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Report BUILDING SURVEY FOR ASBESTOS CONTAINING MATERIALS
Subject Property: Commercial Building
Address: 78 Utica Street Port Byron, New York
Date of Survey: August 6, 2016
Prepared by:
Lakeland Environmental Inc. 12 South Main Street, Suite 301 Homer, NY 13077 www.lakelandenvironmental.com Project #: CLE2016-1032C
2 72-74 Utica Street, Port Byron, NY – Pre-Demolition Survey
CONTENTS
I. Executive Summary ..................................................................................................................... 3
A. Overview ........................................................................................................................... 3
B. Significant Findings ............................................................................................................ 3
II. General Information ................................................................................................................... 5
A. Description of Structure .................................................................................................... 5
B. Purpose of Survey ............................................................................................................. 5
C. General Procedure ............................................................................................................ 6
D. Limits of Survey ................................................................................................................. 7
III. Asbestos Survey Procedures ..................................................................................................... 7
A. Inspection & Sampling ...................................................................................................... 7
B. Laboratory Testing ............................................................................................................ 7
IV. Findings ...................................................................................................................................... 8
A. Laboratory Results ............................................................................................................ 8
B. Summary of Findings ......................................................................................................... 8
C. Transmittal of Survey Information .................................................................................... 9
V. Recommendations ..................................................................................................................... 9
TABLES – FIGURES
Table 1 -- Asbestos Survey Results Table 2 – Summary of Homogeneous Areas Figure 1 -- Site Location Map Figure 2 -- Building and Sampling Diagram Photos
APPENDICES
Appendix A - Laboratory Analytical Data Appendix B - Inspector & Laboratory Accreditation Appendix C - Glossary Of Terms, Abbreviations, And Acronyms
3 72-74 Utica Street, Port Byron, NY – Pre-Demolition Survey
I. Executive Summary
This Section is a summary only and the user must refer to the entire contents of this report including Appendices.
A. Project Background
Project Background
Purpose of Survey: Pre-demolition
Asbestos Survey Contractor: Lakeland Environmental Inc.
Date of Survey: August 6, 2016
Inspector(s): Stephen Major
NYSDOL Certificate(s): 03-01809
Client: ClearDevelopment LLC
Site Name: Commercial Building
Site Address: 78 Utica Street, Port Byron, New York
Brief Building Description: The subject structure is a one story masonry and wood commercial row building.
Property Owner: Derek Grassman
Owner Mailing Address: P.O. Box 502, Jordan, NY 13080
Occupancy: Vacant
This building survey was performed on the subject building as part of the requirements for demolition and/or renovation under the New York State Department of Labor (NYSDOL) Industrial Code Rule 56, to determine if asbestos containing materials (ACMs) were used to build the structure. Suspect building materials were categorized into homogeneous areas and then inspected and sampled in order to be identified as ACMs or non-asbestos containing materials (NACMs).
B. Significant Findings
The findings of this asbestos survey are listed below. Additional details are presented in Section IV.
4 72-74 Utica Street, Port Byron, NY – Pre-Demolition Survey
The following materials were found to contain asbestos in concentrations greater than 1%:
Non-Friable ACMs
Non-friable asphaltic built-up roofing (under EPDM) on the entire main roof (approximately 1,400 square feet).
Non-friable asphaltic flashing cement at the perimeter of the main roof (approximately 100 square feet).
5 72-74 Utica Street, Port Byron, NY – Pre-Demolition Survey
II. General Information A. Description of Structure
Description of Structure
Number of Stories: One story
Superstructure: Masonry and wood
Foundation: Crawl space
Roofing: Asphaltic, metal, EPDM membrane
Exterior Walls / Siding: Masonry, steel
Interior Floors: Resilient flooring, carpet, wood
Interior Walls: Drywall
Interior Ceilings: Drywall
Heating System: Forced air
Heating Plant Location: Crawl space
Other Features: N/A
Outbuildings: N/A
B. Purpose of Survey
This survey was conducted in order to determine whether asbestos-containing materials (ACMs) and/or asbestos materials are present in the structure. Asbestos can cause debilitating or fatal illnesses. When disturbed, as during demolition or renovation activities, asbestos fibers can become airborne whereupon they can create a health hazard. ACMs and asbestos materials in buildings, and the disturbance of same, are regulated under federal, state, and local laws. As part of asbestos surveys, suspect ACMs are identified and, where appropriate, sampled for analysis by an accredited laboratory. The suspect materials are also grouped into two categories: friable (able to be crushed or pulverized by hand pressure) and non-friable. Materials that are typically non-friable in their normal state, such as asphalt roofing or resilient floor tile, may become friable when subjected to mechanical abrasion activities (e.g. dry cutting or floor sanding). The physical disintegration of the material could cause asbestos fibers to be dispersed into the air.
