\christina.aganslDesk-top\lg manor drive.doc - - not be appropriate to satisfy the needs of other users;-and use or re-use of this document or the findings,conclusions,or recommendations is at the risk of said user. - 5.0 CONCLUSIONS AND RECOMMENDATIONS 5.1 Asbestos Containing Materials The results.of the asbestos survey conducted at 18 Manor Dr.,Glens Falls,New York indicate that the following building materials were found to-contain more than 1-.percent asbestos. Table 2• Summar�_of.�sbestos Contaua,mg 1VYaterial$ .::._ ..: ...:.:.: Sample : Location of .` Type Qf Sample 4 A beC 51L, ontent Quamtity ;Number - 11uerlal;: 149-17 dhesive"Paneling Room 9 2.96/6`Chrysotile 448 SF The National Emissions Standards for Hazardous Air Pollutants (40 CFR 61)requires the removal of all asbestos containing materials prior to.demolition-of a structure.. The State of New York requires that if a facility is, found to-have asbestos containing materials; NYS Industrial Code Rule 56 (12 NYCRR Part 56).must be,complied _with when conducting any.work which might disturb the ;asbestos containing. materials. Any disturbance of asbestos containing materials, including removal,repair, encapsulation, or enclosure must be conducted by certified individuals employed by a licensed,asbestos abatement contractors, and -in accordance with -applicable federal, state and local regulations. Prior,to renovation or demolition, activities, it is recommended that the asbestos containing materials discovered during.this inspection and:described`in this report be. properly abated-by a New York State Licensed Asbestos Abatement Contractor, in accordance with 12 NYCRR Part_56 (Code Rule 56), OSHA.29 CFR 1926.58, and USEPA 40 CFR Part 61,Subpart M(NESHAPS). NYSDOL Industrial Code Rule"56 (as.amended January 12, 2006) requires the building owner to send copies of this asbestos containing.materials survey report to-the'following agencies::-the local agency in,charge of issuing building demolition/renovation permits; the local Asbestos Control Bureau Office(Albany District, State Office Campus, Room 157, Albany, New York:,2240). This:report is required to be kept on site during any" abatement activities and/or demolition,renovation,�remodeling-or repair activities.- Please Note:;Table 2 only-documents the confirmed asbestos containing materials as defined in New York State.Department of Labor Industrial Code Rule 56 and Federal .. ••••• C:1DoivmentsandSenings\chriuina.eganslDesktopUBmenardrive.doc - Regulations as those material containing greater than 1%asbestos by weight.However, some materials collected and analyzed in this inspection do contain trace amounts of asbestos. These materials include:_ :able : Summ ary.,of Trace Asbestos Samples 1$iYlanor D`; = - _ l Sri;;-;Fall`:�;;,• - ................. e s s °t5ample , Type of Sample Locatrou of&a�n�le Asbestos Content Number Window glazing Exterior windows 12.1-01 < 1.0%Chrysotile (interior) Window glazing Exterior windows 121-01A Anthropylite trace (interior) 93-05 12,x 12 FT grey Room 2 Chrysotile trace 120-13 Sink sound coat Room.16 kitchen Chrysotile<1.0% 120-13A Sink sound coat Room 16 kitchen Chrysotile<1.0% .This information must be conveyed to any contractors working on these materials for compliance with the Occupational Safety and Health Administration,Asbestos Standard, 1926.1-101.Work that will disturb these materials may require a negative exposure assessment and may include the use of respirators, employee fit tests, an employer respiratory protection program,and an employer medical monitoring program. :.IINVAT-C CADocumems and SettingskhdstinaagansNDesl.•top\18 manor drive.doc APPENDIX A INSPECTORAND LABORATORY ACCREDIDATIONS NAM .. 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