ACM.104Cobblestone.WholeHome.pdf

June 28, 2021

Mr. David Greco, Maintenance Supervisor I c/o NYS Office for People with Developmental Disabilities

703 East Maple Ave

Newark, New York 14513

Re: Pre-Renovation Survey Report for

Asbestos Containing Materials

Cobblestone 104 IRA

104 Cobblestone Terrace

KES Project No. 0484.15621.1

Dear Mr. Greco:

Attached please find your “Pre-Renovation Survey Report for Asbestos Containing

Materials” for the project site located at 104 Cobblestone Terrace in Newark, New

York. Included in this report are our survey description, sampling protocol/assessment methods, laboratory analysis results, and identification of asbestos containing materials.

Please keep this report with your permanent records for the above noted site for future reference.

Thank you for allowing Keystone Environmental Services to participate in your environmental projects. Please feel free to contact our office if you have any questions or require additional assistance.

Sincerely, Keystone Environmental Services

Mr. Richard J. Tarnowski, C.E.P., C.E.I.

Member/Director of Environmental Services

NYSDOL Asbestos Certification No. 92-17859

RJT:ad

Enclosures

T:\Projects\2021\0484 - OPWDD\0484.15621 - Asb&Lead-CobblestoneTerrace,Newark\0484.15621.1 - Cobblestone104IRA,104CobblestoneTerr\Asbestos\Letter.docx

A Division of Keystone Material Testing, LLC

Kenneth D. Ellsworth, P.E.

Managing Member

Richard J. Tarnowski, CEP, CEI Member

Corporate Office

58 Exchange Street Binghamton, New York 13901

Phone: 607.723.5117 / 607.770.9098

Fax: 607.729.5154 E-mail: info@kescomp.com www.kescomp.com

Pre-Renovation Survey Report

Project No. 0484.15621.1 June 28, 2021

PRE-RENOVATION SURVEY FOR

ASBESTOS CONTAINING MATERIALS

COBBLESTONE 104 IRA

104 COBBLESTONE TERRACE

NEWARK, NEW YORK 14513

PREPARED FOR:

MR. DAVID GRECO,

MAINTENANCE SUPERVISOR I

c/o NYS OFFICE FOR PEOPLE

WITH DEVELOPMENTAL

DISABILITIES

703 EAST MAPLE AVE

NEWARK, NEW YORK 14513

58 Exchange Street, Binghamton, New York 13901 (607) 723-5117

© 2021 Keystone Environmental Services. All Rights Reserved.

Cobblestone 104 IRA – 104 Cobblestone Terrace, Newark, New York 14513

Project No. 0484.15621.1 June 28, 2021 i

TABLE OF CONTENTS

Section Page

1 Executive Summary 2 General Asbestos Survey Information

2.1 Survey Description

2.2 Building Descriptions

3 Asbestos Survey, Sampling Procedures and Methods

3.1 General Procedure

3.2 Sampling Protocol

3.2.1 Assuming ACM:

3.2.2 Testing for ACM:

3.2.3 Collection of Suspect Materials:

3.2.4 Sample Labeling:

3.3 Limitations

4 Identification and Assessment Methods of ACM 5 Transmittal of Survey Information 6 Asbestos Abatement General Notes 7 Certification Statement

APPENDICES

APPENDIX A - Asbestos Bulk Sample Result Summary Table and Asbestos Sample Location Drawing(s)

APPENDIX B - Identification and Assessment Methods of ACM, Assessed Building Materials and

Estimated Quantities

APPENDIX C - Asbestos Bulk Sampling Laboratory Analytical Results

APPENDIX D - Inspector/Laboratory Licenses and Certifications

Project No. 0484.15621.1 June 28, 2021

1 Executive Summary

Keystone Environmental Services (KES) was retained by Mr. David Greco, Maintenance Supervisor I, with the NYS Office for People with Developmental Disabilities to perform a Pre-Renovation Survey for

Asbestos Containing Materials (ACM) for the Cobblestone 104 IRA located at 104 Cobblestone Terrace in Newark, New York. The purpose of this survey is to identify and assess with due diligence, the locations, quantities, friability, and condition of ACM that will be disturbed during any planned future renovations of the Cobblestone 104 IRA structure. Building components scheduled to be disturbed during this Pre-Renovation Survey have been identified as homogeneous materials as described in Report

Section 4.0 “Identification and Assessment Methods of ACM” and listed in Appendix A. All other building components that were not identified and/or sampled are required to be presumed as asbestos containing

(PACM) unless confirmed negative by bulk sampling.

Each area of the Cobblestone 104 IRA structure was thoroughly inspected by visual means to identify potential ACM. KES collected sixty-one (61) bulk samples representing thirty (30) types of homogeneous suspect ACM. The Asbestos Bulk Sample Results Summary Table and Asbestos Sample Location

Drawing(s) are contained in Appendix A. Identification and Assessment Methods of ACM are contained in Appendix B, Asbestos Bulk Sampling Laboratory Analytical Results are contained in Appendix C.

The materials sampled are described in detail in Appendix A. All of the materials sampled are considered non-asbestos containing materials (ACM).

Upon any planned future renovations of the Cobblestone 104 IRA structure, a competent person should supervise the work in the event hidden or inaccessible ACM is discovered. If hidden or inaccessible ACM is found the work shall stop and the ACM shall be removed by a licensed contractor using certified workers before proceeding with the renovation project.

This report has been prepared exclusively for the use of the Client, and no other parties are entitled to rely upon this report unless our express written consent is first obtained. This report is based solely on materials sampled and listed in Appendix A, “Asbestos Bulk Sample Results Summary Table and Asbestos

Sample Location Drawing(s)” and should not be construed as Asbestos Abatement Project Design.

Before requesting bids for asbestos abatement of materials identified in this report, the Owner or Client is strongly encouraged to contract with a licensed/certified project design consultant. Asbestos quantities are estimated within this report and asbestos abatement contractors are solely responsible for verifying all quantities.

