HomeMy WebLinkAbout2022-0466 Permit PacketFrom: Jessica Hull
Sent: Friday, July 8, 2022 11:35 AM
To: 'Dan White'
Subject: RE: FPRI Demo Building Permit
Dan,
Please see below 1251 Trumansburg demoli on project Residen al Plan Review, Comments and
Ques ons.
1. With soil disturbance an applica on for a simple erosion control plan is required to be
submi ed to the Town’s Engineering Department for review.
2. Please provide from a design professional that the removal of the exterior stairway as a
means of egress is not needed for the exis ng building ’s current occupancy located to the
2nd level window.
3. Proof of removal/disconnects of all u li es from building.
4. Confirm the total sq. . of structure to be removed for Planning Department review.
Any ques ons let me know.
Thank you,
Jessica Hull
Electrical/Code Enforcement Officer
TOWN OF ITHACA
215 N. Tioga Street Ithaca, NY 14850
607-273-1783
www.town.ithaca.ny.us
From: Dan White <dwhite@buildwelliver.com>
Sent: Tuesday, July 5, 2022 11:41 AM
To: Jessica Hull <jhull@town.ithaca.ny.us>
Subject: RE: FPRI Demo Building Permit
Jessica,
I am being told that the ownership is in the process of being transferred. That is why as of right
now its Future FPRI LLC as owner un l the end of the year. I’m sorry for the confusion.
Dan
From: Dan White
Sent: Tuesday, July 5, 2022 11:30 AM
General Building Permit Application
Project Information
Department of Code Enforcement
607-273-1783
codes@town.ithaca.ny.us
FEE INFORMATION:
To view the Fee Schedule, please click here
Fees can only be paid by check, cash or money order. Payment is due at the time of application submission.
Fees can be mailed to Town Hall, 215 N. Tioga St Ithaca, placed in the locked drop box at the Buffalo St. entrance or delivered to Town
Hall during regular business hours 8am-4pm M-F.
The application will not be reviewed until the fee has been received.
Work Type *
ATTENTION: for roofing projects, please fill out our roofing permit applica on.
Property Type *
Use of Building
Brief Description of Work *
Value of Improvement *
Will there be electrical work associated with
this project?*
Will there be ANY soil disturbance associated
with this project?*
Street Address
Tax Parcel Number
Property Owner(s)*
Mailing Address *
Phone Number *
Project Information
New Build Change of Use Addition
Alteration Demolish Site Work
Zoning Only Other
Residential Commercial Apt. Complex
Education / Business - Unused Addition
Demolish a one story CMU constructed addition off from the south elevation
to 1251 Trumansburg Road. This addition has been recommended to be
condemned by the EOR.
39,000.00$
Yes
No
Yes No
(Examples: Piping, Ditching, Filling, Excavation, and/or Creating Impervious Areas)
Property Information
If owner is a corporation, names and addresses of responsible officers must be included
1251 Trumansburg Road
Ithaca, NY 14850
24. - 3 - 3.5
Future PRI
15 Thornwood Drive Ithaca, NY 14850
(607)-257-5050
(xxx)-xxx-xxxx
Email Address
Company *
Email Address
Main Phone Number *
Mailing Address
Project Contact Person
Contact's Primary Phone Number
Contact's Email Address
nickr@inteprop.com
Builder/Contractor Information
If property owner is doing the work, please fill section with "N/A"
Welliver
dwhite@buildwelliver.com
(607)-535-5400
(xxx)-xxx-xxxx
250 N. Genesee St
Daniel White
Primary point of contact for all communications regarding the building permit
(607)-481-9179
(xxx)-xxx-xxxx
dwhite@buildwelliver.com
Building Details
Existing Proposed
# of Stories
# of Dwelling Units
Building Height
Existing Proposed
Water
Sewer
Sprinkler
Gross Sq. Footage of:
Existing Proposed
Basement
First Fl.
Second Fl.
Over Second
# of Rooms
# of Bedrooms
Lot Coverage
Occupancy Class
Building Details
Type "N/A" in sections not applicable.
1 0
0 0
12'0
Yes No
Yes No
Yes No
685 0
Educational / Business - Unused
SWPPP
The Town of Ithaca Stormwater Management & Erosion and Sediment Control Law requires property owners and/or contractors to
complete a Stormwater Pollution Prevention Plan (SWPPP) for certain construction projects. The purpose of the SWPPP is to ensure that
proper erosion control measures will be implemented during your project to prevent pollutants and sediment from entering our streams,
wetlands, and Cayuga Lake.
You previously selected that there will be soil disturbance associated with this project.
Please select the type of disturbance that will
be conducted.
FILLING OR EXCAVATION
Please select the option most applicable to your project. If none of the options fit in your scope of work. Please describe the work being
completed in relation to the filling or excavation.
Based on your selection, no SWPPP form will needed.
Stormwater Pollution Prevention Plan
Filling and/or Excavation
50 to 250 cubic yards
Anything over 250 cubic yards
If none of the above, please describe the work that will be completed
Fill and match existing grade, top soil and seed
Additional Documents
Please note that the purpose of the checklist is to remind applicants of the various documents that may be needed for the
review. Not every project will require additional documents. However, the issuing of the permit may be delayed if all the
necessary documents are not received at the time of application or soon after. The code officer may request additional
documents during the review process.
One Hard Copy & One Digital Copy of all
Drawings and Specs *May Need to be
Stamped*
Proof of Insurance - Workers Comp & Workers
Disability or CE-200 Certificate
To file for a Certificate of Attestation of Exemption (CE-200) please click here
(Homeowners doing the work themselves will need to file for a CE-200)
Electrical Permit Application
Energy Code of NYS Compliance Forms
ResCheck, ComCheck, or Other Approved Compliance Document.
Approved Forms are Available at www.energycodes.gov
Survey Map or Plot Plan to Include all
Buildings on the Property
External Plumbing Permit for Public Sewage &
System Hook Ups
An External Plumbing Permit from the Town's Engineering Dept. can be downloaded here.
Well Drillers Certificate - New Construction
with Private Water Only
Copy of Plumbing Permit
From Bolton Point (Public Water & Sewer) Or Plumbing Isometric Diagram (Private Water &/or Sewer Only) Info on how to apply for a
Plumbing Permit through Bolton Point can be found here.
Culvert &/or Highway Work Permit
Septic Permit or Sewage & Water System
Acceptance
To Apply, Visit the Tompkins County Health Dept. (private water &/or sewer ONLY)
Outdoor Lighting Details
Statement of Special Inspections
Stormwater Plan Submitted to Town
Engineering Dept. for Approval
Project Checklist
If applicable, please provide the following documents.
Providing N/A
Not Providing at this Time
Providing
Not providing at this time
Providing N/A
Not Providing at this Time
Providing N/A
Not Providing at this Time
Providing N/A
Not Providing at this Time
Providing N/A
Not Providing at this Time
Providing N/A
Not Providing at this Time
Providing N/A
Not Providing at this Time
Providing N/A
Not Providing at this Time
Providing N/A
Not Providing at this Time
Providing N/A
Not Providing at this Time
Providing N/A
Not Providing at this Time
Providing N/A
Not Providing at this Time
FPRI_Letter regarding southeast addition.pdf 6.23MB
CMU Addition Floor Plan.pdf 265.72KB
Town of Ithaca C105.2.pdf 171.45KB
2122 MASTER ALL OPS - Town of Ithaca.pdf 25.35KB
(Max File Size 20MB)
Certification
I understand that if a building permit CANNOT be issued within 90 days of my initial application because I
failed to provide information requested or because I failed to comply with any Legislative Board
Conditions, my building permit application will be withdrawn without further action and I will need to
reapply and pay a new permit application fee.
The UNDERSIGNED HEREBY APPLIES for permission to do the above in accordance with provisions of
the Zoning Ordinance and other Laws and Regulations of the Town of Ithaca, or others having jurisdiction,
AND AFFIRMS that all statements and information given herein are correct to the best of his/her
knowledge and belief, AND FURTHER AFFIRMS that all work shall be performed in compliance with the
Codes of the Town of Ithaca, the NYS Uniform Fire Prevention and Building Code, and all other applicable
state and local laws, ordinances, and regulations.
I ALSO CERTIFY that the structure for which this permit will be issued, or has been issued, will be built, or
has been built, according to the latest standards of the New York State Uniform Fire Prevention and
Building Code, AND FURTHER CERTIFY that the approved plans will not be deviated from without prior
approval from the Architect/Engineer of record, if applicable, and the Town of Ithaca.
I also ACKNOWLEDGE that I have read and understand the "Instructions for Submitting a Building Permit".
Application Completed By *
If the applicant is not the owner, they will either need to provide a letter or email of authorization from the owner designating them the
agent, or provide a copy of the signed contract to show they can act on behalf of the owner.
Signature *
Date *
Application Certification
Owner Other
Property Manager
2022 05 06 Building Permit Authorization
Letter.pdf 9.97KB
06/29/2022
Taitem Engineering, P.C. 110 South Albany Street, Ithaca, NY 14850 | v 607-277-1118 | taitem.com
*** LETTER/REPORT ***
6/21/2022
Jessica Hull
Town of Ithaca Building Department
215 N. Tioga Street
Ithaca NY 14850
RE: Southeast addition at 1251 Trumansburg Road
Dear Jessica,
A site visit was completed on 6/21/2022 to inspect the condition of the addition on the
southeast corner of the building at 1251 Trumansburg Road. The addition is very poor
condition and is structural unsound for occupancy. It is my recommendation that this
area of the building be condemned. Please see the attached photos and plan for the
condition and location of this addition.
Please call or e-mail if you have any questions.