6 72-74 Utica Street, Port Byron, NY – Pre-Demolition Survey
C. General Procedure Suspect ACMs are targeted 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) summarizes typical ACMs and suspect materials in buildings; it is not all-inclusive:
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 & 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
7 72-74 Utica Street, Port Byron, NY – Pre-Demolition Survey
D. Limits of Survey
It is the belief of the inspector that the survey was comprehensive in nature. However, certain materials could exist within the survey area that were not exposed even though destructive techniques were authorized. Accessible areas were visually inspected and covering surfaces were removed as safety concerns and the limits of the survey permitted. The described locations of ACMs may not be all-inclusive. Quantities of ACMs are estimated and are not intended to be used for abatement project bidding/pricing. The abatement contractor, project designer, and others are advised to verify all site parameters including material quantities.
III. Asbestos Survey Procedures A. Inspection & Sampling
The physical inspection of the property was conducted on August 6, 2016. The inspection consisted of the examination of accessible suspect materials (which may contain asbestos) in interior and exterior installations within the structure, in accordance with 12NYCRR Part 56-1.9. Asbestos records: No records were provided that indicate the presence of ACMs in the building. The structure was visually inspected to identify potential ACMs. The inspector assessed each suspect material to determine whether the material was friable or non-friable. Quantities and condition of suspect ACMs were recorded. The suspect materials in this inspection were flooring, mastics, drywall, joint compound, and roofing. A total of 16 samples were collected and submitted for analysis. Certain building materials that were obviously not ACMs, such as wood, concrete, glass, and metal, were not sampled.
B. Laboratory Testing
Collected samples were sealed for transport under chain-of-custody documentation to AmeriSci Laboratories in New York, NY, NYS ELAP #11480. Samples were received at the laboratory on August 9, 2016. The analytical data were received from the laboratory on August 15, 2016. A copy of the laboratory’s certification is included in Appendix B.
8 72-74 Utica Street, Port Byron, NY – Pre-Demolition Survey
Either Polarized Light Microscopy (PLM) with Dispersion Staining or Gravimetric Matrix Reduction and PLM with Transmission Electron Microscopy (TEM), used for negative confirmation, were performed. Non-friable organically bound samples (NOBs) such as vinyl floor tile or asphalt-based roofing material are required, in NYS, to be analyzed utilizing gravimetric reduction protocols. NOB samples testing negative under the PLM portion of this examination underwent TEM analysis. Multiple samples were taken of most homogeneous suspect materials. In order to minimize analytical costs the laboratory was instructed to forego additional analyses if and when one sample of a multiple homogeneous group or a layered system tested positive (positive stop).
IV. Findings A. Laboratory Results
The laboratory analytical results are attached as Appendix A. B. Summary of Findings
The following materials were found to contain asbestos in concentrations greater than 1%:
Non-Friable ACMs
Non-friable asphaltic built-up roofing (under EPDM) on the entire main roof (approximately 1,400 square feet).
Non-friable asphaltic flashing cement at the perimeter of the main roof (approximately 100 square feet).
Survey Data Survey data, including sampling locations, material descriptions, friability, condition, estimated quantities of ACM (if any), and asbestos content are summarized in Table 1. Homogeneous Areas Homogeneous areas of ACM and non-ACM materials are summarized in Table 2. Building Diagrams Diagrams of the building showing locations of positive and negative samples are presented in Figure 2.
9 72-74 Utica Street, Port Byron, NY – Pre-Demolition Survey
Photos of ACMs are in the Photos section after Figure 2.
