ACM.107Cobblestone.WholeHome.pdf
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- Cobblestone 107 IRA - Bathroom Design
- Solicitation number
- 2135006
- Issued by
- Warren County, New York
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Summary
This is a Pre-Renovation Survey Report for Asbestos Containing Materials (ACM) prepared by Keystone Environmental Services for the New York State Office for People with Developmental Disabilities at their Cobblestone 107 IRA residential group home located at 107 Cobblestone Terrace in Newark, New York. The survey was conducted on June 22, 2021, by certified inspector Chris Valek and involved the collection and laboratory analysis of 67 bulk samples representing 33 types of homogeneous suspect ACM throughout the one-story wood-framed structure with an attic. The comprehensive inspection examined readily accessible areas including interior and exterior surfaces, thermal system insulation, and miscellaneous materials. All sampled materials tested negative for asbestos (NAD), including gypsum board, joint compound, linoleum flooring, caulks, ceramic tile grout and mortar, insulation jackets, wallpaper, and roofing materials. However, approximately 2 square feet of roof flashing tar material at the garage roof was not accessible for sampling and must be presumed to be ACM until confirmed otherwise through testing.
All materials sampled in the survey are classified as non-asbestos containing materials, with laboratory analysis performed by AmeriSci Richmond using Polarized Light Microscopy (PLM) and Transmission Electron Microscopy (TEM) in accordance with New York State Department of Health ELAP methods. The report notes that before any planned future renovations occur, the property owner must transmit the completed asbestos survey to both the Village of Newark Code Enforcement and the New York State Asbestos Control Bureau. If any hidden or inaccessible ACM is discovered during renovation work, all work must cease and the material must be removed by a licensed asbestos abatement contractor using certified workers before proceeding. Keystone Environmental Services noted that the survey does not constitute an Asbestos Abatement Project Design, and the owner is encouraged to contract with a licensed/certified project design consultant before requesting asbestos abatement bids.
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June 30, 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 107 IRA
107 Cobblestone Terrace
KES Project No. 0484.15621.3
Dear Mr. Greco:
Attached please find your “Pre-Renovation Survey Report for Asbestos Containing
Materials” for the project site located at 107 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\0484.15621.3 - Cobblestone107IRA,107CobblestoneTerr\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. 0484.15621.3 June 30, 2021
PRE-RENOVATION SURVEY FOR
ASBESTOS CONTAINING MATERIALS
COBBLESTONE 107 IRA
107 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 107 IRA – 107 Cobblestone Terrace, Newark, New York 14513
Project No. 0484.15621.3 June 30, 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. 0484.15621.3 June 30, 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 107 IRA located at 107 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 107 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 107 IRA structure was thoroughly inspected by visual means to identify potential ACM. KES collected sixty-seven (67) bulk samples representing thirty-three (33) 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). However, please note that approximately two (2) square feet of roof flashing tar material at the garage roof was not accessible for sampling on June 22, 2021. In the event that this material is disturbed it should be presumed as asbestos containing material (ACM) until sampled and determined otherwise.
Upon any planned future renovations of the Cobblestone 107 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.
Project No. 0484.15621.3 June 30, 2021
2 General Asbestos Survey Information
2.1 Survey Description
Building Name/Address: Cobblestone 107 IRA
107 Cobblestone Terrace
Newark, New York 14513
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 22, 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 Group Home
Building Floor No. of Levels 1, Attic
Superstructure: Wood Framed
Foundation: Concrete
Roofing: Asphalt Shingle
Exterior Surfaces: Vinyl
Structures Condition Structure to be Renovated
Interior Floors: Tile, Linoleum
Interior Walls: Drywall, Joint Compound, Wallpaper, Paneling
Interior Ceilings: Drywall, Joint Compound
Heating System: Baseboard
Windows: Vinyl, Caulk
Doors: Vinyl
Insulation: Fiberglass
Out Buildings: N/A
Project No. 0484.15621.3 June 30, 2021
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 22, 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.