Yossi Bronsnick, PE, LEED AP
Vice President
Taitem Engineering
607-277-1118 x. 118
Taitem Engineering, P.C. 110 South Albany Street, Ithaca, NY 14850 | v 607-277-1118 | taitem.com
Photos
Report LIMITED BUILDING SURVEY FOR
ASBESTOS CONTAINING MATERIALS
Subject Property: Portion of Institutional Building
Address: 1257 Trumansburg Road
Ithaca, New York
Date of Survey: December 2, 2021
Prepared by:
Lakeland Environmental Inc.
12 South Main Street, Suite 301
Homer, NY 13077
www.lakelandenvironmental.com
EXHIBIT D
2
1257 Trumansburg Road, Ithaca, NY – Limited 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 ........................................................................................................... 8
IV. Findings ................................................................................................................................... 8
A. Laboratory Results ........................................................................................................... 8
B. Summary of Findings ....................................................................................................... 8
C. Transmittal of Survey Information ................................................................................... 9
V. Recommendations ................................................................................................................. 10
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
1257 Trumansburg Road, Ithaca, NY – Limited 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: Limited Pre-demolition
Asbestos Survey Contractor: Lakeland Environmental Inc.
Date of Survey: December 2, 2021
Inspector(s): Stephen Major
NYSDOL Certificate(s): 03-01809
Client: Welliver
Site Name: Portion of Institutional Building
Site Address: 1257 Trumansburg Road, Ithaca, New York
Brief Building Description: The project area is a portion of a 3-story masonry
institutional building with 2 basement levels
Property Owner: Not provided
Owner Mailing Address: N/A
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
1257 Trumansburg Road, Ithaca, NY – Limited Pre-Demolition Survey
The following materials were found to contain asbestos in concentrations greater than 1%:
Friable ACMs
• Friable thermal system insulation on pipes in the basement utility room
(approximately 25 linear feet visible; additional TSI may exist in hidden cavities
within the structure). Some of this insulation is damaged, and broken pieces and
debris were observed on equipment and the floor. This condition constitutes an
incidental disturbance per 12NYCRR Part 56.
• Friable thick acoustical plaster at the basement and first floor ceilings
(approximately 4,500 square feet). Some of this material is damaged and/or has
been disturbed, and broken pieces and debris were observed on the floors. This
condition constitutes an incidental disturbance per 12NYCRR Part 56. The hard
plaster base layer is non-ACM by composite sampling, but may not be physically
separable.
Note: Hard (non-acoustical) plaster on walls and the garage ceiling is non-ACM.
Non-Friable ACMs
• Non-friable tan 9x9 resilient floor tiles and associated black mastic in the
basement, first floor, and second floor (approximately 5,600 square feet, mostly
beneath glued carpet).
• Non-friable asphaltic built-up roofing on the east wing flat roof (approximately
2,200 square feet). This material is located beneath non-ACM EPDM roofing and
rigid foam insulation.
Non-Friable Cementitious ACMs
• Non-friable cementitious texture stucco on exterior walls around the basement
east vestibule. This material was not quantified, because the extent of the work
area was not defined. A smooth cementitious stucco is also located in this same
area, and is non-ACM.
5
1257 Trumansburg Road, Ithaca, NY – Limited Pre-Demolition Survey
II. General Information
A. Description of Structure
Description of Structure
Number of Stories: 3 stories
Superstructure: Concrete, masonry, and steel
Foundation: Full basement
Roofing: Asphaltic, EPDM membrane
Exterior Walls / Siding: Stucco
Interior Floors: Resilient floor tiles, carpet, ceramic tile, concrete
Interior Walls: Plaster, drywall, exposed masonry
Interior Ceilings: Hard plaster, acoustical plaster, drywall, grid ceiling
Heating System: Hydronic
Heating Plant Location: Basement
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
1257 Trumansburg Road, Ithaca, NY – Limited 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
1257 Trumansburg Road, Ithaca, NY – Limited 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.
@This survey was limited to the areas defined by the client, including the east basement
garage in utility room, the basement level of the east wing, the first floor level of the east
wing, the roof of the east wing, and a library room on the second floor.
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 December 2, 2021. 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 mastics, hard plaster, acoustical plaster,
resilient floor tile, cove base and glue, drywall and joint compound, ceramic tile, thinset
mortar, grout, window caulk, window glazing compound, stucco, roofing, and roof caulk.
A total of 71 samples were initially collected and submitted for analysis. Following the
receipt of initial analytical results, three composite samples of various plaster types were
submitted for additional analysis, due to the presence of vermiculite in the samples.
Certain building materials that were obviously not ACMs, such as wood, concrete, glass, and
metal, were not sampled.
8
1257 Trumansburg Road, Ithaca, NY – Limited Pre-Demolition Survey
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 December 3, 2021. Preliminary analytical data were received from the
laboratory on December 7, 2021. Do to the presence of vermiculite, selected plaster
samples were composited at the laboratory on December 8, 2021, for analysis by ELAP
Method 198.8. Results from these analyses were received on December 17, 2021. A copy of
the laboratory’s certification is included in Appendix B.
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 all or 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%:
Friable ACMs
• Friable thermal system insulation on pipes in the basement utility room
(approximately 25 linear feet visible; additional TSI may exist in hidden cavities
within the structure). Some of this insulation is damaged, and broken pieces and
debris were observed on equipment and the floor. This condition constitutes an
incidental disturbance per 12NYCRR Part 56.
• Friable thick acoustical plaster at the basement and first floor ceilings
(approximately 4,500 square feet). Some of this material is damaged and/or has
been disturbed, and broken pieces and debris were observed on the floors. This
condition constitutes an incidental disturbance per 12NYCRR Part 56. The hard
9
1257 Trumansburg Road, Ithaca, NY – Limited Pre-Demolition Survey
plaster base layer is non-ACM by composite sampling, but may not be physically
separable.
Note: Hard (non-acoustical) plaster on walls and the garage ceiling is non-ACM.
Non-Friable ACMs
• Non-friable tan 9x9 resilient floor tiles and associated black mastic in the
basement, first floor, and second floor (approximately 5,600 square feet, mostly
beneath glued carpet).
• Non-friable asphaltic built-up roofing on the east wing flat roof (approximately
2,200 square feet). This material is located beneath non-ACM EPDM roofing and
rigid foam insulation.
Non-Friable Cementitious ACMs
• Non-friable cementitious texture stucco on exterior walls around the basement
east vestibule. This material was not quantified, because the extent of the work
area was not defined. A smooth cementitious stucco is also located in this same
area, and is non-ACM.
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.
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:
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1257 Trumansburg Road, Ithaca, NY – Limited Pre-Demolition Survey
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.
Respectfully Submitted,
LAKELAND ENVIRONMENTAL INC.
Stephen Major
N.Y. Asbestos Inspector No. 03-01809
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1257 Trumansburg Road, Ithaca, NY – Limited Pre-Demolition Survey
Tables
p. 1 of 3
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
12/2/21 L0221-101 n/a 1 Basement Floor Carpet mastic Non-friable n/a A n/a NAD
12/2/21 L0221-102 n/a 2 Basement Floor Carpet mastic Non-friable n/a A n/a NAD
12/2/21 L0221-103 n/a 3 Basement Ceiling Plaster base layer Friable n/a B n/a NAD-comp.
12/2/21 L0221-104 n/a 4 Basement Ceiling Acoustical plaster skimcoat Friable Damaged B 4,500 s.f.4.7%
12/2/21 L0221-105 n/a 5 Basement Ceiling Plaster base layer Friable n/a B NAD-comp.
12/2/21 L0221-106 n/a 6 Basement Ceiling Acoustical plaster skimcoat Friable Daamaged B Same as loc. 104 4.7%
12/2/21 L0221-107 n/a 7 Basement Ceiling Plaster base layer Friable n/a B NAD-comp.
12/2/21 L0221-108 n/a 8 Basement Ceiling Acoustical plaster skimcoat Friable Damaged B Same as loc. 104 4.7%
12/2/21 L0221-109 n/a 9 Basement Wall Plaster Friable n/a C n/a NAD-comp.
12/2/21 L0221-110 n/a 10 Basement Wall Plaster Friable n/a C n/a NAD-comp.
12/2/21 L0221-111 n/a 11 1FL Floor Tan 9x9 floor tile Non-friable n/a D 10.6%
12/2/21 L0221-112 n/a 12 1FL Floor Tan 9x9 floor tile Non-friable n/a D PS
12/2/21 L0221-113 n/a 13 1FL Floor Black mastic Non-friable n/a E 2.5%
12/2/21 L0221-114 n/a 14 1FL Floor Black mastic Non-friable n/a E PS
12/2/21 L0221-115 n/a 15 1FL Floor Carpet mastic Non-friable n/a F n/a NAD
12/2/21 L0221-116 n/a 16 1FL Floor Carpet mastic Non-friable n/a F n/a NAD
12/2/21 L0221-117 n/a 17 1FL Main 6" cove base & glue Non-friable n/a G n/a NAD
12/2/21 L0221-118 n/a 18 1FL Main 6" cove base & glue Non-friable n/a G n/a NAD
12/2/21 L0221-119 n/a 19 1FL East 4" cove base & glue Non-friable n/a H n/a NAD
12/2/21 L0221-120 n/a 20 1FL East 4" cove base & glue Non-friable n/a H n/a NAD
12/2/21 L0221-121 n/a 21 1FL Ceiling Plaster base layer Friable n/a B n/a NAD-comp.
12/2/21 L0221-122 n/a 22 1FL Ceiling Acoustical plaster skimcoat Friable Damaged B Same as loc. 104 4.7%
12/2/21 L0221-123 n/a 23 1FL Ceiling Plaster base layer Friable n/a B NAD-comp.