C. Transmittal of Survey Information
In accordance with 12NYCRR Part 56, the results of the building/structure asbestos survey shall be immediately transmitted by the building/structure owner as follows:
1. “One 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.” The local New York State Asbestos Control Bureau District Office is provided below.
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.” SYRACUSE DISTRICT (Counties: Allegany, Broome, Cayuga, Chemung, Chenango, Cortland, Delaware, Franklin, Hamilton, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga, Oswego, Otsego, St. Lawrence, Schuyler, Seneca, Steuben, Tioga, Tompkins)
450 S. Salina Street, Syracuse, NY 13202; (315) 479-3215
V. Recommendations Prior to demolition, asbestos containing materials should be removed in accordance with 12NYCRR Part 56. If hidden or otherwise suspect ACMs are discovered during demolition activities (or within the debris pile) they should be sampled and analyzed according to the procedures herein, and the scope of the demolition or removal altered as necessary based on the findings. This survey report should be filed by the building owner with the appropriate governmental agencies, as noted in Section IV.C of this report. The inspector will retain a copy of this report in accordance with 12 NYCRR Part 56. Questions related to this survey should be directed to the Inspector at 607-299-4818.
10 72-74 Utica Street, Port Byron, NY – Pre-Demolition Survey
Respectfully Submitted, LAKELAND ENVIRONMENTAL INC.
Stephen Major N.Y. Asbestos Inspector No. 03-01809
Tables
p. 1 of 1
Date
Lakeland
Sample # Layer
Diagram
location
number Building area
Location (refer to
diagrams) Suspect material Friability
Condition
of Friable
ACM H.A.
Estimated
Quantity of
Homogeneous
ACM % asbestos
8/6/16 H0616-301 n/a 1 Interior Lavatory Tan vinyl flooring Non-friable n/a A n/a NAD
8/6/16 H0616-302 n/a 2 Interior Lavatory Tan vinyl flooring Non-friable n/a A n/a NAD
8/6/16 H0616-303 n/a 3 Interior Front Yellow carpet mastic Non-friable n/a B n/a NAD
8/6/16 H0616-304 n/a 4 Interior Front Yellow carpet mastic Non-friable n/a B n/a NAD
8/6/16 H0616-305 n/a 5 Interior Front Drywall Friable n/a C n/a NAD
8/6/16 H0616-306 n/a 6 Interior Front Drywall Friable n/a C n/a NAD
8/6/16 H0616-307 n/a 7 Interior Front Joint compound Friable n/a C n/a NAD
8/6/16 H0616-308 n/a 8 Interior Front Joint compound Friable n/a C n/a NAD
8/6/16 H0616-309 n/a 9 Interior Front Textured ceiling Friable n/a D n/a NAD
8/6/16 H0616-310 n/a 10 Interior Front Textured ceiling Friable n/a D n/a NAD
8/6/16 H0616-311 n/a 11 Roof Main Asphaltic built-up roofing Non-friable n/a E 2.6%
8/6/16 H0616-312 n/a 12 Roof Main Asphaltic built-up roofing Non-friable n/a E PS
8/6/16 H0616-313 n/a 13 Interior Front Asphaltic felt at wood floor Non-friable n/a F n/a NAD
8/6/16 H0616-314 n/a 14 Interior Front Asphaltic felt at wood floor Non-friable n/a F n/a NAD
8/6/16 H0616-315 n/a 15 Roof Main Asphaltic flashing cement Non-friable n/a G 4.9%
8/6/16 H0616-316 n/a 16 Roof Main Asphaltic flashing cement Non-friable n/a G PS
1,400 s.f.
100 s.f.
NAD = No asbestos
PS = Positive Stop: the sample or layered system is presumed to contain asbestos
Table 1 Notes:
Orange highlighting indicates samples with greater than 1% asbestos - POSITIVE or presumed
H.A. = Homogeneous Area
PROJECT: 78 UTICA STREET, PORT BYRON, NY
Pre-Demolition Asbestos Survey
Table 1 - Summary of Results
p. 1 of 1
Area Material Locations Friability
ACM?
Y/N
Quantity of
ACM*
A Tan vinyl flooring Lavatory Non-friable N N/A
B Yellow carpet mastic Main floor Non-friable N N/A
C Drywall and joint compound Walls & ceilings Friable N N/A
D Texture ceiling Main ceiling Friable N N/A
E Asphaltic built-up roofing
Main flat roof , under EPDM
membrane Non-friable Y 1,400 s.f.