2 General Asbestos Survey Information

2.1 Survey Description

Building Name/Address: Cobblestone 104 IRA

104 Cobblestone Terrace

Owner’s Name: NYS Office for People with Developmental Disabilities

Prepared For: Mr. David Greco, Maintenance Supervisor I

NYS Office for People with Developmental Disabilities

Survey Performed By: Keystone Environmental Services

58 Exchange Street

Binghamton, New York 13901

NYSDOL Asbestos License No. 57448

Certified Inspector(s): Mr. Chris Valek, NYSDOL # 01-02988

Date of Survey: June 17, 2021

Laboratory: AmeriSci Richmond

2.2 Building Descriptions

Identified below is a general description of the structure inspected as part of this pre-renovation survey for asbestos containing materials:

Structure Type: Residential

Building Floor No. of Levels 1, Attic

Superstructure: Wood Framed

Foundation: Concrete

Roofing: Asphalt Shingle

Exterior Surfaces: Vinyl

Structures Condition Structure is in Good Condition

Interior Floors: Tile, Linoleum

Interior Walls: Drywall, Joint Compound, Wallpaper

Interior Ceilings: Drywall, Joint Compound

Heating System: Baseboard

Windows: Vinyl, Aluminum

Doors: Wood, Vinyl

Insulation: Fiberglass

Out Buildings: N/A

3 Asbestos Survey, Sampling Procedures and Methods

3.1 General Procedure

The asbestos inspection was completed in accordance with the requirements outlined in the New

York State Department of Labor (NYSDOL) Asbestos Regulation 12 New York Codes, Rules and

Regulations (NYCRR) Part 56 and pertinent sections of Occupational Safety and Health

Administration (OSHA) 1926.1101(k)(5). Bulk samples of suspect ACM were collected and sent to a laboratory certified by the Environmental Laboratory Accreditation Program (ELAP) for analysis by

Polarized Light Microscopy (PLM) and Transmission Electron Microscopy (TEM) as required. Non-

Friable Organically Bound (NOB) materials were analyzed in accordance with New York State

Department of Health (NYSDOH) ELAP Methods 198.1, 198.4 and 198.6. Analysis of Spray on

Fireproofing shall be performed by Polarized Light Microscopy (PLM) NYS ELAP 198.8 initially by segment 1 (chrysotile prep and analysis), segment 2 (chrysotile plus amphiboles preparation), then full analysis and prep (chrysotile and amphiboles). If loose vermiculite is present, it will be presumed

ACM for report purposes in accordance with NYS DOH requirements.

The inspection was performed by Mr. Chris Valek on June 17, 2021. Copies of the inspector’s credentials are contained in Appendix D. Bulk sample analysis was performed by AmeriSci Richmond, an independent laboratory approved/accredited by the NYS Department of Health (DOH), the

American Industrial Hygiene Association (AIHA), and the National Voluntary Laboratory

Accreditation Program (NVLAP). See Appendix D for laboratory certifications. Buildings/structure plans, specifications or previous reports were available for review as part of this sampling survey.

As part of this survey, KES targeted suspect ACMs for identification by (1) a review of pertinent building plans and other records, where available, and (2) by the sampling of suspect materials for certified laboratory analysis.

The following list (excerpted from 12NYCRR Part 56-5) is not inclusive of all types of ACM but summarizes typical ACMs and suspect materials in buildings:

Typical ACMs / Suspect Materials

Surfacing Treatments:

• Fireproofing • Finish plasters

• Acoustical plaster • Skim coats of joint compound

Thermal System Insulation:

• Equipment insulation • Cement or mortar used for boilers and refractory brick

• Boiler breeching, rope, duct, or tank insulation • Piping and fitting insulations

Roofing and Siding Miscellaneous Materials:

• Insulation board • Cementitious board (transite)

• Vapor barriers • Flashing

• Coatings • Shingles

• Non-metallic or non-wood roof decking • Galbestos

• Felts

Other Miscellaneous Materials:

• Dust and debris • Fire blankets

• Floor tile • Fire doors

• Cove base • Brakes and clutches

• Floor leveler compound • Mastics, adhesives, and glues

• Ceiling tile • Caulks

• Vermiculite insulation • Sheet flooring (linoleum)

• Gaskets, seals, sealants • Wallpaper

• Vibration isolators • Drywall

• Laboratory tables and hoods • Plasterboard

• Chalkboards • Spackling/joint compound

• Pipe penetration packing/ firestopping materials • Textured paint

• Cementitious board • Grout

• Electrical wire insulation • Glazing compound

• Fire curtains • Terrazzo

Project No. 0484.15621.1 June 28, 2021

3.2 Sampling Protocol

Identified below is the general sampling protocol under which KES’ inspection reports/surveys are prepared:

3.2.1 Assuming ACM:

Based on the quantities, types, and different homogeneous areas, friable and non-friable materials may be assumed positive for asbestos based on our experience.

3.2.2 Testing for ACM:

All suspect materials will have a minimum of one (1) bulk sample analyzed for materials that test positive for asbestos, two (2) bulk samples analyzed for materials that test negative for asbestos, or the material will be assumed positive for asbestos.

3.2.3 Collection of Suspect Materials:

Samples are placed in new airtight bags and the samples are double bagged and placed in a sealed container before shipment to the laboratory.

3.2.4 Sample Labeling:

Each sample is labeled in a manner that identifies the inspector, the sample number, building identifier, and the room code where the sample was taken. The example given below is representative of the system used for KES’ reports:

Inspector Identifier Room Code

101-ABCD-1001

Sample Number Building Identifier

3.3 Limitations

It is the belief of KES inspectors that this survey was comprehensive in nature and the following limitations apply to this survey:

3.3.1 Only accessible areas within a structure are inspected for ACM. Additional possible ACM may be discovered behind and within walls, above non-accessible ceilings, under floors, within pipe chases, etc. and should be considered as ACM unless sampling/testing shows the material is non-asbestos containing.

3.3.2 This Pre-Renovation Survey for Asbestos Containing Materials should not be construed to be an Asbestos Abatement Project Design.

3.3.3 ACM quantities identified within KES’ reports are estimates only and should be verified by an asbestos abatement contractor(s).

Project No. 0484.15621.1 June 28, 2021

4 Identification and Assessment Methods of ACM

KES’ survey consists of the examination of readily accessible suspect materials per the survey description/request of our client and in accordance with 12 NYCRR Part 56-5.