12/2/21 L0221-124 n/a 24 1FL Ceiling Acoustical plaster skimcoat Friable Damaged B Same as loc. 104 4.7%
12/2/21 L0221-125 n/a 25 1FL Ceiling cove Plaster base layer Friable n/a I NAD-comp.
12/2/21 L0221-126 n/a 26 1FL Ceiling cove Acoustical plaster skimcoat Friable Damaged I Same as loc. 104 Presumed
12/2/21 L0221-127 n/a 27 1FL Ceiling cove Plaster base layer Friable n/a I n/a NAD-comp.
12/2/21 L0221-128 n/a 28 1FL Ceiling cove Plaster skimcoat Friable n/a I n/a NAD-comp.
12/2/21 L0221-129 n/a 29 1FL Wall Plaster Friable n/a C n/a NAD-comp.
12/2/21 L0221-130 n/a 30 1FL Wall Plaster Friable n/a C n/a NAD-comp.
PROJECT: 1257 TRUMANSBURG ROAD, ITHACA, NY
Limited Pre-Demolition Asbestos Survey
Table 1 - Summary of Results
NAD-comp. = No asbestos in representative composite sample by 198.8
Samples with vermiculite awaiting analysis by 198.8
5,600 s.f. total;
see loc. 38
5,600 s.f. total
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
p. 2 of 3
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
12/2/21 L0221-131 n/a 31 1FL Wall Plaster Friable n/a C n/a NAD-comp.
12/2/21 L0221-132 n/a 32 1FL East Drywall Friable n/a J n/a NAD
12/2/21 L0221-133 n/a 33 1FL East Drywall Friable n/a J n/a NAD
12/2/21 L0221-134 n/a 34 1FL East Joint compound Friable n/a J n/a NAD
12/2/21 L0221-135 n/a 35 1FL East Joint compound Friable n/a J n/a NAD
12/2/21 L0221-136 n/a 36 2FL Floor Carpet mastic Non-friable n/a F n/a NAD
12/2/21 L0221-137 n/a 37 2FL Floor Carpet mastic Non-friable n/a F n/a NAD
12/2/21 L0221-138 n/a 38 2FL Floor Tan 9x9 floor tile Non-friable n/a D 9.4%
12/2/21 L0221-139 n/a 39 2FL Floor Tan 9x9 floor tile Non-friable n/a D PS
12/2/21 L0221-140 n/a 40 2FL Ceramic tile Thinset mortar Non-friable n/a K n/a NAD
12/2/21 L0221-141 n/a 41 2FL Ceramic tile Thinset mortar Non-friable n/a K n/a NAD
12/2/21 L0221-142 n/a 42 2FL Ceramic tile Grout Non-friable n/a L n/a NAD
12/2/21 L0221-143 n/a 43 2FL Ceramic tile Grout Non-friable n/a L n/a NAD
12/2/21 L0221-144 n/a 44 2FL Ceiling Plaster Friable n/a M.1 n/a NAD
12/2/21 L0221-145 n/a 45 2FL Ceiling Plaster Friable n/a M.1 n/a NAD
12/2/21 L0221-146 n/a 46 2FL Ceiling 2x2 ceiling tile Friable n/a N n/a NAD
12/2/21 L0221-147 n/a 47 2FL Ceiling 2x2 ceiling tile Friable n/a N n/a NAD
12/2/21 L0221-148 n/a 48 Garage Ceiling Plaster Friable n/a M.2
12/2/21 L0221-149 n/a 49 Garage Ceiling Plaster Friable n/a M.2
12/2/21 L0221-150 n/a 50 Garage Ceiling Plaster Friable n/a M.2
12/2/21 L0221-151 n/a 51 Garage Pipes Pipe insulation Friable Damaged O.1 13.8%
12/2/21 L0221-152 n/a 52 Garage Pipes Pipe insulation Friable Damaged O.1 PS
12/2/21 L0221-153 n/a 53 Garage Pipes Pipe insulation Friable Damaged O.1 PS
12/2/21 L0221-154 n/a 54 Garage Pipes Pipe fitting insulation Friable Damaged O.2 PS
12/2/21 L0221-155 n/a 55 Garage Pipes Pipe fitting insulation Friable Damaged O.2 PS
12/2/21 L0221-156 n/a 56 Exterior South Window caulk Non-friable n/a P n/a NAD
12/2/21 L0221-157 n/a 57 Exterior South Window caulk Non-friable n/a P n/a NAD
12/2/21 L0221-158 n/a 58 Exterior East Steel wdo glazing compound Non-friable n/a Q n/a NAD
12/2/21 L0221-159 n/a 59 Exterior East Steel wdo glazing compound Non-friable n/a Q n/a NAD
12/2/21 L0221-160 n/a 60 Exterior East Stucco Non-friable n/a R n/a NAD
PROJECT: 1257 TRUMANSBURG ROAD, ITHACA, NY
Limited Pre-Demolition Asbestos Survey
Table 1 - Summary of Results
Table 1 Notes:
Orange highlighting indicates samples with greater than 1% asbestos - POSITIVE or presumed
Samples with vermiculite awaiting analysis by 198.8
5,600 s.f. total;
see loc. 11
**Incidental disturbance beneath damaged TSI, affecting floor and equipment
25 l.f.**
NAD = No asbestos
PS = Positive Stop: the sample or layered system is presumed to contain asbestos
H.A. = Homogeneous Area
NAD-comp. = No asbestos in representative composite sample by 198.8
p. 3 of 3
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
12/2/21 L0221-161 n/a 61 Exterior East Stucco Non-friable n/a R n/a NAD
12/2/21 L0221-162 n/a 62 Exterior East Stucco Non-friable n/a R n/a NAD
12/2/21 L0221-163 n/a 63 Exterior East Textured stucco Non-friable n/a S 1.5%
12/2/21 L0221-164 n/a 64 Exterior East Textured stucco Non-friable n/a S PS
12/2/21 L0221-165 n/a 65 Exterior East Textured stucco Non-friable n/a S PS
12/2/21 L0221-166 n/a 66 Roof Flat Asphaltic built-up roofing Non-friable n/a T 7.3%
12/2/21 L0221-167 n/a 67 Roof Flat Asphaltic built-up roofing Non-friable n/a T PS
12/2/21 L0221-168 n/a 68 Roof Parapet Black caulk Non-friable n/a U n/a Trace
12/2/21 L0221-169 n/a 69 Roof Parapet Black caulk Non-friable n/a U n/a NAD
12/2/21 L0221-170 n/a 70 Roof Parapet White caulk Non-friable n/a V n/a NAD
12/2/21 L0221-171 n/a 71 Roof Parapet White caulk Non-friable n/a V n/a Trace
Orange highlighting indicates samples with greater than 1% asbestos - POSITIVE or presumed
2,200 s.f.
Not quantified
NAD = No asbestos
PS = Positive Stop: the sample or layered system is presumed to contain asbestos
H.A. = Homogeneous Area
PROJECT: 1257 TRUMANSBURG ROAD, ITHACA, NY
Limited Pre-Demolition Asbestos Survey
Table 1 - Summary of Results
Table 1 Notes:
p. 1 of 2
Area Material Locations Friability
ACM?
Y/N
Quantity of
ACM*
A Carpet mastic Basement Non-friable N N/A
B Plaster
Basement and first floor ceilings.
Acoustical plaster is ACM; hard base
coat is non-ACM.Friable Y 4,500 s.f.
C Plaster Basement and first floor walls Friable N N/A
D Tan 9x9 floor tile
Basement, first floor, second floor
(mostly beneath carpet)Non-friable Y 5,600 s.f.
E Black mastic
At 9x9 floor tiles in basement, first
floor, second floor Non-friable Y 5,600 s.f.
F Carpet mastic First floor Non-friable N N/A
G 6" cove base and glue Basement, first floor Non-friable N N/A
H 4" cove base and glue Basement, first floor Non-friable N N/A
I Plaster
First floor ceiling perimeter cove -
hard plaster Friable N N/A
J Drywall and joint compound First floor east end Friable N N/A
K Thinset mortar Second floor ceramic tile area Non-friable N N/A
L Grout Second floor ceramic tile area Non-friable N N/A
M.1 Plaster Second floor ceiling (above grid)Friable N N/A
M.2 Plaster Garage ceiling Friable N N/A
N 2x2 ceiling tile Second floor grid ceiling Friable N N/A
O Thermal system insulation Pipes in garage utility room Friable Y 25 l.f.
* Quantities are estimated and approximate: s.f. = square feet; l.f. = linear feet
Samples with vermiculite awaiting analysis by 198.8
PROJECT: 1257 TRUMANSBURG ROAD, ITHACA, NY
Limited Pre-Demolition Asbestos Survey
Table 2 - Summary of Homogeneous Areas
Table 2 Notes:
Orange highlighting indicates Asbestos Containing Materials
p. 2 of 2
Area Material Locations Friability
ACM?
Y/N
Quantity of
ACM*
P Window caulk
Basement and first floor large
windows Non-friable N N/A
Q Window glazing compound
Basement and first floor steel
windows Non-friable N N/A
R Stucco
Basement east covered vestibule and
exterior Non-friable N N/A
S Textured stucco
Basement east covered vestibule and
exterior Non-friable Y
Not
quantified
T Asphaltic built-up roofing East flat roof Non-friable Y 2,200 s.f.