Project No. 0484.15621.3 June 30, 2021
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. 0484.15621.3 June 30, 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. 0484.15621.3 June 30, 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. 0484.15621.3 June 30, 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 Code Enforcement
100 East Miller Street
Phone: (315) 331-4770
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-1001 1 First Floor Garage WH Gypsum Board – Wall M NAD N
202-CT-1022 1 First Floor Storage Room WH Gypsum Board – Wall M NAD N
203-CT-1001 2 First Floor Garage WH Joint Compound – Wall M NAD N
204-CT-1022 2 First Floor Storage Room WH Joint Compound – Wall M NAD N
205-CT-1001 3 First Floor Garage GRY Cinderblock Mortar M NAD N
206-CT-1001 3 First Floor Garage GRY Cinderblock Mortar M NAD N
207-CT-1002 4 First Floor Kitchen TAN Cove Base Mastic M NAD N
208-CT-1002 4 First Floor Kitchen TAN Cove Base Mastic M NAD N
209-CT-1003 5 First Floor Pantry TAN / WH Linoleum Flooring M NAD N
210-CT-1003 5 First Floor Pantry TAN / WH Linoleum Flooring M NAD N
211-CT-1004 6 First Floor Dining Room WH Baseboard Heating Vent Caulk M NAD N
212-CT-1004 6 First Floor Dining Room WH Baseboard Heating Vent Caulk M NAD N
213-CT-1004 7 First Floor Dining Room TAN Linoleum Flooring M NAD N
214-CT-1004 7 First Floor Dining Room TAN Linoleum Flooring M NAD N
215-CT-1004 8 First Floor Dining Room BRN Mastic – Under Sample No. 213 M NAD N
216-CT-1004 8 First Floor Dining Room BRN Mastic – Under Sample No. 213 M NAD N
217-CT-1007 9 First Floor Activity Room DRK BRN Linoleum Flooring – Faux Wood M NAD N
218-CT-1007 9 First Floor Activity Room DRK BRN Linoleum Flooring – Faux Wood M NAD N
219-CT-1024 10 First Floor Living Room WH Interior Window Caulk – Latex M NAD N
220-CT-1024 10 First Floor Living Room WH Interior Window Caulk – Latex M NAD N
221-CT-1008 11 First Floor Laundry Room OFF YEL Linoleum Flooring M NAD N
222-CT-1008 11 First Floor Laundry Room OFF YEL Linoleum Flooring M NAD N
223-CT-1008 12 First Floor Laundry Room TAN Mastic Under Sample No. 221 M NAD N
224-CT-1008 12 First Floor Laundry Room TAN Mastic Under Sample No. 221 M NAD N
225-CT-1010 13 First Floor Medical WH / BLU Linoleum Flooring M NAD N
226-CT-1010 13 First Floor Medical WH / BLU Linoleum Flooring M NAD N
227-CT-1023 14 First Floor Bathroom WH Sink / Tub Caulk – Latex Including Heating Unit M NAD N
228-CT-1023 14 First Floor Bathroom WH Sink / Tub Caulk – Latex Including Heating Unit M NAD N
229-CT-1023 15 First Floor Bathroom BRN Ceramic Floor Tile Grout M NAD N
230-CT-1023 15 First Floor Bathroom BRN Ceramic Floor Tile Grout M NAD N
231-CT-1023 16 First Floor Bathroom BRN Ceramic Floor Tile Mortar M NAD N
232-CT-1023 16 First Floor Bathroom BRN Ceramic Floor Tile Mortar M NAD N
233-CT-1022 17 First Floor Storage Room TAN / PEB Linoleum Flooring M NAD N
Project No. 0484.15621.3 June 30, 2021
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)
234-CT-1022 17 First Floor Storage Room TAN / PEB Linoleum Flooring M NAD N
235-CT-1026 18 First Floor Hallway BRN Linoleum Flooring – Faux Wood (Top Layer) M NAD N
236-CT-1026 18 First Floor Hallway BRN Linoleum Flooring – Faux Wood (Top Layer) M NAD N
237-CT-1026 19 First Floor Hallway BRN Linoleum Flooring – Bottom Layer M NAD N
238-CT-1026 19 First Floor Hallway BRN Linoleum Flooring – Bottom Layer M NAD N