The structure was visually inspected to identify potential ACMs. The inspector identified homogeneous areas which are surfacing materials, thermal system insulation or miscellaneous materials that are uniform in color and/or texture. The inspector also assessed each suspect material to determine whether the material was friable or non-friable. Quantities and conditions of suspect ACMs were recorded at the time of the survey. Quantities and conditions of suspect ACMs can change and the Abatement

Contractors are solely responsible for assessing each suspect material and all quantities. Abatement

Contractors are responsible for determining the material assessment based on their own work practices, means and methods, and specific abatement work plan.

The KES Sample Results Summary Table and Asbestos Sample Location Drawing(s) are contained in

Appendix A. Identification and Assessment Methods of ACM, Assessed Building Materials and Estimated

ACM Quantities are identified in Appendix B. Lab Analysis Results are contained in Appendix C.

5 Transmittal of Survey Information

In accordance with 12 NYCRR Part 56 the transmittal of this asbestos survey shall be as follows:

Transmittal of Buildings/Structure Asbestos Survey Information. One (1) copy of the results of the buildings/structure asbestos survey shall be immediately transmitted by the buildings/structure owner as follows:

1. One (1) copy of the completed asbestos survey shall be sent by the owner or their agent to the local government entity charged with issuing a permit for such demolition, renovation, remodeling, or repair work under applicable State or local laws.

2. The completed asbestos survey for controlled demolition (as per Subpart 56-11.5) or pre-demolition asbestos projects shall also be submitted to the appropriate Asbestos Control Bureau district office.

3. The completed asbestos survey shall be kept on the construction site with the asbestos notification and variance, if required, throughout the duration of the asbestos project and any associated demolition, renovation, remodeling, or repair project.

Removal Required. If the buildings/structure asbestos survey finds that the portion of the buildings/structure to be demolished, renovated, remodeled, or have repair work contains ACM, PACM, suspect miscellaneous ACM assumed to be ACM, or asbestos material, which is impacted by the work, the owner or the owner’s agent shall conduct, or cause to have conducted, asbestos removal performed by a licensed asbestos abatement contractor in conformance with all standards set forth in this Part. All

ACM, PACM, suspect miscellaneous ACM assumed to be ACM, or asbestos material impacted by the demolition, renovation, remodeling, or repair project shall be removed as per this Part, prior to access or disturbance by other uncertified trades or personnel. No demolition, renovation, remodeling, or repair work shall be commenced by any owner or the owner’s agent prior to the completion of the asbestos abatement in accordance with the notification requirements of this Part. For multi-phased work, the access restriction for uncertified trades or personnel applies to each intermediate portion of the entire project. Upon completion of the intermediate portion of the asbestos project, other trades or personnel may access that portion of the work site. For being structurally unsound, the demolition is considered an asbestos project and shall proceed as per Section 56-11.5.

Project No. 0484.15621.1 June 28, 2021

STATE GOVERNMENT ENTITY

Asbestos Control Bureau District Office

450 S. Salina Street

Syracuse, New York 13202

Phone: (315) 479-3215

Fax: (315) 479-3451

LOCAL GOVERNMENT ENTITY

Construction and Code Enforcement

Village of Newark

100 East Mill Street, Third Floor

(315) 226-8104

6 Asbestos Abatement General Notes

KES is licensed and certified to provide asbestos abatement project design, site specific variance, and project monitoring/air sampling. The asbestos design can be stand alone and/or be incorporated into the

Owners, Architect, and Engineers specifications.

If the asbestos survey finds that asbestos is present, KES can recommend licensed abatement contractors, provide estimated abatement budgets, and estimated costs for project monitoring/air sampling once a construction schedule has been established.

Bids may be advertised, and contracts awarded for demolition, remodeling, renovation, or repair work, but no work on the current intermediate portion of the project shall commence on the demolition, remodeling, renovation, or repair work by any owner or agent prior to completion of all necessary asbestos abatement work in accordance with 12 NYCRR Part 56.

7 Certification Statement

This report has been prepared exclusively for the use of the Owner and/or Client and is intended to meet the requirements of the New York State Department of Labor Industrial Code Rule 56 (ICR 56).

No other parties are entitled to rely upon this report unless the express written consent of Keystone

Environmental Services is first obtained.

The reported analysis, opinions and conclusions are based on our scope of work and reviews of applicable historical, regulatory and site specific information available to Keystone Environmental Services on the date of our inspection.

Richard J. Tarnowski, CEP, CEI

Member/Director of Environmental Services

NYSDOL Asbestos Certification No. 92-17859

APPENDICES

APPENDIX A

ASBESTOS BULK SAMPLE RESULTS SUMMARY TABLE

AND ASBESTOS SAMPLE LOCATION DRAWING(S)

Asbestos Bulk Sampling Results Summary Table

Sample

Number

HA Sample Location Color Material Description Material

Type

(T, S, M)

Analysis

Results %

Asbestos

ACM

Y/N

(1)