U Black caulk Roof parapet and coping Non-friable N N/A
V White caulk Roof parapet and coping Non-friable N N/A
PROJECT: 1257 TRUMANSBURG ROAD, ITHACA, NY
Limited Pre-Demolition Asbestos Survey
Table 2 - Summary of Homogeneous Areas
* Quantities are estimated and approximate: s.f. = square feet; l.f. = linear feet
Samples with vermiculite awaiting analysis by 198.8
Table 2 Notes:
Orange highlighting indicates Asbestos Containing Materials
Figures
FIGURE 1: SITE LOCATION
Project: Limited Pre-
Demolition Asbestos Survey Site: 1257 Trumansburg Road, Ithaca, NY
Source: USGS 7.5-min. Quadrangle
Ithaca West, New York (2019)
1257 Trumansburg Road
Ithaca, NY
FIGURE 2: BUILDING AND SAMPLING DIAGRAM
Project: Limited Pre-
Demolition Asbestos Survey Site: 1257 Trumansburg Road, Ithaca, NY
Approximate scale: 1” = 12’
Sheet 1 of 5
Sampling Locations
Positive or
Presumed Samples
Negative Samples
ROOF
FLAT ROOF
EAST WING
68
69
70
71 66
67
FIGURE 2: BUILDING AND SAMPLING DIAGRAM
Project: Limited Pre-
Demolition Asbestos Survey Site: 1257 Trumansburg Road, Ithaca, NY
Approximate scale: 1” = 10’
Sheet 2 of 5
Sampling Locations
Positive or
Presumed Samples
Negative Samples
2ND FLOOR
36
37
40 41
4243
44
45
46
47
38
39
WORK AREA
LIMITED TO
THIS ROOM
Awaiting Analysis
FIGURE 2: BUILDING AND SAMPLING DIAGRAM
Project: Limited Pre-
Demolition Asbestos Survey Site: 1257 Trumansburg Road, Ithaca, NY
Approximate scale: 1” = 14’
Sheet 3 of 5
Sampling Locations
Positive or
Presumed Samples
Negative Samples
1ST FLOOR
15
16
17
18
19
20
21 23
25
26
27
28
29
30
31
32
11
1213
14
22
24
33
34
35
58
59
WORK AREA
LIMITED TO
THIS WING
Awaiting Analysis
FIGURE 2: BUILDING AND SAMPLING DIAGRAM
Project: Limited Pre-
Demolition Asbestos Survey Site: 1257 Trumansburg Road, Ithaca, NY
Approximate scale: 1” = 14’
Sheet 4 of 5
Sampling Locations
Positive or
Presumed Samples
Negative Samples
BASEMENT
1
2
3
5 7
9
10
46
8
GARAGE BELOW
56
57
60
61 62
65
63
64
WORK AREA
LIMITED TO
THIS WING
Awaiting Analysis
FIGURE 2: BUILDING AND SAMPLING DIAGRAM
Project: Limited Pre-
Demolition Asbestos Survey Site: 1257 Trumansburg Road, Ithaca, NY
Approximate scale: 1” = 14’
Sheet 5 of 5
Sampling Locations
Positive or
Presumed Samples
Negative Samples
GARAGE
(BENEATH BASEMENT)
UTILITY
ROOM 48 49
50
51 52 53
54 55
OVERHEAD DOOR
Awaiting Analysis
Photos - 1257 Trumansburg Road, Ithaca, NY
Photo 1:
Tan 9x9 resilient floor
tiles and associated
black mastic in the
basement, first floor,
and second floor are
positive non-friable
ACM.
Much of this material is
located beneath glued
carpet.
Photo 2:
Thermal system
insulation on pipes in
the basement utility
room is positive friable
ACM.
Some of this material is
damaged, and broken
pieces and debris were
observed on equipment
and on the floor.
Photo 3:
Incidental disturbance
on equipment from
broken pipe insulation.
Photo 4:
Incidental disturbance
on the utility room floor
from pipe insulation
debris.
Photo 5:
Textured stucco at the
basement east
vestibule is positive
non-friable ACM.
Photo 6:
Asphaltic built-up
roofing beneath non-
ACM EPDM membrane
on the east wing flat
roof is positive non-
friable ACM.
Photos - 1257 Trumansburg Road, Ithaca, NY
Photo 7:
Acoustical plaster on
the basement and first
floor ceilings is positive
friable ACM.
First floor shown here.
Photo 8:
Exploratory hole (by
others) in ACM plaster
ceiling.
Photo 9:
Typical incidental
disturbance of friable
ACM plaster in
basement.
Appendix A - Laboratory Analytical Data
AmeriSci New York
117 EAST 30TH ST.
NEW YORK, NY 10016
TEL: (212) 679-8600 • FAX: (212) 679-3114
12/03/21 AmeriSci Job #221121362
12/06/21
ELAP #11480 1 14
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
PLM Bulk Asbestos Report
Date Received
Date Examined
RE:
ofPage
P.O. #
Major Design Group
dba:Lakeland Environmental
PO Box 140
Homer, NY 13077
Attn:Stephen Major
Asbestos Present Total % AsbestosClient No. / HGA Lab No.
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-101 221121362-01 NAD
Basement - Floor - Carpet MasticA
Yellow, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 32.9%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-102 221121362-02 NAD
Basement - Floor - Carpet MasticA
Yellow, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 39.4%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-103 221121362-03 NA
Basement - Ceiling - Plaster Base Layer "(SOF-V) and (SM-V) must be
analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."B
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-104 221121362-04 NA
Basement - Ceiling - Plaster Skim Coat "(SOF-V) and (SM-V) must be
analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."B
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-105 221121362-05 NA
Basement - Ceiling - Plaster Base Layer "(SOF-V) and (SM-V) must be
analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."
B
Bulk Material
See Reporting notes on last page
AmeriSci Job #:221121362 Page 2 of 14
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
PLM Bulk Asbestos Report
Client Name:Major Design Group
Asbestos Present Total % AsbestosClient No. / HGA Lab No.
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-106 221121362-06 NA
Basement - Ceiling - Plaster Skim Coat "(SOF-V) and (SM-V) must be
analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."B
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-107 221121362-07 NA
Basement - Ceiling - Plaster Base Layer "(SOF-V) and (SM-V) must be
analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."B
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-108 221121362-08 NA
Basement - Ceiling - Plaster Skim Coat "(SOF-V) and (SM-V) must be
analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."
B
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-109 221121362-09 NA
Basement - Wall - Plaster "(SOF-V) and (SM-V) must be analyzed by ELAP
198.8 or equivalent, effective 5/6/16 - see PLM footnote."C
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-110 221121362-10 NA
Basement - Wall - Plaster "(SOF-V) and (SM-V) must be analyzed by ELAP
198.8 or equivalent, effective 5/6/16 - see PLM footnote."C
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
YesL0221-111 221121362-11 10.6%
1 Fl. - Floor - Tan 9x9 Floor TileD
Tan, Homogeneous, Fibrous, Bulk Material
Chrysotile 10.6 %
Non-fibrous 39.7%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
See Reporting notes on last page
AmeriSci Job #:221121362 Page 3 of 14
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
PLM Bulk Asbestos Report
Client Name:Major Design Group
Asbestos Present Total % AsbestosClient No. / HGA Lab No.
Location:
Analyst Description:
Asbestos Types:
Other Material:
L0221-112 221121362-12 NA/PS
1 Fl. - Floor - Tan 9x9 Floor TileD
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
2YesL0221-113 221121362-13 Trace (<0.25 % pc)
1 Fl. - Floor - Black MasticE
Black/Gray, Heterogeneous, Non-Fibrous, Bulk Material
Chrysotile <0.25 % pc
Non-fibrous 11.3%
(ELAP 400 PC)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
YesL0221-114 221121362-14 2.5%
1 Fl. - Floor - Black MasticE
Black/Gray, Heterogeneous, Fibrous, Bulk Material
Chrysotile 2.5 %
Non-fibrous 22.3%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-115 221121362-15 NAD
1 Fl. - Floor - Carpet MasticF
Yellow, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 35.4%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-116 221121362-16 NAD
1 Fl. - Floor - Carpet MasticF
Yellow, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 33.8%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-117 221121362-17L1 NAD
1 Fl. - Main - 6" Cove Base & Glue / Cove BaseG
Dark Brown, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 48.9%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
See Reporting notes on last page
AmeriSci Job #:221121362 Page 4 of 14
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
PLM Bulk Asbestos Report
Client Name:Major Design Group
Asbestos Present Total % AsbestosClient No. / HGA Lab No.
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-117 221121362-17L2 NAD
1 Fl. - Main - 6" Cove Base & Glue / GlueG
Tan, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 51.3%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-118 221121362-18L1 NAD
1 Fl. - Main - 6" Cove Base & Glue / Cove BaseG
Dark Brown, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 49.6%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-118 221121362-18L2 NAD
1 Fl. - Main - 6" Cove Base & Glue / GlueG
Tan, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 51.6%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-119 221121362-19L1 NAD
1 Fl. - East - 4" Cove Base & Glue / Cove BaseH
Dark Brown, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 2.6%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-119 221121362-19L2 NAD
1 Fl. - East - 4" Cove Base & Glue / GlueH
Tan, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 16.5%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-120 221121362-20L1 NAD
1 Fl. - East - 4" Cove Base & Glue / Cove BaseH
Dark Brown, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 0.4%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
See Reporting notes on last page
AmeriSci Job #:221121362 Page 5 of 14
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
PLM Bulk Asbestos Report
Client Name:Major Design Group
Asbestos Present Total % AsbestosClient No. / HGA Lab No.
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-120 221121362-20L2 NAD
1 Fl. - East - 4" Cove Base & Glue / GlueH
Tan, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 11.6%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-121 221121362-21 NA
1 Fl. - Ceiling - Plaster Base Layer "(SOF-V) and (SM-V) must be analyzed by
ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."B
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-122 221121362-22 NA
1 Fl. - Ceiling - Plaster Skim Coat "(SOF-V) and (SM-V) must be analyzed by
ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."