239-CT-1022 20 First Floor Storage Room WH Ceramic Wall Tile Grout M NAD N
240-CT-1022 20 First Floor Storage Room WH Ceramic Wall Tile Grout M NAD N
241-CT-1022 21 First Floor Storage Room WH Ceramic Wall Tile Mortar Bed M NAD N
242-CT-1022 22 First Floor Storage Room WH Ceramic Wall Tile Mortar Bed M NAD N
243-CT-1021 22 First Floor Mechanical Room WH / SIL Insulation Jacket T NAD N
244-CT-1021 22 First Floor Mechanical Room WH / SIL Insulation Jacket T NAD N
245-CT-1021 22 First Floor Mechanical Room WH / SIL Insulation Jacket T NAD N
246-CT-1013 23 First Floor Bedroom PNK / PEB Linoleum Flooring M NAD N
247-CT-1013 23 First Floor Bedroom PNK / PEB Linoleum Flooring M NAD N
248-CT-1012 24 First Floor Bathroom TAN Ceramic Wall Tile – Mastic over Mortar M NAD N
249-CT-1012 24 First Floor Bathroom TAN Ceramic Wall Tile – Mastic over Mortar M NAD N
250-CT-1012 25 First Floor Bathroom BRN Ceramic Floor Tile Grout M NAD N
251-CT-1012 25 First Floor Bathroom BRN Ceramic Floor Tile Grout M NAD N
252-CT-1012 26 First Floor Bathroom BRN Ceramic Floor Tile Mortar Bed M NAD N
253-CT-1012 26 First Floor Bathroom BRN Ceramic Floor Tile Mortar Bed M NAD N
254-CT-1027 27 First Floor Hallway BRN Wallpaper M NAD N
255-CT-1027 27 First Floor Hallway BRN Wallpaper M NAD N
256-CT-1027 28 First Floor Hallway TAN Mastic over Wallpaper – Behind Wall Panel M NAD N
257-CT-1027 28 First Floor Hallway TAN Mastic over Wallpaper – Behind Wall Panel M NAD N
258-CT-E001 29 Exterior GRY Insulation Jacket over Styrofoam M NAD N
259-CT-E001 29 Exterior GRY Insulation Jacket over Styrofoam M NAD N
260-CT-E001 30 Exterior WH Window Frame Caulk – Porch M NAD N
261-CT-E001 30 Exterior WH Window Frame Caulk – Porch M NAD N
262-CT-E001 31 Exterior CLR Window Frame Caulk – Residential Windows M NAD N
263-CT-E001 31 Exterior CLR Window Frame Caulk – Residential Windows M NAD N
264-CT-R001 32 Garage Roof BLK Shingle – Top Layer M NAD N
265-CT-R001 32 Garage Roof BLK Shingle – Top Layer M NAD N
266-CT-R001 33 Garage Roof BLK Vapor Barrier – Bottom Layer M NAD N
267-CT-R001 33 Garage Roof BLK Vapor Barrier – 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 Room (31)
Laundry Room (32)
Storage Room (33)
Medical (34)
Office (35)
Bathroom (13)
Bedroom (1)
Bedroom (2)
Bedroom (3)
Bedroom (6)
Bedroom (7)
Bedroom (8)
Bedroom (9)
Bathroom (11)
Mechanical Room (18)
Storage Room (16 & 17)
Bathroom (19)
Living Room (20)
Entryway / Vestibule (22)
Hallway (14 & 21)
Hallway (10, 12 & 5)
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 Garage Roof 900N E 2 SF*
EXTERIOR
E001 Exterior NVA
*Note: This material is present and is assumed positive asbestos containing material (ACM) due to inaccessibility at the time of survey.
Key
SF- Square Feet LF- Linear Feet Units – Each Building Component
APPENDIX C
ASBESTOS BULK SAMPLING LABORATORY ANALYTICAL RESULTS
June 29, 2021
Dear Tim Marble:
Keystone Material Testing, LLC Attn: Tim Marble 58 Exchange Street Binghamton, NY 13901
RE: Keystone Material Testing, LLC Job Number 121062186 P.O. #0484.15621.3 0484.15621.3; Asbestos Survey; Cobblestone 107 IRA 107 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 Thursday, June 24, 2021, for a 5 day turnaround:
Sample ID 201-CT-1001 through 267-CT-R001
The 67 samples, placed in zip lock bag, were shipped to AmeriSci via Fed Ex 8164 3813 7142 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.