201-CT-1003 1 First Floor Pantry WH Gypsum Board – Wall M NAD N

202-CT-1022 1 First Floor Storage Room WH Gypsum Board – Wall M NAD N

203-CT-1003 2 First Floor Pantry WH Joint Compound – Wall M NAD N

204-CT-1022 2 First Floor Storage Room WH Joint Compound – Wall M NAD N

205-CT-1003 3 First Floor Pantry GRN Flooring – Linoleum (Top Layer) M NAD N

206-CT-1003 3 First Floor Pantry GRN Flooring – Linoleum (Top Layer) M NAD N

207-CT-1003 4 First Floor Pantry TAN Flooring – Linoleum (Bottom Layer) M NAD N

208-CT-1003 4 First Floor Pantry TAN Flooring – Linoleum (Bottom Layer) M NAD N

209-CT-1002 5 First Floor Kitchen BRN Flooring – Linoleum (Top Layer) M NAD N

210-CT-1002 5 First Floor Kitchen BRN Flooring – Linoleum (Top Layer) M NAD N

211-CT-1002 6 First Floor Kitchen BRN Flooring – Linoleum (Second Layer) M NAD N

212-CT-1002 6 First Floor Kitchen BRN Flooring – Linoleum (Second Layer) M NAD N

213-CT-1002 7 First Floor Kitchen DRK BRN Cove Base Mastic M NAD N

214-CT-1002 7 First Floor Kitchen DRK BRN Cove Base Mastic M NAD N

215-CT-1007 8 First Floor Activity Room TAN Cove Base Mastic M NAD N

216-CT-1003 8 First Floor Pantry TAN Cove Base Mastic M NAD N

217-CT-1007 9 First Floor Activity Room BRN Wallpaper M NAD N

218-CT-1007 9 First Floor Activity Room BRN Wallpaper M NAD N

219-CT-1022 10 First Floor Storage Room TAN Linoleum Flooring M NAD N

220-CT-1022 10 First Floor Storage Room TAN Linoleum Flooring M NAD N

221-CT-1022 11 First Floor Storage Room GRY Wall Tile Mortar M NAD N

222-CT-1022 11 First Floor Storage Room GRY Wall Tile Mortar M NAD N

223-CT-1022 12 First Floor Storage Room WH Wall Tile Grout M NAD N

224-CT-1022 12 First Floor Storage Room WH Wall Tile Grout M NAD N

225-CT-1021 13 First Floor Mechanical Room SIL / WH Insulation Jacket T NAD N

226-CT-1021 13 First Floor Mechanical Room SIL / WH Insulation Jacket T NAD N

227-CT-1021 13 First Floor Mechanical Room SIL / WH Insulation Jacket T NAD N

228-CT-1008 14 First Floor Laundry Room TAN Linoleum Flooring M NAD N

229-CT-1008 14 First Floor Laundry Room TAN Linoleum Flooring M NAD N

230-CT-1023 15 First Floor Bathroom BRN Ceramic Floor Tile Grout M NAD N

231-CT-1023 15 First Floor Bathroom BRN Ceramic Floor Tile Grout M NAD N

232-CT-1023 16 First Floor Bathroom GRY Ceramic Floor Tile Mortar Bed M NAD N

233-CT-1023 16 First Floor Bathroom GRY Ceramic Floor Tile Mortar Bed M NAD N

234-CT-1011 17 First Floor Office BLU Wallpaper (One (1) Wall Only) M NAD N

235-CT-1011 17 First Floor Office BLU Wallpaper (One (1) Wall Only) M NAD N

236-CT-1015 18 First Floor Bedroom TAN Linoleum Flooring M NAD N

237-CT-1015 18 First Floor Bedroom TAN Linoleum Flooring M NAD N

238-CT-1013 19 First Floor Bedroom LT BLU / WH Linoleum Flooring – Top Layer M NAD N

Asbestos Bulk Sampling Results Summary Table

Sample

Number

HA Sample Location Color Material Description Material

Type

(T, S, M)

Analysis

Results %

Asbestos

ACM

Y/N

(1)

239-CT-1013 19 First Floor Bedroom LT BLU / WH Linoleum Flooring – Top Layer M NAD N

240-CT-1013 20 First Floor Bedroom TAN Linoleum Flooring – Bottom Layer M NAD N

241-CT-1013 20 First Floor Bedroom TAN Linoleum Flooring – Bottom Layer M NAD N

242-CT-1020 21 First Floor Bathroom WH Sink Caulk – Latex M NAD N

243-CT-1020 21 First Floor Bathroom WH Sink Caulk – Latex M NAD N

244-CT-1012 22 First Floor Bathroom GRY 1’’ x 1’’ Ceramic Floor Tile Grout M NAD N

245-CT-1012 22 First Floor Bathroom GRY 1’’ x 1’’ Ceramic Floor Tile Grout M NAD N

246-CT-1012 23 First Floor Bathroom GRY 1’’ x 1’’ Ceramic Floor Tile Mortar Bed with Tile M NAD N

247-CT-1012 23 First Floor Bathroom GRY 1’’ x 1’’ Ceramic Floor Tile Mortar Bed with Tile M NAD N

248-CT-1012 24 First Floor Bathroom TAN / BLK 2’’ x 2’’ Ceramic Floor Tile Mortar Bed M NAD N

249-CT-1012 24 First Floor Bathroom TAN / BLK 2’’ x 2’’ Ceramic Floor Tile Mortar Bed M NAD N

250-CT-1012 25 First Floor Bathroom WH Shower Stall Caulk – Latex M NAD N

251-CT-1012 25 First Floor Bathroom WH Shower Stall Caulk – Latex M NAD N

252-CT-E001 26 Exterior WH Window Frame Caulk M NAD N

253-CT-E001 26 Exterior WH Window Frame Caulk M NAD N

254-CT-E001 27 Exterior GRY Foundation Insulation Board over Styrofoam M NAD N

255-CT-E001 27 Exterior GRY Foundation Insulation Board over Styrofoam M NAD N

256-CT-R001 28 Roof BLK Shingle – Top Layer M NAD N

257-CT-R001 28 Roof BLK Shingle – Top Layer M NAD N

258-CT-R001 29 Roof BLK Shingle – Third Layer M NAD N

259-CT-R001 29 Roof BLK Shingle – Third Layer M NAD N

260-CT-R001 30 Roof BLK Roofing – Felt Paper (Bottom Layer) M NAD N

261-CT-R001 30 Roof BLK Roofing – Felt Paper (Bottom Layer) M NAD N

(1)Note: Homogeneous materials must contain greater than 1% of asbestos to be considered as an “Asbestos Containing Material” in accordance with NYS Code Rule 56. If homogeneous materials contain 1% or less of asbestos, it is classified as “trace amounts of asbestos” which are not regulated by NYS Code Rule 56 but are still subject to OSHA

Construction Standard 1926.1101.

KEY

NAD – NO ASBESTOS DETECTED NA – NOT ANALYZED ACM- ASBESTOS CONTAINING MATERIAL(S)

CMU – CONCRETE MASONRY UNIT WH – WHITE T- THERMAL

GRY – GRAY BRN – BROWN S- SURFACING

GRN – GREEN BLK – BLACK M – MISCELLANEOUS

SIL – SILVER YEL – YELLOW HA- HOMOGENEOUS AREA

BLU – BLUE

APPENDIX B

IDENTIFICATION AND ASSESSMENT METHODS OF ACM, ASSESSED BUILDING

MATERIALS, AND ESTIMATED QUANTITIES

Identification and Assessment Methods of ACM

ASSESSMENT CODES

(F) Friable ACM – This material has been evaluated as friable, meaning it can be crumbled with hand pressure and, therefore, is likely to emit fibers when disturbed. This material will need to be addressed as required by State and Federal regulations.