B
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-123 221121362-23 NA
1 Fl. - Ceiling - Plaster Base Layer "(SOF-V) and (SM-V) must be analyzed by
ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."B
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-124 221121362-24 NA
1 Fl. - Ceiling - Plaster Skim Coat "(SOF-V) and (SM-V) must be analyzed by
ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."B
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-125 221121362-25 NA
1 Fl. - Ceiling Cove - Plaster Base Layer "(SOF-V) and (SM-V) must be
analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."
I
Bulk Material
See Reporting notes on last page
AmeriSci Job #:221121362 Page 6 of 14
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
PLM Bulk Asbestos Report
Client Name:Major Design Group
Asbestos Present Total % AsbestosClient No. / HGA Lab No.
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-126 221121362-26 NAD
1 Fl. - Ceiling Cove - Plaster Skim CoatI
White, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 100%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-127 221121362-27 NA
1 Fl. - Ceiling Cove - Plaster Base Layer "(SOF-V) and (SM-V) must be
analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."I
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-128 221121362-28 NAD
1 Fl. - Ceiling Cove - Plaster Skim CoatI
White, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 100%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-129 221121362-29 NA
1 Fl. - Wall - Plaster "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8
or equivalent, effective 5/6/16 - see PLM footnote."C
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-130 221121362-30 NA
1 Fl. - Wall - Plaster "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8
or equivalent, effective 5/6/16 - see PLM footnote."C
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-131 221121362-31 NA
1 Fl. - Wall - Plaster "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8
or equivalent, effective 5/6/16 - see PLM footnote."
C
Bulk Material
See Reporting notes on last page
AmeriSci Job #:221121362 Page 7 of 14
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
PLM Bulk Asbestos Report
Client Name:Major Design Group
Asbestos Present Total % AsbestosClient No. / HGA Lab No.
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-132 221121362-32 NAD
1 Fl. - East - DrywallJ
Brown/White, Heterogeneous, Fibrous, Bulk Material
Cellulose 25%, Fibrous glass Trace, Non-fibrous 75%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-133 221121362-33 NAD
1 Fl. - East - DrywallJ
Brown/White, Heterogeneous, Fibrous, Bulk Material
Cellulose 10%, Fibrous glass Trace, Non-fibrous 90%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-134 221121362-34 NAD
1 Fl. - East - Joint CompoundJ
White, Homogeneous, Non-Fibrous, Bulk Material
Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-135 221121362-35 NAD
1 Fl. - East - Joint CompoundJ
White, Homogeneous, Non-Fibrous, Bulk Material
Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-136 221121362-36 NAD
2 Fl. - Floor - Carpet MasticF
Yellow, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 33.6%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-137 221121362-37 NAD
2 Fl. - Floor - Carpet MasticF
Yellow, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 31.3%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
See Reporting notes on last page
AmeriSci Job #:221121362 Page 8 of 14
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
PLM Bulk Asbestos Report
Client Name:Major Design Group
Asbestos Present Total % AsbestosClient No. / HGA Lab No.
Location:
Analyst Description:
Asbestos Types:
Other Material:
YesL0221-138 221121362-38 9.4%
2 Fl. - Floor - Tan 9x9 Floor TileD
Tan, Homogeneous, Non-Fibrous, Bulk Material
Chrysotile 9.4 %
Non-fibrous 28.1%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
L0221-139 221121362-39 NA/PS
2 Fl. - Floor - Tan 9x9 Floor TileD
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-140 221121362-40 NAD
2 Fl. - Ceramic Tile - Thinset MortarK
Gray, Homogeneous, Non-Fibrous, Cementitious, Bulk Material
Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-141 221121362-41 NAD
2 Fl. - Ceramic Tile - Thinset MortarK
Gray, Homogeneous, Non-Fibrous, Cementitious, Bulk Material
Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-142 221121362-42 NAD
2 Fl. - Ceramic Tile - GroutL
Gray, Homogeneous, Non-Fibrous, Cementitious, Bulk Material
Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-143 221121362-43 NAD
2 Fl. - Ceramic Tile - GroutL
Gray, Homogeneous, Non-Fibrous, Cementitious, Bulk Material
Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
See Reporting notes on last page
AmeriSci Job #:221121362 Page 9 of 14
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
PLM Bulk Asbestos Report
Client Name:Major Design Group
Asbestos Present Total % AsbestosClient No. / HGA Lab No.
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-144 221121362-44.1 NAD
2 Fl. - Ceiling - Plaster / Skim CoatM
White, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 100%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-144 221121362-44.2 NAD
2 Fl. - Ceiling - Plaster / Base CoatM
Gray, Homogeneous, Non-Fibrous, Cementitious, Bulk Material
Animal hair Trace, Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-145 221121362-45.1 NAD
2 Fl. - Ceiling - Plaster / Skim CoatM
White, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 100%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-145 221121362-45.2 NAD
2 Fl. - Ceiling - Plaster / Base CoatM
Gray, Homogeneous, Non-Fibrous, Cementitious, Bulk Material
Animal hair Trace, Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-146 221121362-46 NAD
2 Fl. - Ceiling - 2x2 Ceiling TileN
White/Beige, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 66.7%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-147 221121362-47 NAD
2 Fl. - Ceiling - 2x2 Ceiling TileN
White/Beige, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 40.5%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
See Reporting notes on last page
AmeriSci Job #:221121362 Page 10 of 14
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
PLM Bulk Asbestos Report
Client Name:Major Design Group
Asbestos Present Total % AsbestosClient No. / HGA Lab No.
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-148 221121362-48 NA
Garage - Ceiling - Plaster "(SOF-V) and (SM-V) must be analyzed by ELAP
198.8 or equivalent, effective 5/6/16 - see PLM footnote."M
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-149 221121362-49 NA
Garage - Ceiling - Plaster "(SOF-V) and (SM-V) must be analyzed by ELAP
198.8 or equivalent, effective 5/6/16 - see PLM footnote."M
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
1L0221-150 221121362-50 NA
Garage - Ceiling - Plaster "(SOF-V) and (SM-V) must be analyzed by ELAP
198.8 or equivalent, effective 5/6/16 - see PLM footnote."
M
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
YesL0221-151 221121362-51 13.8%
Garage - Pipes - Pipe InsulationO
White, Homogeneous, Fibrous, Bulk Material
Chrysotile 6.9 %, Amosite 6.9 %
Non-fibrous 86.2%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
L0221-152 221121362-52 NA/PS
Garage - Pipes - Pipe InsulationO
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
L0221-153 221121362-53 NA/PS
Garage - Pipes - Pipe InsulationO
Bulk Material
See Reporting notes on last page
AmeriSci Job #:221121362 Page 11 of 14
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
PLM Bulk Asbestos Report
Client Name:Major Design Group
Asbestos Present Total % AsbestosClient No. / HGA Lab No.
Location:
Analyst Description:
Asbestos Types:
Other Material:
L0221-154 221121362-54 NA/PS
Garage - Pipes - Pipe Fitting InsulationO
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
L0221-155 221121362-55 NA/PS
Garage - Pipes - Pipe Fitting InsulationO
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-156 221121362-56 NAD
Exterior - South - Window CaulkP
Gray, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 5.2%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-157 221121362-57 NAD
Exterior - South - Window CaulkP
Gray, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 4.3%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-158 221121362-58 NAD
Exterior - East - Steel Wdo Glazing CompoundQ
Gray, Homogeneous, Non-Fibrous, Bulk Material
Fibrous Talc Trace, Non-fibrous 30.8%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-159 221121362-59 NAD
Exterior - East - Steel Wdo Glazing CompoundQ
Gray, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 21.7%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
See Reporting notes on last page
AmeriSci Job #:221121362 Page 12 of 14
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
PLM Bulk Asbestos Report
Client Name:Major Design Group
Asbestos Present Total % AsbestosClient No. / HGA Lab No.
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-160 221121362-60 NAD
Exterior - East - StuccoR
Gray, Homogeneous, Non-Fibrous, Cementitious, Bulk Material
Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-161 221121362-61 NAD
Exterior - East - StuccoR
Gray, Homogeneous, Non-Fibrous, Cementitious, Bulk Material
Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-162 221121362-62 NAD
Exterior - East - StuccoR
Gray, Homogeneous, Non-Fibrous, Cementitious, Bulk Material
Cellulose Trace, Non-fibrous 100%
(by NYS ELAP 198.1)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
YesL0221-163 221121362-63 1.5%
Exterior - East - Textured StuccoS
Gray, Homogeneous, Non-Fibrous, Cementitious, Bulk Material
Chrysotile 1.5 %
Cellulose Trace, Non-fibrous 98.5%
(ELAP 400 PC)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
L0221-164 221121362-64 NA/PS
Exterior - East - Textured StuccoS
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
L0221-165 221121362-65 NA/PS
Exterior - East - Textured StuccoS
Bulk Material
See Reporting notes on last page
AmeriSci Job #:221121362 Page 13 of 14
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
PLM Bulk Asbestos Report
Client Name:Major Design Group
Asbestos Present Total % AsbestosClient No. / HGA Lab No.