T. Brian Keith
Sincerely, Laboratory Director | 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
06/24/21 AmeriSci Job # 121062186 06/29/21
ELAP # 10984 1 14
0484.15621.3; Asbestos Survey; Cobblestone 107 IRA 107 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-1001 121062186-01 NAD First Floor; Gypsum Board - Wall1
White, Heterogeneous, Non-Fibrous, Bulk Material
Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1) by Beverly A. Schrage on 06/29/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
No202-CT-1022 121062186-02 NAD First Floor; Gypsum Board - Wall1
White, Heterogeneous, Non-Fibrous, Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1) by Beverly A. Schrage on 06/29/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
No203-CT-1001 121062186-03 NAD First Floor; Joint Compound - Wall2
White, Heterogeneous, Non-Fibrous, Non-fibrous 100%
(by NYS ELAP 198.1) by Beverly A. Schrage on 06/29/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
No204-CT-1022 121062186-04 NAD First Floor; Joint Compound - Wall2
White, Heterogeneous, Non-Fibrous, Non-fibrous 100%
(by NYS ELAP 198.1) by Beverly A. Schrage on 06/29/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
No205-CT-1001 121062186-05 NAD First Floor; Cinderblock Mortar3
Gray, Heterogeneous, Non-Fibrous, Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1) by Beverly A. Schrage on 06/29/21
See Reporting notes on last page
AmeriSci Job #: 121062186 Page 2 of 14
0484.15621.3; Asbestos Survey; Cobblestone 107 IRA 107 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:
No206-CT-1001 121062186-06 NAD First Floor; Cinderblock Mortar3
Gray, Heterogeneous, Non-Fibrous, Non-fibrous 100%
(by NYS ELAP 198.1) by Beverly A. Schrage on 06/29/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
No207-CT-1002 121062186-07 NAD First Floor; Cove Base Mastic4
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 51.2%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 45.2%; Acid Soluble (inorganic): 3.6%; Inert (Non-asbestos): 51.2%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No208-CT-1002 121062186-08 NAD First Floor; Cove Base Mastic4
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 48%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 46.1%; Acid Soluble (inorganic): 5.9%; Inert (Non-asbestos): 48.0%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No209-CT-1003 121062186-09 NAD First Floor; Flooring - Linoleum5
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 3%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 74.1%; Acid Soluble (inorganic): 22.9%; Inert (Non-asbestos): 3.0%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No210-CT-1003 121062186-10 NAD First Floor; Flooring - Linoleum5
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 10.3%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 60.8%; Acid Soluble (inorganic): 29.0%; Inert (Non-asbestos): 10.3%
AmeriSci Job #: 121062186 Page 3 of 14
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:
No211-CT-1004 121062186-11 NAD First Floor; Baseboard Heating Unit Caulk6
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 14.8%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 39.2%; Acid Soluble (inorganic): 46.0%; Inert (Non-asbestos): 14.8%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No212-CT-1004 121062186-12 NAD First Floor; Baseboard Heating Unit Caulk6
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 19.2%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 36.4%; Acid Soluble (inorganic): 44.4%; Inert (Non-asbestos): 19.2%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No213-CT-1004 121062186-13 NAD First Floor; Flooring - Linoleum7
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 1.3%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 55.5%; Acid Soluble (inorganic): 43.2%; Inert (Non-asbestos): 1.3%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No214-CT-1004 121062186-14 NAD First Floor; Flooring - Linoleum7
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 1.2%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 54.8%; Acid Soluble (inorganic): 44.0%; Inert (Non-asbestos): 1.2%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No215-CT-1004 121062186-15 NAD First Floor; Mastic - Under Sample #2138
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 18.1%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 50.0%; Acid Soluble (inorganic): 31.9%; Inert (Non-asbestos): 18.1%