(NF) Non-friable ACM – This material has been evaluated as non-friable. This material needs to be addressed as required by State and Federal regulations. In addition, it is required to analyze by TEM if the results are negative by PLM. It can be assumed positive.

(NVA) No Visible Asbestos – Our inspection/testing showed no visible ACM in accessible areas.

(D) Dirt Floor – If the ACM within the space is evaluated as friable, the dirt is also assumed to be contaminated.

(E) Estimated ACM – Amount of ACM is not visible, and its quantity is estimated.

(N/A) Not Applicable

(I) Inaccessible

Note: The assessment evaluation performed is the material assessment made during the date of inspection. The abatement contractor performing the abatement will need to make his own assessment at the time of bidding, notification, and abatement. Material conditions may change and/or the abatement contractor’s abatement work plan may render the material friable.

Material Codes

100-Pipe Insul. A. Corrugated B. Pre-Form C: Joint and Elbow D: Pipe Debris E. Lagging F. Flange Gaskets

200-Heat Plant A: Boiler Insul. B: Breeching Insul. C: Tank Insul. D: Header Insul. E. Gaskets F: Furnace Insul

300-Ceiling A: Tile B: Plaster C: Transite D: Batt Insul. E: Adhesive F: Sheetrock/ Joint

Compound

400-Wall A: Panel B: Plaster C: Transite D. Sheetrock/

Joint Compound E: Mastic F. Batt Insulation G. Stucco

500-Floor A: Tile B: Dirt Floor C: Linoleum D: Mastic E: Felt Runner F: Wood Floor Vapor

Barrier G. Debris H. Patching/Leveler

600-Duct Insul. A: Corrugated B: Pre-Form C: Transite D: Cloth Tape

700-Fireproofing A: Ceiling B: Wall C: Beams D: Ducts E. Debris

A: Asbestos Board B: Transite C: Light Gasket D: Debris E: Wires F: Doors G: Sink Mastic H: Adhesive I: Curtains J: Vibration Isolators K: Window Glazing L: Window Putty

800-Miscellaneous M: Window Caulk N: Door Caulk O: Louver Caulk P: Chalkboard Q: Incinerator Insul. R: Countertop

S: Flue Insulation T: Mortar U: Caulk/Sealant/ Tar V: Vermiculite W. Univent Mastic X: Clock/Speaker Mastic Y: Parging Z: Paint

900-Roofing A: Flashing B: Patching C: Felts D: Flat Roofing E: Insulation F: Roofing Material G: Shingles H: Counter Flashing

Caulk I: Roof Sealant J: Coping Sealant K: Silver Coat L: Wood Trim Caulk

M: Cement Panels N: Tar

Assessed Building Materials and Estimated Quantities

ROOM

CODE

ROOM

USE

MATERIAL

CODES

ASSESSMENT

CODES

ESTIMATED

QUANTIY OF

ACM (SF, LF, U)

FIRST FLOOR

1001 Garage (24) NVA

1002 Kitchen (26) NVA

1003 Pantry (27) NVA

1004 Dining Room (28) NVA

1005 Patio (29) NVA

1006 Porch (30) NVA

Activity (31)

Laundry Room (32)

Storage Room (33)

Medical (34)

Office Space (35)

Bathroom (13)

Bedroom (1)

Bedroom (2)

Bedroom (3)

Bedroom (6)

Bedroom (7)

Bedroom (8)

Bedroom (9)

Bathroom (11)

Mechanical (18)

Storage Room (16 & 17)

Bathroom (19)

Living Room (20)

Entry / Vestibule (22)

Hallway (21 & 14)

Hallway (12, 5, 10)

NVA

NVA

NVA

NVA

NVA

NVA

NVA

NVA

NVA

NVA

NVA

NVA

NVA

NVA

NVA

NVA

NVA

NVA

NVA

NVA

NVA

ATTIC

A001 Attic NVA

ROOF

R001 Roof NVA

EXTERIOR

E001 Exterior NVA

Key

SF- Square Feet LF- Linear Feet Units – Each Building Component

APPENDIX C

ASBESTOS BULK SAMPLING LABORATORY ANALYTICAL RESULTS

June 25, 2021

Dear Tim Marble:

Keystone Material Testing, LLC Attn: Tim Marble 58 Exchange Street Binghamton, NY 13901

RE: Keystone Material Testing, LLC Job Number 121062002 P.O. #0484.15621.1 0484.15621.1; Asbestos Survey; Cobblestone 104 IRA 104 Cobblestone Terrace

AmeriSci Richmond

13635 GENITO ROAD

MIDLOTHIAN, VIRGINIA 23112

TEL: 8047631200 FAX: 8047631800

Enclosed are the results of Asbestos Analysis - Bulk Protocol of the following Keystone Material Testing, LLC samples, received at AmeriSci on Monday, June 21, 2021, for a 5 day turnaround:

Sample ID 201-CT-1003 through 261-CT-R001

The 61 samples, placed in zip lock bag, were shipped to AmeriSci via Fed Ex 8164 3813 7131 B. Keystone Material Testing, LLC requested ELAP PLM/TEM analysis of these samples.

The results of the analyses which were performed under NYSDOH ELAP Lab Certification # 10984 following ELAP 198.4 TEM guidelines are presented within the Summary Table of this report. The presence of matrix reduction data in the Summary Table normally indicates an NOB sample. For NOB samples the individual matrix reduction and TEM analysis results are listed in Table I. Complete PLM results for individual samples analyzed by ELAP 198.1 (friable) and ELAP 198.6 (NOB) are presented in the PLM Bulk Asbestos Report. This combined report relates ONLY to sample analysis expressed as percent composition by weight and percent asbestos. This report must not be used to claim product endorsement or approval by these laboratories, NVLAP, ELAP or any other associated agency. The National Institute of Standards and Technology accreditation requirements, mandate that this report must not be reproduced, except in full without the written approval of the laboratory. This report may contain specific data not covered by NVLAP or ELAP accreditations respectively, if so identified in relevant footnotes.