Location:
Analyst Description:
Asbestos Types:
Other Material:
YesL0221-166 221121362-66 7.3%
Roof - Flat - Asphaltic Built-Up RoofingT
Black, Homogeneous, Fibrous, Bulk Material
Chrysotile 7.3 %
Non-fibrous 12.8%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
L0221-167 221121362-67 NA/PS
Roof - Flat - Asphaltic Built-Up RoofingT
Bulk Material
Location:
Analyst Description:
Asbestos Types:
Other Material:
2YesL0221-168 221121362-68 Trace (<0.25 % pc)
Roof - Parapet - Black CaulkU
Black, Homogeneous, Non-Fibrous, Bulk Material
Chrysotile <0.25 % pc
Non-fibrous 15.4%
(ELAP 400 PC)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-169 221121362-69 NAD
Roof - Parapet - Black CaulkU
Black, Homogeneous, Non-Fibrous, Bulk Material
Non-fibrous 2.7%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
NoL0221-170 221121362-70 NAD
Roof - Parapet - White CaulkV
Off-White/Black, Heterogeneous, Non-Fibrous, Bulk Material
Non-fibrous 9.3%
(by NYS ELAP 198.6)
by Valeriu Voicu
on 12/06/21
Location:
Analyst Description:
Asbestos Types:
Other Material:
2YesL0221-171 221121362-71 Trace (<0.25 % pc)
Roof - Parapet - White CaulkV
Off-White/Black, Heterogeneous, Non-Fibrous, Bulk Material
Chrysotile <0.25 % pc
Non-fibrous 10.4%
(ELAP 400 PC)
by Valeriu Voicu
on 12/06/21
See Reporting notes on last page
AmeriSci Job #:221121362 Page 14 of 14
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
PLM Bulk Asbestos Report
Client Name:Major Design Group
Reporting Notes:
(1)(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16. 10 gram minimum sample weight is required.
(2)Sample prepared for analysis by ELAP 198.6 method
*NAD/NSD =no asbestos detected; NA =not analyzed; NA/PS=not analyzed/positive stop, (SOF-V) = Sprayed On Fireproofing containing Vermiculite;
(SM-V) = Surfacing Material containing Vermiculite; PLM Bulk Asbestos Analysis using Olympus, Model BH-2 Pol Scope, Microscope, Serial #: 229915, by
Appd E to Subpt E, 40 CFR 763 quantified by either CVES or 400 pt ct as noted for each analysis (NVLAP 200546-0), ELAP PLM Method 198.1 for NY
friable samples, which includes the identification and quantitation of vermiculite, or ELAP 198.6 for NOB samples, or EPA 400 pt ct by EPA 600-
M4-82-020 (NY ELAP Lab 11480); Note:PLM is not consistently reliable in detecting asbestos in floor coverings and similar non-friable organically bound
materials. NAD or Trace results by PLM are inconclusive, TEM is currently the only method that can be used to determine if this material 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) National Institute of Standards
and Technology Accreditation requirements mandate that this report must not be reproduced except in full without the approval of the lab.This PLM
report relates ONLY to the items tested. RI Cert AAL-094, CT Cert PH-0186, Mass Cert AA000054, NJ Lab ID #NY031.
____________END OF REPORT___________
Analyzed by: Valeriu Voicu
Date: 12/6/2021
Reviewed by: Gabriella Morozov
Client Name:
221121362
Major Design Group
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
AmeriSci Job #:Page 1 of 6
Table I
Summary of Bulk Asbestos Analysis Results
Client Sample#
Sample
Weight
(gram)
Heat
Sensitive
Organic %
Acid
Soluble
Inorganic %
Insoluble
Non-Asbestos
Inorganic %HG
Area
** Asbestos % by
PLM/DS
** Asbestos % by
TEM
AmeriSci
Sample #
01 L0221-101 A 0.267 50.4 16.7 32.9 NAD NAD
Basement - Floor - Carpet MasticLocation:
02 L0221-102 A 0.258 50.3 10.3 39.4 NAD NAD
Basement - Floor - Carpet MasticLocation:
03 L0221-103 B ----------------NA NA
Basement - Ceiling - Plaster Base Layer "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see
PLM footnote."
Location:
04 L0221-104 B ----------------NA NA
Basement - Ceiling - Plaster Skim Coat "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see
PLM footnote."
Location:
05 L0221-105 B ----------------NA NA
Basement - Ceiling - Plaster Base Layer "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see
PLM footnote."
Location:
06 L0221-106 B ----------------NA NA
Basement - Ceiling - Plaster Skim Coat "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see
PLM footnote."
Location:
07 L0221-107 B ----------------NA NA
Basement - Ceiling - Plaster Base Layer "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see
PLM footnote."
Location:
08 L0221-108 B ----------------NA NA
Basement - Ceiling - Plaster Skim Coat "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see
PLM footnote."
Location:
09 L0221-109 C ----------------NA NA
Basement - Wall - Plaster "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."Location:
10 L0221-110 C ----------------NA NA
Basement - Wall - Plaster "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."Location:
11 L0221-111 D 0.271 24.1 25.6 39.7 Chrysotile 10.6 NA
1 Fl. - Floor - Tan 9x9 Floor TileLocation:
12 L0221-112 D 0.551 23.7 27.0 49.3 NA/PS NA
1 Fl. - Floor - Tan 9x9 Floor TileLocation:
13 L0221-113 E 0.086 68.1 20.6 11.3 Chrysotile <0.25 NA
1 Fl. - Floor - Black MasticLocation:
14 L0221-114 E 0.201 41.0 34.1 22.3 Chrysotile 2.5 NA
1 Fl. - Floor - Black MasticLocation:
15 L0221-115 F 0.151 43.6 21.0 35.4 NAD NAD
1 Fl. - Floor - Carpet MasticLocation:
See Reporting notes on last page
Client Name:
221121362
Major Design Group
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
AmeriSci Job #:Page 2 of 6
Table I
Summary of Bulk Asbestos Analysis Results
Client Sample#
Sample
Weight
(gram)
Heat
Sensitive
Organic %
Acid
Soluble
Inorganic %
Insoluble
Non-Asbestos
Inorganic %HG
Area
** Asbestos % by
PLM/DS
** Asbestos % by
TEM
AmeriSci
Sample #
16 L0221-116 F 0.260 42.9 23.3 33.8 NAD NAD
1 Fl. - Floor - Carpet MasticLocation:
17L1 L0221-117 G 0.224 29.8 21.3 48.9 NAD NAD
1 Fl. - Main - 6" Cove Base & Glue / Cove BaseLocation:
17L2 L0221-117 G 0.337 41.8 6.8 51.3 NAD NAD
1 Fl. - Main - 6" Cove Base & Glue / GlueLocation:
18L1 L0221-118 G 0.289 28.8 21.6 49.6 NAD NAD
1 Fl. - Main - 6" Cove Base & Glue / Cove BaseLocation:
18L2 L0221-118 G 0.304 42.2 6.2 51.6 NAD NAD
1 Fl. - Main - 6" Cove Base & Glue / GlueLocation:
19L1 L0221-119 H 0.219 55.8 41.6 2.6 NAD NAD
1 Fl. - East - 4" Cove Base & Glue / Cove BaseLocation:
19L2 L0221-119 H 0.360 70.4 13.1 16.5 NAD NAD
1 Fl. - East - 4" Cove Base & Glue / GlueLocation:
20L1 L0221-120 H 0.215 50.9 48.7 0.4 NAD NAD
1 Fl. - East - 4" Cove Base & Glue / Cove BaseLocation:
20L2 L0221-120 H 0.167 78.0 10.4 11.6 NAD NAD
1 Fl. - East - 4" Cove Base & Glue / GlueLocation:
21 L0221-121 B ----------------NA NA
1 Fl. - Ceiling - Plaster Base Layer "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM
footnote."
Location:
22 L0221-122 B ----------------NA NA
1 Fl. - Ceiling - Plaster Skim Coat "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM
footnote."
Location:
23 L0221-123 B ----------------NA NA
1 Fl. - Ceiling - Plaster Base Layer "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM
footnote."
Location:
24 L0221-124 B ----------------NA NA
1 Fl. - Ceiling - Plaster Skim Coat "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM
footnote."
Location:
25 L0221-125 I ----------------NA NA
1 Fl. - Ceiling Cove - Plaster Base Layer "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see
PLM footnote."
Location:
26 L0221-126 I ----------------NAD NA
1 Fl. - Ceiling Cove - Plaster Skim CoatLocation:
See Reporting notes on last page
Client Name:
221121362
Major Design Group
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
AmeriSci Job #:Page 3 of 6
Table I
Summary of Bulk Asbestos Analysis Results
Client Sample#
Sample
Weight
(gram)
Heat
Sensitive
Organic %
Acid
Soluble
Inorganic %
Insoluble
Non-Asbestos
Inorganic %HG
Area
** Asbestos % by
PLM/DS
** Asbestos % by
TEM
AmeriSci
Sample #
27 L0221-127 I ----------------NA NA
1 Fl. - Ceiling Cove - Plaster Base Layer "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see
PLM footnote."