F Asphaltic felt Wood floor underlayment Non-friable N N/A
G Asphaltic flashing cement Roof perimeter Non-friable Y 100 s.f.
* Quantities are estimated and approximate: s.f. = square feet; l.f. = linear feet
Table 2 Notes:
Orange highlighting indicates Asbestos Containing Materials
PROJECT: 78 UTICA STREET, PORT BYRON, NY
Pre-Demolition Asbestos Survey
Table 2 - Summary of Homogeneous Areas
Figures
FIGURE 1: SITE LOCATION
Project: Pre-Demolition
Asbestos Survey Site: 78 Utica Street, Port Byron, NY
Source: USGS 7.5-min. Quadrangle
Weedsport, New York (2013)
78 Utica Street
Port Byron, NY
FIGURE 1A: BUILDING LOCATIONS
Project: Pre-Demolition Asbestos Survey Site: Utica Street, Port Byron, NY
Source: Google Earth
FIGURE 2: BUILDING AND SAMPLING DIAGRAM
Project: Pre-Demolition Asbestos Survey Site: 78 Utica Street, Port Byron, NY
Approximate scale: 1” = 12’
Sheet 1 of 2
Sampling Locations
Positive or Presumed Samples
Negative Samples
ROOF
UTICA STREET
METAL
11 12
15
16
FLAT EPDM OVER
BUILT-UP
ADJO
ININ
G B
RIC
K W
ALL
ADJO
ININ
G M
ASO
NR
Y W
ALL
FIGURE 2: BUILDING AND SAMPLING DIAGRAM
Project: Pre-Demolition Asbestos Survey Site: 78 Utica Street, Port Byron, NY
Approximate scale: 1” = 12’
Sheet 2 of 2
Sampling Locations
Positive or Presumed Samples
Negative Samples
MAIN LEVEL
UTICA STREET
1 2
3
4
5 6
7 8
9
10
13 14
LAV
STORAGE
CRAWL SPACE HATCH
Photos - 78 Utica Street, Port Byron, NY
Photo 1: The built-up roofing beneath non-ACM APDM membrane is positive non-friable ACM.
Photo 2: Asphaltic flashing cement at the roof perimeter is positive non-friable ACM.
Appendix A - Laboratory Analytical Data
AulnrScr
Major Design GroupAttn: Stephen Major
dba : Lakeland Environmental18 James StreetHomer, NY 13077
AmeriSci New YorkI 17 EAST 3OTH ST.
NEWYORK, NY 10016TEL: (212) 679-8600 . F AX: (212\ 679-3114
PLM Bulk Asbestos ReportDate Received 08i09i 16
Date Examined 08111116
ELAP # 11480RE:78 Utica Street, Port Byron,
AmeriSci Job #P.O. #Page 1 ofNY
2160823s3
4
Client No. / HGA Lab No. Asbestos Present Total % AsbestosH0616-301
A21 6082353-01
Location: lnterior - Lavatory - Tan Vinyl Flooring
Tan, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 16.4 o/o
IVo NAD(by NYS ELAP 198.6)by Jared C. Clarkeon 08/11/16
Analyst Description:Asbestos Types:
Other Material:
H0616-302
A216082353-02
Location: lnterior - Lavatory - Tan Vinyl Flooring
Tan, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 16.7 oh
IVo NAD(by NYS ELAP 198.6)by Jared C. Clarkeon 08/1 1/16
Anall6t Description:Asbestos Types:
Other Material:
H0616-303B
216082353-03Location: lnterior - Front - Yellow Carpet Mastic
No NAD(by NYS ELAP 198.6)
by Jared C. Clarkeon 08/11/16
Analyst Description; Tan, Homogeneous, Non-Fibrous, Bulk MaterialAsbestos Types:
Other Material: Non-fi brous 22.8 o/o
H0616-304B
216082353-04Location: lnterior - Front - Yellow Carpet Mastic
Tan, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 35.5 %
No NAD(by NYS ELAP 1e8.6)by Jared C. Clarkeon 08111116
AnallBt Description:Asbestos Types:
Other Material:
See Reporting notes on last page
IVoH0616-305C
216082353-05Location: lnterior - Front - Drywall
NAD(by NYS ELAP 1e8.1)by Jared C. Clarkeon 08/1 1/16