Cory M. Parnell

Sincerely, Laboratory Manager | Authorized Signatory

AmeriSci appreciates this opportunity to serve your organization. Please contact us for any further assistance or with any questions.

Boston - Los Angeles - New York - Richmond

AmeriSci Richmond

13635 GENITO ROAD

MIDLOTHIAN, VIRGINIA 23112

TEL: (804) 763-1200 • FAX: (804) 763-1800

06/21/21 AmeriSci Job # 121062002 06/24/21

ELAP # 10984 1 13

0484.15621.1; Asbestos Survey; Cobblestone 104 IRA 104 Cobblestone Terrace

PLM Bulk Asbestos Report Date Received Date Examined

RE:

ofPage

P.O. # Keystone Material Testing, LLC

58 Exchange Street

Binghamton, NY 13901

Attn: Tim Marble

Asbestos Present Total % AsbestosClient No. / HGA Lab No.

Location:

Analyst Description:

Asbestos Types:

Other Material:

No201-CT-1003 121062002-01 NAD First Floor; Gypsum Board - Wall1

White, Homogeneous, Non-Fibrous, Bulk Material

Non-fibrous 100%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No202-CT-1022 121062002-02 NAD First Floor; Gypsum Board - Wall1

White, Homogeneous, Non-Fibrous, Bulk Material

Non-fibrous 100%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No203-CT-1003 121062002-03 NAD First Floor; Joint Compound - Wall2

White, Homogeneous, Non-Fibrous, Bulk Material

Non-fibrous 100%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No204-CT-1022 121062002-04 NAD First Floor; Joint Compound - Wall2

White, Homogeneous, Non-Fibrous, Bulk Material

Non-fibrous 100%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

See Reporting notes on last page

AmeriSci Job #: 121062002 Page 2 of 13

0484.15621.1; Asbestos Survey; Cobblestone 104 IRA 104 Cobblestone Terrace

PLM Bulk Asbestos Report Client Name: Keystone Material Testing, LLC

Asbestos Present Total % AsbestosClient No. / HGA Lab No.

Location:

Analyst Description:

Asbestos Types:

Other Material:

No205-CT-1003 121062002-05 NAD First Floor; Flooring - Linoleum - Top Layer3

Green, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 19%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 43.3%; Acid Soluble (inorganic): 37.7%; Inert (Non-asbestos): 19.0%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No206-CT-1003 121062002-06 NAD First Floor; Flooring - Linoleum - Top Layer3

Green, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 2.7%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 42.5%; Acid Soluble (inorganic): 54.8%; Inert (Non-asbestos): 2.7%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No207-CT-1003 121062002-07 NAD First Floor; Flooring - Linoleum - Bottom Layer4

Tan, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 23.1%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 44.0%; Acid Soluble (inorganic): 32.9%; Inert (Non-asbestos): 23.1%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No208-CT-1003 121062002-08 NAD First Floor; Flooring - Linoleum - Bottom Layer4

Tan, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 28.1%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 41.5%; Acid Soluble (inorganic): 30.3%; Inert (Non-asbestos): 28.1%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No209-CT-1002 121062002-09 NAD First Floor; Flooring - Linoleum - Top Layer5

Brown, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 2.3%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 53.9%; Acid Soluble (inorganic): 43.8%; Inert (Non-asbestos): 2.3%

AmeriSci Job #: 121062002 Page 3 of 13

Cobblestone Terrace

PLM Bulk Asbestos Report Client Name: Keystone Material Testing, LLC

Asbestos Present Total % AsbestosClient No. / HGA Lab No.

Location:

Analyst Description:

Asbestos Types:

Other Material:

No210-CT-1002 121062002-10 NAD First Floor; Flooring - Linoleum - Top Layer5

Brown, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 1.6%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 54.1%; Acid Soluble (inorganic): 44.3%; Inert (Non-asbestos): 1.6%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No211-CT-1002 121062002-11 NAD First Floor; Flooring - Linoleum - 2nd Layer6

Brown, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 4.6%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 79.3%; Acid Soluble (inorganic): 16.1%; Inert (Non-asbestos): 4.6%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No212-CT-1002 121062002-12 NAD First Floor; Flooring - Linoleum - 2nd Layer6

Brown, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 5%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 80.4%; Acid Soluble (inorganic): 14.6%; Inert (Non-asbestos): 5.0%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No213-CT-1002 121062002-13 NAD First Floor; Cove Base Mastic7

Yellow, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 24.3%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 66.8%; Acid Soluble (inorganic): 9.0%; Inert (Non-asbestos): 24.3%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No214-CT-1002 121062002-14 NAD First Floor; Cove Base Mastic7

Yellow, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 25.7%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 66.8%; Acid Soluble (inorganic): 7.5%; Inert (Non-asbestos): 25.7%

AmeriSci Job #: 121062002 Page 4 of 13

Cobblestone Terrace

PLM Bulk Asbestos Report Client Name: Keystone Material Testing, LLC

Asbestos Present Total % AsbestosClient No. / HGA Lab No.

Location:

Analyst Description:

Asbestos Types:

Other Material:

No215-CT-1007 121062002-15 NAD First Floor; Cove Base Mastic8

Yellow, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 15.9%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 39.7%; Acid Soluble (inorganic): 44.4%; Inert (Non-asbestos): 15.9%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No216-CT-1007 121062002-16 NAD First Floor; Cove Base Mastic8

Yellow, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 3.3%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 39.9%; Acid Soluble (inorganic): 56.8%; Inert (Non-asbestos): 3.3%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No217-CT-1007 121062002-17 NAD First Floor; Wallpaper9

Tan, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 27.8%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 55.8%; Acid Soluble (inorganic): 16.3%; Inert (Non-asbestos): 27.8%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No218-CT-1007 121062002-18 NAD First Floor; Wallpaper9

Tan, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 29.1%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 52.9%; Acid Soluble (inorganic): 18.0%; Inert (Non-asbestos): 29.1%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No219-CT-1022 121062002-19 NAD First Floor; Flooring - Linoleum - Pebbled10

Beige, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 17.8%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 37.3%; Acid Soluble (inorganic): 44.9%; Inert (Non-asbestos): 17.8%

AmeriSci Job #: 121062002 Page 5 of 13

Cobblestone Terrace

PLM Bulk Asbestos Report Client Name: Keystone Material Testing, LLC

Asbestos Present Total % AsbestosClient No. / HGA Lab No.