Location:
28 L0221-128 I ----------------NAD NA
1 Fl. - Ceiling Cove - Plaster Skim CoatLocation:
29 L0221-129 C ----------------NA NA
1 Fl. - Wall - Plaster "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."Location:
30 L0221-130 C ----------------NA NA
1 Fl. - Wall - Plaster "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."Location:
31 L0221-131 C ----------------NA NA
1 Fl. - Wall - Plaster "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."Location:
32 L0221-132 J ----------------NAD NA
1 Fl. - East - DrywallLocation:
33 L0221-133 J ----------------NAD NA
1 Fl. - East - DrywallLocation:
34 L0221-134 J ----------------NAD NA
1 Fl. - East - Joint CompoundLocation:
35 L0221-135 J ----------------NAD NA
1 Fl. - East - Joint CompoundLocation:
36 L0221-136 F 0.470 42.1 24.2 33.6 NAD NAD
2 Fl. - Floor - Carpet MasticLocation:
37 L0221-137 F 0.334 43.1 25.6 31.3 NAD NAD
2 Fl. - Floor - Carpet MasticLocation:
38 L0221-138 D 0.345 20.6 42.0 28.1 Chrysotile 9.4 NA
2 Fl. - Floor - Tan 9x9 Floor TileLocation:
39 L0221-139 D 0.402 20.4 49.9 29.7 NA/PS NA
2 Fl. - Floor - Tan 9x9 Floor TileLocation:
40 L0221-140 K ----------------NAD NA
2 Fl. - Ceramic Tile - Thinset MortarLocation:
41 L0221-141 K ----------------NAD NA
2 Fl. - Ceramic Tile - Thinset MortarLocation:
42 L0221-142 L ----------------NAD NA
2 Fl. - Ceramic Tile - GroutLocation:
See Reporting notes on last page
Client Name:
221121362
Major Design Group
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
AmeriSci Job #:Page 4 of 6
Table I
Summary of Bulk Asbestos Analysis Results
Client Sample#
Sample
Weight
(gram)
Heat
Sensitive
Organic %
Acid
Soluble
Inorganic %
Insoluble
Non-Asbestos
Inorganic %HG
Area
** Asbestos % by
PLM/DS
** Asbestos % by
TEM
AmeriSci
Sample #
43 L0221-143 L ----------------NAD NA
2 Fl. - Ceramic Tile - GroutLocation:
44.1 L0221-144 M ----------------NAD NA
2 Fl. - Ceiling - Plaster / Skim CoatLocation:
44.2 L0221-144 M ----------------NAD NA
2 Fl. - Ceiling - Plaster / Base CoatLocation:
45.1 L0221-145 M ----------------NAD NA
2 Fl. - Ceiling - Plaster / Skim CoatLocation:
45.2 L0221-145 M ----------------NAD NA
2 Fl. - Ceiling - Plaster / Base CoatLocation:
46 L0221-146 N 0.290 22.8 10.5 66.7 NAD NAD
2 Fl. - Ceiling - 2x2 Ceiling TileLocation:
47 L0221-147 N 0.266 24.6 34.9 40.5 NAD NAD
2 Fl. - Ceiling - 2x2 Ceiling TileLocation:
48 L0221-148 M ----------------NA NA
Garage - Ceiling - Plaster "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."Location:
49 L0221-149 M ----------------NA NA
Garage - Ceiling - Plaster "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."Location:
50 L0221-150 M ----------------NA NA
Garage - Ceiling - Plaster "(SOF-V) and (SM-V) must be analyzed by ELAP 198.8 or equivalent, effective 5/6/16 - see PLM footnote."Location:
51 L0221-151 O ----------------Chrysotile 6.9 NA
Garage - Pipes - Pipe Insulation Amosite 6.9Location:
52 L0221-152 O ----------------NA/PS NA
Garage - Pipes - Pipe InsulationLocation:
53 L0221-153 O ----------------NA/PS NA
Garage - Pipes - Pipe InsulationLocation:
54 L0221-154 O ----------------NA/PS NA
Garage - Pipes - Pipe Fitting InsulationLocation:
55 L0221-155 O ----------------NA/PS NA
Garage - Pipes - Pipe Fitting InsulationLocation:
56 L0221-156 P 0.311 20.2 74.6 5.2 NAD NAD
Exterior - South - Window CaulkLocation:
See Reporting notes on last page
Client Name:
221121362
Major Design Group
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
AmeriSci Job #:Page 5 of 6
Table I
Summary of Bulk Asbestos Analysis Results
Client Sample#
Sample
Weight
(gram)
Heat
Sensitive
Organic %
Acid
Soluble
Inorganic %
Insoluble
Non-Asbestos
Inorganic %HG
Area
** Asbestos % by
PLM/DS
** Asbestos % by
TEM
AmeriSci
Sample #
57 L0221-157 P 0.262 20.3 75.4 4.3 NAD NAD
Exterior - South - Window CaulkLocation:
58 L0221-158 Q 0.492 5.3 63.8 30.8 NAD NAD
Exterior - East - Steel Wdo Glazing CompoundLocation:
59 L0221-159 Q 0.403 4.5 73.8 21.7 NAD NAD
Exterior - East - Steel Wdo Glazing CompoundLocation:
60 L0221-160 R ----------------NAD NA
Exterior - East - StuccoLocation:
61 L0221-161 R ----------------NAD NA
Exterior - East - StuccoLocation:
62 L0221-162 R ----------------NAD NA
Exterior - East - StuccoLocation:
63 L0221-163 S ----------------Chrysotile 1.5 NA
Exterior - East - Textured StuccoLocation:
64 L0221-164 S ----------------NA/PS NA
Exterior - East - Textured StuccoLocation:
65 L0221-165 S ----------------NA/PS NA
Exterior - East - Textured StuccoLocation:
66 L0221-166 T 0.487 76.9 3.0 12.8 Chrysotile 7.3 NA
Roof - Flat - Asphaltic Built-Up RoofingLocation:
67 L0221-167 T 0.484 75.9 3.0 21.1 NA/PS NA
Roof - Flat - Asphaltic Built-Up RoofingLocation:
68 L0221-168 U 0.226 48.8 35.9 15.2 Chrysotile <0.25 Chrysotile <1.0
Roof - Parapet - Black CaulkLocation:
69 L0221-169 U 0.287 30.9 66.4 2.7 NAD NAD
Roof - Parapet - Black CaulkLocation:
70 L0221-170 V 0.262 68.9 21.8 9.3 NAD NAD
Roof - Parapet - White CaulkLocation:
71 L0221-171 V 0.279 68.6 21.0 10.2 Chrysotile <0.25 Chrysotile <1.0
Roof - Parapet - White CaulkLocation:
See Reporting notes on last page
Client Name:
221121362
Major Design Group
1257 Trumansburg Road, Ithaca, NY - NYS Pre-Demo
AmeriSci Job #:Page 6 of 6
Table I
Summary of Bulk Asbestos Analysis Results
Client Sample#
Sample
Weight
(gram)
Heat
Sensitive
Organic %
Acid
Soluble
Inorganic %
Insoluble
Non-Asbestos
Inorganic %HG
Area
** Asbestos % by
PLM/DS
** Asbestos % by
TEM
AmeriSci
Sample #
**Quantitative Analysis (Semi/Full); Bulk Asbestos Analysis - PLM by Appd E to Subpt E, 40 CFR 763 or NYSDOH ELAP 198.1 for New York friable samples or NYSDOH ELAP 198.6 for New York NOB samples;
TEM (Semi/Full) by EPA 600/R-93/116 (or NYSDOH ELAP 198.4; for New York samples). Analysis using Hitachi, Model H600-Noran 7 System, Microscope, Serial #: 542-26-10. NAD = no asbestos detected
during a quantitative analysis; NA = not analyzed; Trace = <1%; (SOF-V) = Sprayed On Fireproofing containing Vermiculite; (SM-V) = Surfacing Material containing Vermiculite; Quantitation for beginning
weights of <0.1 grams should be considered as qualitative only; Qualitative Analysis: Asbestos analysis results of "Present" or "NVA = No Visible Asbestos" represents results for Qualitative PLM or TEM
Analysis only (no accreditation coverage available from any regulatory agency for qualitative analyses): NVLAP (PLM) 200546-0, NYSDOH ELAP Lab 11480, NJ Lab ID #NY031.
Warning Note: PLM limitation, only TEM will resolve fibers <0.25 micrometers in diameter. TEM bulk analysis is representative of the fine grained matrix material and may not be representative of non-
uniformly dispersed debris for which PLM evaluation is recommended (i.e. soils and other heterogenous materials).
Analyzed by: Gabriella Morozov
Date: 12/6/2021
Reviewed by: Gabriella Morozov
December 15, 2021
Dear Stephen Major:
Major Design Group
Attn: Stephen Major
dba:Lakeland Environmental
18 James Street
Homer, NY 13077
RE:Major Design Group
Job Number 121121295
P.O. #Major
1257 Trumansburg Road, Ithaca, NY
AmeriSci Richmond
13635 GENITO ROAD
MIDLOTHIAN, VIRGINIA 23112
TEL: 8047631200 FAX: 8047631800
Enclosed are the results of Asbestos Analysis - Bulk Protocol of the following Major Design Group samples, received at
AmeriSci on Wednesday, December 8, 2021, for a 7 day turnaround:
Composite #1, Composite #2, Composite #3
The 3 samples, placed in zip lock bag, were shipped to AmeriSci via Fed Ex 7754 1792 9590 S. Major Design Group requested
ELAP 198.8 SM-V analysis of these samples.
The results of the analysis which were performed under NYSDOH ELAP lab Certification #10984 following ELAP 198.8 PLM
guidelines are presented within the report. 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.