Analyst Description: OffWhite/Brown, Heterogeneous, Fibrous, Bulk MaterialAsbestos Types:
Other Material: Cellulose 25 %, Non-fibrous 75 %
AmeriSci Job #: 216082353
Client Name: Major Design GroupPage 2 of 4
PLM Bulk Asbestos Report78 Utica Street, Port Byron, NY
Client No. / HGA Lab No. Asbestos Present Total % AsbestosH0616-306
C
216082353-06Location: lnterior - Front - Drywall
No NAD(by NYS ELAP 198.1)by Jared C. Clarkeon 08/11116
Analyst Description: OffWhite/Brown, Heterogeneous, Fibrous, Bulk MaterialAsbestos Types:
Other Material: Cellulose 12 %, Non-fibrous 88 %
H0616-307
C
216082353-07Location: lnterior - Front - Joint Compound
IVo NAD(by NYS ELAP 198.1)by Jared C. Clarkeon 08/11/16
Analyst Description: White, Homogeneous, Non-Fibrous, Bulk MaterialAsbestos Types:
Other Material: Non-fibrous 100 %
H0616-308C
21 6082353-08Location: lnterior - Front - Joint Compound
No NAD(by NYS ELAP 198.1)by Jared C. Clarkeon 08111116
Analyst Description: White, Homogeneous, Non-Fibrous, Bulk MaterialAsbestos Types:
Other Material: Non-fibrous 100 %
H0616-309D
216082353-09Location: lnterior - Front - Textured Ceiling
IVo NAD(by NYS ELAP 198.1)by Jared C. Clarkeon 08/1 1/16
Analyst Description: OffWhite, Homogeneous, Non-Fibrous, Bulk MaterialAsbestos Types:
Other Material: Cellulose Trace, Non-fibrous 100 %
H0616-310D
216082353-10Location: lnterior - Front - Textured Ceiling
OffWhite, Homogeneous, Non-Fibrous, Bulk Material
Cellulose Trace, Non-fibrous 100 %
No NAD(by NYS ELAP 198.1)by Jared C. Clarkeon 08/1 1/16
Analyst Description:Asbestos Types:
Other Material:
See Reporting notes on last page
YesH0616-311
E
216082353-11Location: Roof - Main - Asphaltic Built-Up Roofing
2.6 o/o1
(EPA 400 PC)by Jared C. Clarkeon 08/1 1/16
Anall6t Description: Black, Homogeneous, Non-Fibrous, Bulk MaterialAsbestos Types: Chrysotile 2.6 %
Other Material: Non-fibrous 34 o/o
AmeriSci Job #: 216082353
Client Name: Major Design GroupPage 3 of 4
PLM Bulk Asbestos Report78 Utica Street, Port Byron, NY
Client No. / HGA Lab No. Asbestos Present Total % AsbestosH0616-312 216082353-12E Location: Roof - Main - Asphaltic Built-Up Roofing
Analyst Description: Bulk MaterialAsbestos Types:
Other Material:
NA/PS
H0616-313
F
21 6082353-1 3Location: lnterior - Front - Asphaltic Felt At Wood Floor
No NAD(by NYS ELAP 198.6)by Jared C. Clarkeon 08111116
Analyst Description: Black, Homogeneous, Non-Fibrous, Bulk MaterialAsbestos Types:
Other Material : Non-fi brous 2.4 o/o
H0616-314 216082353-14 No NADF Location: lnterior - Front - Asphaltic Felt At Wood Floor (by NYS ELAP 198.6)
by Jared C. Clarkeon 08i11/16
Analyst Description: Black, Homogeneous, Non-Fibrous, Bulk MaterialAsbestos Types:
Other Material: Non-fibrous 1.6 %
H0616-315
G
216082353-15Location: Roof - Main - Asphaltic Flashing Cement
Yes 4.9 o/o
(by NYS ELAP 198.6)by Jared C. Clarkeon 08/11116
Analyst Description: Black, Homogeneous, Non-Fibrous, Bulk MaterialAsbestos Types; Chrysotile 4.9 %
Other Materia!: Non-fibrous 13.3 %
H0616-316
G
216082353-16Location: Roof - Main - Asphaltic Flashing Cement
NA/PS
Analyst Description: Bulk MaterialAsbestos Types:
Other Material:
See Reporting notes on last page
AmeriSci Job #: 216082353Client Name: Major Design Group
Page 4 of 4
PLM Bulk Asbestos Report78 Utica Street, Port Byron, NY
Reporting Notes:
( I ) Sample prepared for analysis byAnalyzed by: Jared C. Clarke*NAD/NSD
=no asbestos detected; NA(SM-V) = Surfacing Material containing
NfuPS=not analyzedlpositive stop, (SOF-V) = Sprayed On Fireproofing containing Vermiculite;; PLM Bulk Asbestos Analysis by EPA 6001M4-82-020 per 40 CFR 763 (NVLAP 200546-0), ELAP
PLM Method 198.1 for NY friable sam includes the identification and quantitation of vermiculite or 198.6 for NOB samples or EPA 400 pt ct
organically bound materials. NAD or Trace results by PLM are inconclusive, TEM is currently the only method that can be used to determine if thismaterial can be considered or treated as non asbestos-containing in NY State (also see EPA Advisory for floor tile, FR 59,146,38970,8/1/94) Nationallnstitute of Standards and T Accreditation requirements mandate that this report must not be reproduced except in full without the approval of
, LLC Lab lD 102843, Rl Cert AAL-094, CT Cert PH-0186, Mass Cert AA000054the lab.This PLM report relates
END OF REPORT
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LAKELAN D ENVI RON M ENTAL LAB:
AmeriSci New York117 East 30th Street
New York, NY 10016(212) 67e-8600
CHAIN OF CUSTODY
BULK SAMPLING AmeriSciJob #:
pacr / or
Lakeland Environmental, L2 S. Main Street, Homer, NY 13077
EMAIt: [email protected]: 607-59t-6337
FAx: 866-636-2528PROJECT: 78 UTICA STREET, PORT BYRON, NY JOB TYPE:
NYS Pre-Demo.
MANAGER:
Stephen MaiorANATYSIS: TURNAROUNDTIME 7.=><T COMMENTS:
Analyze in order listed.
Stop analyses at first positive of each
homogeneous area (HA).
PLM 8 HR 12 HR 24 HR 48 HR 72HR ( s,EitrTEM BULK 8 HR 12 HR 24 HR 48 HR 72HR 6DAY )
OTHER 8 HR 12 HR 24 HR 48 HR 72HR 5 DAY OTHER
DATE SAMPTE !D BUILDINGAREA LOCATION MATERtAt HA
8/6116 H0616-301 lnterior Lavatory Tan vinylflooring A
8/61L6 H0615-302 lnterior Lavatory Tan vinylflooring A
8/6h6 H0616-303 lnterior Front Yellow carpet mastic B
8/6116 H0515-304 lnterior Front Yellow carpet mastic B
8l6lL6 H0616-305 lnterior Front lDrywall c8/61t6 H0616-306 lnterior Front Drywall c8/6/L6 H0616-307 lnterior Front Joint compound c8/6/L6 H0616-308 lnterior Front Joint compound c816/t6 H0616-309 lnterior Front ,Textured ceiling D
8/6/1.6 H0515-3r.0 lnterior Front Textured ceiling D
816/76 I H0615-311 Roof Main Asphaltic built-up roofing E
8/6/76 H0616-312 Roof Main Aspha ltic built-up roofing E
8/6/1.6 H0516-313 lnterior Front Itic felt at wood floor F
8/6116 H0616-314 lnterior Front Asphaltic felt at wood floor F
8/6/76 H0616-315 Roof Main Asphaltic flashing cement G
816/t6 !9915 116 Roof Main Asphaltic flashing cement G
.$q i R n n iIY
sAr\h.LED BY: DATE-V .tr/r,./r,DATE:
oe/aq/n //RELtNd)ffi: ' / DATE:.^: </r/n
RECEIVED IN LAB BY: DATE:
,
Appendix B - Inspector & Laboratory Accreditation
Appendix C
Glossary of Terms, Abbreviations, And Acronyms
12 NYCRR Part 56 A part of the Codes, Rules, and Regulations of New York State intended to control asbestos removal and disturbance activities. Commonly referred to as “Code Rule 56.”