Location:

Analyst Description:

Asbestos Types:

Other Material:

No220-CT-1022 121062002-20 NAD First Floor; Flooring - Linoleum - Pebbled10

Beige, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 16.5%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 40.2%; Acid Soluble (inorganic): 43.3%; Inert (Non-asbestos): 16.5%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No221-CT-1022 121062002-21 NAD First Floor; Wall Tile Mortar11

Gray, Homogeneous, Non-Fibrous, Cementitious, Bulk Material

Non-fibrous 100%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No222-CT-1022 121062002-22 NAD First Floor; Wall Tile Mortar11

Gray, Homogeneous, Non-Fibrous, Cementitious, Bulk Material

Non-fibrous 100%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No223-CT-1022 121062002-23 NAD First Floor; Wall Tile Grout12

White, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 100%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No224-CT-1022 121062002-24 NAD First Floor; Wall Tile Grout12

White, Homogeneous, Non-Fibrous, Cementitious, Bulk Material

Non-fibrous 100%

(by NYS ELAP 198.1) by Donna M. Blackwell

AmeriSci Job #: 121062002 Page 6 of 13

Cobblestone Terrace

PLM Bulk Asbestos Report Client Name: Keystone Material Testing, LLC

Asbestos Present Total % AsbestosClient No. / HGA Lab No.

Location:

Analyst Description:

Asbestos Types:

Other Material:

No225-CT-1021 121062002-25 NAD First Floor; Insulation Jacket13

Beige/Silver, Heterogeneous, Non-Fibrous, Bulk Material

Cellulose 50%, Fibrous glass 15%, Non-fibrous 35%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No226-CT-1021 121062002-26 NAD First Floor; Insulation Jacket13

Beige/Silver, Heterogeneous, Fibrous, Bulk Material

Cellulose 50%, Fibrous glass 15%, Non-fibrous 35%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No227-CT-1021 121062002-27 NAD First Floor; Insulation Jacket13

Beige/Silver, Heterogeneous, Fibrous, Bulk Material

Cellulose 50%, Fibrous glass 15%, Non-fibrous 35%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No228-CT-1008 121062002-28 NAD First Floor; Flooring - Linoleum - Pebbled14

Beige, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 17.2%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 36.1%; Acid Soluble (inorganic): 46.7%; Inert (Non-asbestos): 17.2%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No229-CT-1008 121062002-29 NAD First Floor; Flooring - Linoleum - Pebbled14

Beige, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 13.8%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 39.1%; Acid Soluble (inorganic): 47.1%; Inert (Non-asbestos): 13.8%

AmeriSci Job #: 121062002 Page 7 of 13

Cobblestone Terrace

PLM Bulk Asbestos Report Client Name: Keystone Material Testing, LLC

Asbestos Present Total % AsbestosClient No. / HGA Lab No.

Location:

Analyst Description:

Asbestos Types:

Other Material:

No230-CT-1023 121062002-30 NAD First Floor; Ceramic Floor Tile Grout15

Gray, Heterogeneous, Non-Fibrous, Cementitious, Bulk Material

Non-fibrous 100%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No231-CT-1023 121062002-31 NAD First Floor; Ceramic Floor Tile Grout15

Gray, Homogeneous, Non-Fibrous, Cementitious, Bulk Material

Non-fibrous 100%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No232-CT-1023 121062002-32 NAD First Floor; Ceramic Floor Tile Mortar Bed16

Lt. Gray, Homogeneous, Non-Fibrous, Cementitious, Bulk Material

Non-fibrous 100%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No233-CT-1023 121062002-33 NAD First Floor; Ceramic Floor Tile Mortar Bed16

Lt. Gray, Homogeneous, Non-Fibrous, Cementitious, Bulk Material

Cellulose 50%, Fibrous glass 15%, Non-fibrous 35%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No234-CT-1011 121062002-34 NAD First Floor; Wallpaper - 1 Wall Only17

Blue, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 21%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 66.4%; Acid Soluble (inorganic): 12.7%; Inert (Non-asbestos): 21.0%

AmeriSci Job #: 121062002 Page 8 of 13

Cobblestone Terrace

PLM Bulk Asbestos Report Client Name: Keystone Material Testing, LLC

Asbestos Present Total % AsbestosClient No. / HGA Lab No.

Location:

Analyst Description:

Asbestos Types:

Other Material:

No235-CT-1011 121062002-35 NAD First Floor; Wallpaper - 1 Wall Only17

Blue, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 21.1%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 67.3%; Acid Soluble (inorganic): 11.7%; Inert (Non-asbestos): 21.1%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No236-CT-1015 121062002-36 NAD First Floor; Flooring - Linoleum18

Beige, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 29.7%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 39.2%; Acid Soluble (inorganic): 31.2%; Inert (Non-asbestos): 29.7%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No237-CT-1015 121062002-37 NAD First Floor; Flooring - Linoleum18

Beige, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 11.7%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 37.4%; Acid Soluble (inorganic): 50.9%; Inert (Non-asbestos): 11.7%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No238-CT-1013 121062002-38 NAD First Floor; Flooring - Linoleum - Top Layer19

Beige, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 10.3%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 78.1%; Acid Soluble (inorganic): 11.6%; Inert (Non-asbestos): 10.3%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No239-CT-1013 121062002-39 NAD First Floor; Flooring - Linoleum - Top Layer19

Beige, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 11.4%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 76.6%; Acid Soluble (inorganic): 12.1%; Inert (Non-asbestos): 11.4%

AmeriSci Job #: 121062002 Page 9 of 13

Cobblestone Terrace

PLM Bulk Asbestos Report Client Name: Keystone Material Testing, LLC

Asbestos Present Total % AsbestosClient No. / HGA Lab No.