AmeriSci Job #: 121062186 Page 4 of 14
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:
No216-CT-1004 121062186-16 NAD First Floor; Mastic - Under Sample #2138
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 16.2%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 61.6%; Acid Soluble (inorganic): 22.2%; Inert (Non-asbestos): 16.2%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No217-CT-1007 121062186-17 NAD First Floor; Flooring - Linoleum - Faux Wood9
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 1.4%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 56.9%; Acid Soluble (inorganic): 41.7%; Inert (Non-asbestos): 1.4%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No218-CT-1007 121062186-18 NAD First Floor; Flooring - Linoleum - Faux Wood9
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 1.3%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 56.7%; Acid Soluble (inorganic): 42.0%; Inert (Non-asbestos): 1.3%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No219-CT-1024 121062186-19 NAD First Floor; Interior Window Caulk - Latex10
White, Heterogeneous, Non-Fibrous, Non-Asbestos 3%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 74.1%; Acid Soluble (inorganic): 23.0%; Inert (Non-asbestos): 3.0%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No220-CT-1024 121062186-20 NAD First Floor; Interior Window Caulk - Latex10
White, Heterogeneous, Non-Fibrous, Non-Asbestos 5.5%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 63.9%; Acid Soluble (inorganic): 30.6%; Inert (Non-asbestos): 5.5%
AmeriSci Job #: 121062186 Page 5 of 14
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:
No221-CT-1008 121062186-21 NAD First Floor; Flooring - Linoleum11
White, Heterogeneous, Non-Fibrous, Non-Asbestos 8%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 80.2%; Acid Soluble (inorganic): 11.8%; Inert (Non-asbestos): 8.0%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No222-CT-1008 121062186-22 NAD First Floor; Flooring - Linoleum11
White, Heterogeneous, Non-Fibrous, Non-Asbestos 7.5%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 81.1%; Acid Soluble (inorganic): 11.4%; Inert (Non-asbestos): 7.5%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No223-CT-1008 121062186-23 NAD First Floor; Mastic - Under #22112
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 42.9%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 48.2%; Acid Soluble (inorganic): 8.8%; Inert (Non-asbestos): 42.9%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No224-CT-1008 121062186-24 NAD First Floor; Mastic - Under #22112
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 42.9%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 48.4%; Acid Soluble (inorganic): 8.7%; Inert (Non-asbestos): 42.9%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No225-CT-1010 121062186-25 NAD First Floor; Flooring - Linoleum13
White, Heterogeneous, Non-Fibrous, Non-Asbestos 6.6%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 36.2%; Acid Soluble (inorganic): 57.1%; Inert (Non-asbestos): 6.6%
AmeriSci Job #: 121062186 Page 6 of 14
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:
No226-CT-1010 121062186-26 NAD First Floor; Flooring - Linoleum13
White, Heterogeneous, Non-Fibrous, Non-Asbestos 4.1%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 35.7%; Acid Soluble (inorganic): 60.2%; Inert (Non-asbestos): 4.1%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No227-CT-1023 121062186-27 NAD First Floor; Sink/Tub Caulk - Latex Including Heating Unit14
White, Heterogeneous, Non-Fibrous, Non-Asbestos 17.8%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 68.7%; Acid Soluble (inorganic): 13.5%; Inert (Non-asbestos): 17.8%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No228-CT-1023 121062186-28 NAD First Floor; Sink/Tub Caulk - Latex Including Heating Unit14
White, Heterogeneous, Non-Fibrous, Non-Asbestos 22.9%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 67.5%; Acid Soluble (inorganic): 9.6%; Inert (Non-asbestos): 22.9%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No229-CT-1023 121062186-29 NAD First Floor; Ceramic Floor Tile Grout15
Gray, Heterogeneous, Non-Fibrous, Cementitious, Non-fibrous 100%
(by NYS ELAP 198.1) by Eric H. Ahles on 06/29/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
No230-CT-1023 121062186-30 NAD First Floor; Ceramic Floor Tile Grout15