12x12 In inches, a size description of floor tile; width x length.
1x1 In feet, a size description of ceiling tile; width x length.
2x2 In feet, a size description of ceiling tile; width x length.
2x4 In feet, a size description of ceiling tile; width x length.
9x9 In inches, a size description of floor tile; width x length.
ACM Asbestos-containing material.
Air-Cell Thermal pipe insulation comprised of corrugated layers which form air spaces.
Asbestos Any of several naturally-occurring amphibole and serpentine minerals which separate into long threadlike fibers.
Asphaltic Having an asphalt or tar-like matrix, as in a typical roof shingle.
BR Bedroom
BUR Built-up roofing; typically layers of asphaltic felt bonded and sealed with tar or pitch.
Ceil Ceiling
Cementitious Having a lime-cement matrix; such materials are typically hard and rigid.
Code Rule 56 A part of the Codes, Rules, and Regulations of New York State intended to control asbestos removal and disturbance activities. Technically referred to as “12 NYCRR Part 56.”
CT Ceiling tile.
DR Dining room.
Drywall A gypsum-based sheet with heavy paper facings, used as a wall and ceiling finish, fire stopping, and sound-deadening.
E East on the compass.
ELAP Environmental Laboratory Approval Program, administered by the New York State Department of Health.
Felt Any of a variety of thick papers and fabrics that are formed by pressing fibers into place, rather than weaving.
Friable Able to be crushed or pulverized by hand pressure.
Glazing Compound
A putty or caulk used to set and seal glass in a window frame.
HVAC Heating, ventilation, and air conditioning.
Joint Compound A gypsum or lime based plaster-like material used to conceal and finish joints in drywall.
Kit Kitchen.
Lagging Thermal insulation typically installed on a boiler or tank.
l.f. Linear feet; a unit of measure typically used to quantify the length of pipe insulation.
Limited For asbestos surveys, the term “limited” acknowledges the fact that all possible suspect materials may not be observed. Some materials can be concealed within inaccessible areas or cannot be reached due to safety concerns. Also, a client may request a survey with limits.
LR Living room.
Masonry Structures comprised of concrete, brick, concrete block, or similar materials.
N North on the compass.
NACM Non-asbestos containing material. Contains less than 1% asbestos by laboratory analysis.
NAD No asbestos detected (by laboratory analysis).
NE Northeast on the compass.
NOB Non-friable organically bound. NOBs have an organic matrix (tar, asphalt, plastic, etc.) that generally binds other constituents (fibers, powders) together. Examples are asphaltic roofing and resilient flooring.
Non-Friable Not able to be crushed or pulverized by normal hand pressure.
NW Northwest on the compass.
NYSDOL New York State Department of Labor
PACM Presumed asbestos-containing material.
PLM Polarized light microscopy; a laboratory analytical method for identifying asbestos.
Pre-Demolition Referring to an activity, such as a survey or inspection, conducted prior to the disturbance or demolition of a building or portion of a building.
Resilient Somewhat flexible or plastic; able to be slightly bent or flexed without breaking.
Roll Asphaltic rolled roofing.
S South on the compass.
SE Southeast on the compass.
s.f. Square feet; a unit of area measure typically used to quantify surfacing materials, roofing, drywall, etc.
Shingle A tile (of wood, asphalt, etc.) that is installed in overlapping fashion as a covering on roofs and walls.
Subject Property The building or buildings that are within the work scope of an asbestos survey.
Survey An inspection and sampling of a building, structure, debris pile, etc., for suspect asbestos-containing materials.
Suspect Material A material which may contain asbestos.
SW Southwest on the compass.
TEM Transmission electron microscopy; a laboratory analytical method for identifying asbestos.
Transite A brand of cementitious board or pipe. Older Transite typically contains asbestos.
TSI Thermal system insulation.
Util Utility.
VAT Vinyl asbestos tile (floor).
VCT Vinyl composition tile (floor).
W West on the compass.