Location:

Analyst Description:

Asbestos Types:

Other Material:

No240-CT-1013 121062002-40 NAD First Floor; Flooring - Linoleum - Bottom Layer20

Beige, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 12%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 37.2%; Acid Soluble (inorganic): 50.8%; Inert (Non-asbestos): 12.0%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No241-CT-1013 121062002-41 NAD First Floor; Flooring - Linoleum - Bottom Layer20

Beige, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 7.6%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 35.9%; Acid Soluble (inorganic): 56.6%; Inert (Non-asbestos): 7.6%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No242-CT-1020 121062002-42 NAD First Floor; Sink Caulk - Latex21

White, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 20.6%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 72.8%; Acid Soluble (inorganic): 6.6%; Inert (Non-asbestos): 20.6%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No243-CT-1020 121062002-43 NAD First Floor; Sink Caulk - Latex21

White, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 23.9%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 70.9%; Acid Soluble (inorganic): 5.2%; Inert (Non-asbestos): 23.9%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No244-CT-1012 121062002-44 NAD First Floor; Ceramic Floor Tile Grout 1" x 1"22

Gray, Heterogeneous, Non-Fibrous, Cementitious, Bulk Material

Non-fibrous 100%

(by NYS ELAP 198.1) by Donna M. Blackwell

AmeriSci Job #: 121062002 Page 10 of 13

Cobblestone Terrace

PLM Bulk Asbestos Report Client Name: Keystone Material Testing, LLC

Asbestos Present Total % AsbestosClient No. / HGA Lab No.

Location:

Analyst Description:

Asbestos Types:

Other Material:

No245-CT-1012 121062002-45 NAD First Floor; Ceramic Floor Tile Grout 1" x 1"22

Gray, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 100%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No246-CT-1012 121062002-46 NAD First Floor; Ceramic Floor Tile Mortar Bed W/Tile23

Reddish-Brown, Heterogeneous, Non-Fibrous, Cementitious, Bulk Material

Non-fibrous 100%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No247-CT-1012 121062002-47 NAD First Floor; Ceramic Floor Tile Mortar Bed W/Tile23

Reddish-Brown, Heterogeneous, Non-Fibrous, Cementitious, Bulk Material

Non-fibrous 100%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No248-CT-1012 121062002-48 NAD First Floor; Ceramic Floor Tile Mortar Bed 2" x 2"24

Brown, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 29.1%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 43.4%; Acid Soluble (inorganic): 27.5%; Inert (Non-asbestos): 29.1%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No249-CT-1012 121062002-49 NAD First Floor; Ceramic Floor Tile Mortar Bed 2" x 2"24

Brown, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 31.8%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 35.1%; Acid Soluble (inorganic): 33.1%; Inert (Non-asbestos): 31.8%

AmeriSci Job #: 121062002 Page 11 of 13

Cobblestone Terrace

PLM Bulk Asbestos Report Client Name: Keystone Material Testing, LLC

Asbestos Present Total % AsbestosClient No. / HGA Lab No.

Location:

Analyst Description:

Asbestos Types:

Other Material:

No250-CT-1012 121062002-50 NAD First Floor; Shower Stall Caulk - Latex25

White, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 3.5%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 65.0%; Acid Soluble (inorganic): 31.5%; Inert (Non-asbestos): 3.5%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No251-CT-1012 121062002-51 NAD First Floor; Shower Stall Caulk - Latex25

White, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 4.2%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 59.9%; Acid Soluble (inorganic): 35.9%; Inert (Non-asbestos): 4.2%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No252-CT-E001 121062002-52 NAD Exterior; Window Frame Caulk26

White, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 1.2%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 25.1%; Acid Soluble (inorganic): 73.7%; Inert (Non-asbestos): 1.2%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No253-CT-E001 121062002-53 NAD Exterior; Window Frame Caulk26

White, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 21.2%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 25.0%; Acid Soluble (inorganic): 53.8%; Inert (Non-asbestos): 21.2%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No254-CT-E001 121062002-54 NAD Exterior; Foundation Insulation Board Over Styrofoam27

Gray, Heterogeneous, Non-Fibrous, Cementitious, Bulk Material

Fibrous glass 10%, Non-fibrous 90%

(by NYS ELAP 198.1) by Donna M. Blackwell

AmeriSci Job #: 121062002 Page 12 of 13

Cobblestone Terrace

PLM Bulk Asbestos Report Client Name: Keystone Material Testing, LLC

Asbestos Present Total % AsbestosClient No. / HGA Lab No.

Location:

Analyst Description:

Asbestos Types:

Other Material:

No255-CT-E001 121062002-55 NAD Exterior; Foundation Insulation Board Over Styrofoam27

Gray, Heterogeneous, Fibrous, Cementitious, Bulk Material

Fibrous glass 10%, Non-fibrous 90%

(by NYS ELAP 198.1) by Donna M. Blackwell on 06/24/21

Location:

Analyst Description:

Asbestos Types:

Other Material:

No256-CT-R001 121062002-56 NAD Roof; Shingle - Top Layer / Same As 2nd28

Black, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 68.2%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 25.3%; Acid Soluble (inorganic): 6.5%; Inert (Non-asbestos): 68.2%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No257-CT-R001 121062002-57 NAD Roof; Shingle - Top Layer / Same As 2nd28

Black, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 49.8%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 43.3%; Acid Soluble (inorganic): 6.9%; Inert (Non-asbestos): 49.8%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No258-CT-R001 121062002-58 NAD Roof; Shingle - 3rd Layer29

Black, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 32.7%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 44.7%; Acid Soluble (inorganic): 22.6%; Inert (Non-asbestos): 32.7%

Location:

Analyst Description:

Asbestos Types:

Other Material:

No259-CT-R001 121062002-59 NAD Roof; Shingle - 3rd Layer29

Black, Heterogeneous, Non-Fibrous, Bulk Material

Non-fibrous 29%

(by NYS ELAP 198.6) by Donna M. Blackwell on 06/24/21

Comment: Heat Sensitive (organic): 47.2%; Acid Soluble (inorganic): 23.9%; Inert (Non-asbestos): 29.0%

AmeriSci Job #: 121062002 Page 13 of 13

Cobblestone Terrace

PLM Bulk Asbestos Report Client Name: Keystone Material Testing, LLC

Asbestos Present Total % AsbestosClient No. / HGA Lab No.

Location:

Analyst Description:

Asbestos Types:

Other Material:

No…