Gray, Heterogeneous, Non-Fibrous, Cementitious, Non-fibrous 100%
(by NYS ELAP 198.1) by Eric H. Ahles
AmeriSci Job #: 121062186 Page 7 of 14
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:
No231-CT-1023 121062186-31 NAD First Floor; Ceramic Floor Tile Mortar Bed16
Gray, Heterogeneous, Non-Fibrous, Cementitious, Non-fibrous 100%
(by NYS ELAP 198.1) by Eric H. Ahles on 06/29/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
No232-CT-1023 121062186-32 NAD First Floor; Ceramic Floor Tile Mortar Bed16
Gray, Heterogeneous, Non-Fibrous, Cementitious, Non-fibrous 100%
(by NYS ELAP 198.1) by Eric H. Ahles on 06/29/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
No233-CT-1022 121062186-33 NAD First Floor; Flooring - Linoleum17
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 9.5%
(by NYS ELAP 198.6) by Eric H. Ahles on 06/29/21
Comment: Heat Sensitive (organic): 36.9%; Acid Soluble (inorganic): 53.6%; Inert (Non-asbestos): 9.5%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No234-CT-1022 121062186-34 NAD First Floor; Flooring - Linoleum17
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 11%
(by NYS ELAP 198.6) by Eric H. Ahles on 06/29/21
Comment: Heat Sensitive (organic): 35.2%; Acid Soluble (inorganic): 53.9%; Inert (Non-asbestos): 11.0%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No235-CT-1026 121062186-35 NAD First Floor; Flooring - Linoleum - Faux Wood - Top Layer18
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 2.4%
(by NYS ELAP 198.6) by Eric H. Ahles on 06/29/21
Comment: Heat Sensitive (organic): 81.3%; Acid Soluble (inorganic): 16.3%; Inert (Non-asbestos): 2.4%
AmeriSci Job #: 121062186 Page 8 of 14
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:
No236-CT-1026 121062186-36 NAD First Floor; Flooring - Linoleum - Faux Wood - Top Layer18
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 1.8%
(by NYS ELAP 198.6) by Eric H. Ahles on 06/29/21
Comment: Heat Sensitive (organic): 81.6%; Acid Soluble (inorganic): 16.6%; Inert (Non-asbestos): 1.8%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No237-CT-1026 121062186-37 NAD First Floor; Flooring - Linoleum - Bottom Layer19
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 25.9%
(by NYS ELAP 198.6) by Eric H. Ahles on 06/29/21
Comment: Heat Sensitive (organic): 36.0%; Acid Soluble (inorganic): 38.2%; Inert (Non-asbestos): 25.9%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No238-CT-1026 121062186-38 NAD First Floor; Flooring - Linoleum - Bottom Layer19
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 17.2%
(by NYS ELAP 198.6) by Eric H. Ahles on 06/29/21
Comment: Heat Sensitive (organic): 25.9%; Acid Soluble (inorganic): 56.9%; Inert (Non-asbestos): 17.2%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No239-CT-1022 121062186-39 NAD First Floor; Ceramic Wall Tile Grout20
White, Heterogeneous, Non-Fibrous, Non-fibrous 100%
(by NYS ELAP 198.1) by Eric H. Ahles on 06/29/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
No240-CT-1022 121062186-40 NAD First Floor; Ceramic Wall Tile Grout20
White, Heterogeneous, Non-Fibrous, Non-fibrous 100%
(by NYS ELAP 198.1) by Eric H. Ahles
AmeriSci Job #: 121062186 Page 9 of 14
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:
No241-CT-1022 121062186-41 NAD First Floor; Ceramic Wall Tile Mortar Bed21
Gray, Heterogeneous, Non-Fibrous, Cementitious, Non-fibrous 100%
(by NYS ELAP 198.1) by Eric H. Ahles on 06/29/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
No242-CT-1022 121062186-42 NAD First Floor; Ceramic Wall Tile Mortar Bed21
Gray, Heterogeneous, Non-Fibrous, Cementitious, Non-fibrous 100%
(by NYS ELAP 198.1) by Eric H. Ahles on 06/29/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
No243-CT-1021 121062186-43 NAD First Floor; Insulation Jacket22
Silver, Heterogeneous, Non-Fibrous, Non-Asbestos 39.1%
(by NYS ELAP 198.6) by Eric H. Ahles on 06/29/21
Comment: Heat Sensitive (organic): 56.7%; Acid Soluble (inorganic): 4.3%; Inert (Non-asbestos): 39.1%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No244-CT-1021 121062186-44 NAD First Floor; Insulation Jacket22
Silver, Heterogeneous, Non-Fibrous, Non-Asbestos 34.1%
(by NYS ELAP 198.6) by Eric H. Ahles on 06/29/21
Comment: Heat Sensitive (organic): 62.8%; Acid Soluble (inorganic): 3.2%; Inert (Non-asbestos): 34.1%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No245-CT-1021 121062186-45 NAD First Floor; Insulation Jacket22
Silver, Heterogeneous, Non-Fibrous, Non-Asbestos 37%
(by NYS ELAP 198.6) by Eric H. Ahles on 06/29/21
Comment: Heat Sensitive (organic): 59.8%; Acid Soluble (inorganic): 3.3%; Inert (Non-asbestos): 37.0%
AmeriSci Job #: 121062186 Page 10 of 14
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:
No246-CT-1013 121062186-46 NAD First Floor; Flooring - Linoleum23
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 8.7%
(by NYS ELAP 198.6) by Eric H. Ahles on 06/29/21
Comment: Heat Sensitive (organic): 38.1%; Acid Soluble (inorganic): 53.1%; Inert (Non-asbestos): 8.7%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No247-CT-1012 121062186-47 NAD First Floor; Flooring - Linoleum23
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 9.9%
(by NYS ELAP 198.6) by Eric H. Ahles on 06/29/21
Comment: Heat Sensitive (organic): 39.6%; Acid Soluble (inorganic): 50.5%; Inert (Non-asbestos): 9.9%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No248-CT-1012 121062186-48 NAD First Floor; Ceramic Wall Tile - Mastic Over Mortar24
White, Heterogeneous, Non-Fibrous, Non-Asbestos 3.9%
(by NYS ELAP 198.6) by Eric H. Ahles on 06/29/21
Comment: Heat Sensitive (organic): 18.6%; Acid Soluble (inorganic): 77.5%; Inert (Non-asbestos): 3.9%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No249-CT-1012 121062186-49 NAD First Floor; Ceramic Wall Tile - Mastic Over Mortar24
White, Heterogeneous, Non-Fibrous, Non-Asbestos 14.3%
(by NYS ELAP 198.6) by Eric H. Ahles on 06/29/21
Comment: Heat Sensitive (organic): 18.4%; Acid Soluble (inorganic): 67.3%; Inert (Non-asbestos): 14.3%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No250-CT-1012 121062186-50 NAD First Floor; Ceramic Floor Tile Grout25
Gray, Heterogeneous, Non-Fibrous, Cementitious, Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1) by Eric H. Ahles
AmeriSci Job #: 121062186 Page 11 of 14
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:
No251-CT-1012 121062186-51 NAD First Floor; Ceramic Floor Tile Grout25
Gray, Heterogeneous, Non-Fibrous, Cementitious, Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1) by Eric H. Ahles on 06/29/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
No252-CT-1012 121062186-52 NAD First Floor; Ceramic Floor Tile Mortar Bed26
Gray, Heterogeneous, Non-Fibrous, Cementitious, Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1) by Eric H. Ahles on 06/29/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
No253-CT-1012 121062186-53 NAD First Floor; Ceramic Floor Tile Mortar Bed26
Gray, Heterogeneous, Non-Fibrous, Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1) by Eric H. Ahles on 06/29/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
No254-CT-1027 121062186-54 NAD First Floor; Wallpaper27
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 16.4%
(by NYS ELAP 198.6) by Eric H. Ahles on 06/29/21
Comment: Heat Sensitive (organic): 62.9%; Acid Soluble (inorganic): 20.7%; Inert (Non-asbestos): 16.4%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No255-CT-1027 121062186-55 NAD First Floor; Wallpaper27
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 16.3%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 61.8%; Acid Soluble (inorganic): 21.8%; Inert (Non-asbestos): 16.3%
AmeriSci Job #: 121062186 Page 12 of 14
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:
No256-CT-1027 121062186-56 NAD First Floor; Mastic Over Wallpaper - Behind Wall Panel28
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 18.2%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 65.9%; Acid Soluble (inorganic): 15.9%; Inert (Non-asbestos): 18.2%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No257-CT-1027 121062186-57 NAD First Floor; Mastic Over Wallpaper - Behind Wall Panel28
Tan, Heterogeneous, Non-Fibrous, Non-Asbestos 17.1%
(by NYS ELAP 198.6) by Beverly A. Schrage on 06/29/21
Comment: Heat Sensitive (organic): 66.2%; Acid Soluble (inorganic): 16.7%; Inert (Non-asbestos): 17.1%
Location:
Analyst Description:
Asbestos Types:
Other Material:
No258-CT-E001 121062186-58 NAD Exterior; Insulation Jacket Over Styrofoam29
Gray, Heterogeneous, Non-Fibrous, Cementitious, Fibrous glass 2%, Non-fibrous 98%
(by NYS ELAP 198.1) by Eric H. Ahles on 06/29/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
No259-CT-E001 121062186-59 NAD Exterior; Insulation…
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