Jean L. Mayes
Sincerely,
QA 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
121-12-1295
Lakeland Environmental
Table I
PLM Analysis of Surfacing Material Containing Vermiculate (SM-V) by NYS ELAP 198.8
1257 Trumansburg Rd
Percent Total
AmeriSci Client Analyst Percent Non-Asbestos Percent Percent Percent
Sample # Sample # Description Non-Fibrous Fibers Chrysotile Amphibole Asbestos Footnote
121121295-01 Composite 1 Tan, Granular 100 0 NAD NAD NAD None
121121295-02 Composite 2 Tan, Granular 95.3 0 4.7 NA/PS 4.7 None
121121295-03 Composite 3 Tan, Granular 100 0 NAD NAD NAD None
Analyzed by: Date:12/14/21
Reporting Notes:
ELAP Lab ID: 10984 : PLM analysis by NY ELAP 198.8
NAD= No Asbestos Detected: ND= None Detected: NA = Not Analyzed; NA/PS = Not Analyzed/Positive Stop
Footnote:
AmeriSci Job #:
Client:
AMV-PLN-4216_2017-05-31
AMERISCI SM-V 198.8 BENCHSHEET
AmeriSci Job #:
Client:
Job Site:
Asbestos Analysis of NYS ELAP Method 198.8
PLM analysis for Asbestos in Surfacing Material Containing Vermiculite (SM-V)
BENCH SHEET
AmeriSci Richmond Sample #:1 Crucible ID#1
Tech/Analyst Date
Gravimetric Prep JK 12/13/21
PLM Chrysotile Analysis JLM 12/14/21
Centrifugation JK 12/14/21
PLM Amphibole Analysis JLM 12/14/21
STEREOBINOCULAR EXAMINATION
COLOR:Tan TEXTURE:Granular HOMOGENEITY:
HOMOGENIZATION:PROBABLY FIBERS:
INITIAL WEIGHTS
Weight Of Crucible 25.4438
Weight of Cricible+Subsample 29.9698
Weight of Subsample 4.5260
ASHING
Weight of Crucible+Ash 29.226
Weight of Ash 3.7822
Weight Loss During Ash 0.7438
Weight Percent Organic and Water 16.4339
ACID TREATMENT/FLOTATION
Weight of Dish for Floats
Weight of Dish and Floats % Difference Acceptable
Weight of Floats 0.0000 0 #DIV/0!#DIV/0!
Weight Percent Floats 0.0000
Weight of Dish+Filter for Residue 8.1555
Weight of Dish+Filter+Residue 9.1594 9.1594 % Difference Acceptable
Weight of Residue 1.0039 1.0039 0.00%YES
Weight Loss During Acid Treatment 2.7783
Weight Percent Acid-Soluble Materials 61.3853
Weight Percent Reside 22.1807
PLM EXAMINATION OF RESIDUE (CHRYSOTILE)Analyzed PTCT Chrysotile Non-Empty PTCT Chrysotile Non-Empty Trace Detected
Number of Occupied Points 400 Slide 1: 0 50 Slide 5: 0 50 NO
Number of Chrysotile Points 0 Slide 2:0 50 Slide 6:0 50
Percent Chrysotile by PTCT 0 Slide 3: 0 50 Slide 7: 0 50
PERCENT CHRYSOTILE IN SAMPLE 0.0 Slide 4:0 50 Slide 8:0 50
HEAVY LIQUID CENTRIFUGATION CHRYSOTILE IDENTIFICATION
Weight Of Dish+Filter+Balance Of Residue 9.1676 RI RI Sign Of Extinction
Weight of Balance Of Residue 1.0121 Morphology Parallel Perpindicular Elongation Angle Birefringence Fiber ID
Weight Of Dish+Filter for Centrifugate 8.1601
Weight Of Dish+Filter+Centrifugate 8.2247
Weight Of Centrifugate 0.0646
Weight Percent Centrifugate 1.4157
PLM EXAMINATION OF CENTRIFUGATE (AMPHIBOLE)Analyzed PTCT Amphibole Non-Empty PTCT Amphibole Non-Empty Trace Detected
Number of Occupied Points 400 Slide 1: 0 50 Slide 5: 0 50 NO
Number of Amphibole Asbestos Points 0 Slide 2: 0 50 Slide 6: 0 50
Percent Amphibole Asbestos by PTCT 0 Slide 3: 0 50 Slide 7: 0 50
PERCENT AMPHIBOLE ASBESTOS IN SAMPLE 0.00 Slide 4:0 50 Slide 8:0 50
AMPHIBOLE IDENTIFICATION
PERCENT TOTAL ASBESTOS IN SAMPLE 0.00 RI RI Sign Of Extinction
Morphology Parallel Perpindicular Elongation Angle Birefringence Fiber ID
2nd Measure
2nd Measure
121-12-1295
Lakeland Environmental
1257 Trumansburg Rd
COMMENTS
AMV-PLN-4213_2015-01-30
AmeriSci Job #:
Client:
Job Site:
Asbestos Analysis of NYS ELAP Method 198.8
PLM analysis for Asbestos in Surfacing Material Containing Vermiculite (SM-V)
BENCH SHEET
AmeriSci Richmond Sample #:2 Crucible ID#2
Tech/Analyst Date
Gravimetric Prep JK 12/13/21
PLM Chrysotile Analysis JLM 12/14/21
Centrifugation
PLM Amphibole Analysis
STEREOBINOCULAR EXAMINATION
COLOR:Tan TEXTURE:Granular HOMOGENEITY:
HOMOGENIZATION:PROBABLY FIBERS:
INITIAL WEIGHTS
Weight Of Crucible 23.7465
Weight of Cricible+Subsample 26.1129
Weight of Subsample 2.3664
ASHING
Weight of Crucible+Ash 25.193
Weight of Ash 1.4465
Weight Loss During Ash 0.9199
Weight Percent Organic and Water 38.8734
ACID TREATMENT/FLOTATION
Weight of Dish for Floats 0
Weight of Dish and Floats 0 % Difference Acceptable
Weight of Floats 0.0000 0 #DIV/0!#DIV/0!
Weight Percent Floats 0.0000
Weight of Dish+Filter for Residue 8.1547
Weight of Dish+Filter+Residue 9.4296 9.4296 % Difference Acceptable
Weight of Residue 1.2749 1.2749 0.00%YES
Weight Loss During Acid Treatment 0.1716
Weight Percent Acid-Soluble Materials 7.2515
Weight Percent Reside 53.8751
PLM EXAMINATION OF RESIDUE (CHRYSOTILE)Analyzed PTCT Chrysotile Non-Empty PTCT Chrysotile Non-Empty Trace Detected
Number of Occupied Points 400 Slide 1: 4 46 Slide 5: 6 44 NO
Number of Chrysotile Points 35 Slide 2:2 48 Slide 6:6 44
Percent Chrysotile by PTCT 8.75 Slide 3: 4 46 Slide 7: 5 45
PERCENT CHRYSOTILE IN SAMPLE 4.7 Slide 4:5 45 Slide 8:3 47
HEAVY LIQUID CENTRIFUGATION CHRYSOTILE IDENTIFICATION
Weight Of Dish+Filter+Balance Of Residue RI RI Sign Of Extinction
Weight of Balance Of Residue -8.1547 Morphology Parallel Perpindicular Elongation Angle Birefringence Fiber ID
Weight Of Dish+Filter for Centrifugate
Weight Of Dish+Filter+Centrifugate
Weight Of Centrifugate 0
Weight Percent Centrifugate 0.0000
PLM EXAMINATION OF CENTRIFUGATE (AMPHIBOLE)Analyzed PTCT Amphibole Non-Empty PTCT Amphibole Non-Empty Trace Detected
Number of Occupied Points 400 Slide 1: 50 Slide 5: 50 NO
Number of Amphibole Asbestos Points 0 Slide 2: 50 Slide 6: 50
Percent Amphibole Asbestos by PTCT 0 Slide 3: 50 Slide 7: 50
PERCENT AMPHIBOLE ASBESTOS IN SAMPLE 0.00 Slide 4:50 Slide 8:50
AMPHIBOLE IDENTIFICATION
PERCENT TOTAL ASBESTOS IN SAMPLE 4.71 RI RI Sign Of Extinction
Morphology Parallel Perpindicular Elongation Angle Birefringence Fiber ID
2nd Measure
2nd Measure
121-12-1295
Lakeland Environmental
1257 Trumansburg Rd
sof
AmeriSci Job #:
Client:
Job Site:
Asbestos Analysis of NYS ELAP Method 198.8
PLM analysis for Asbestos in Surfacing Material Containing Vermiculite (SM-V)
BENCH SHEET
AmeriSci Richmond Sample #:3 Crucible ID#3
Tech/Analyst Date
Gravimetric Prep JK 12/13/21
PLM Chrysotile Analysis JLM 12/14/21
Centrifugation JK 12/14/21
PLM Amphibole Analysis JLM 12/14/21
STEREOBINOCULAR EXAMINATION
COLOR:Tan TEXTURE:Granular HOMOGENEITY:
HOMOGENIZATION:PROBABLY FIBERS:
INITIAL WEIGHTS
Weight Of Crucible 26.0236
Weight of Cricible+Subsample 29.5496
Weight of Subsample 3.5260
ASHING
Weight of Crucible+Ash 29.0919
Weight of Ash 3.0683
Weight Loss During Ash 0.4577
Weight Percent Organic and Water 12.9807
ACID TREATMENT/FLOTATION
Weight of Dish for Floats 0
Weight of Dish and Floats % Difference Acceptable
Weight of Floats 0.0000 0 #DIV/0!#DIV/0!
Weight Percent Floats 0.0000
Weight of Dish+Filter for Residue 8.1542
Weight of Dish+Filter+Residue 9.5322 9.5322 % Difference Acceptable
Weight of Residue 1.3780 1.378 0.00%YES
Weight Loss During Acid Treatment 1.6903
Weight Percent Acid-Soluble Materials 47.9382
Weight Percent Reside 39.0811
PLM EXAMINATION OF RESIDUE (CHRYSOTILE)Analyzed PTCT Chrysotile Non-Empty PTCT Chrysotile Non-Empty Trace Detected
Number of Occupied Points 400 Slide 1: 0 50 Slide 5: 0 50 NO
Number of Chrysotile Points 0 Slide 2:0 50 Slide 6:0 50
Percent Chrysotile by PTCT 0 Slide 3: 0 50 Slide 7: 0 50
PERCENT CHRYSOTILE IN SAMPLE 0.0 Slide 4:0 50 Slide 8:0 50
HEAVY LIQUID CENTRIFUGATION CHRYSOTILE IDENTIFICATION
Weight Of Dish+Filter+Balance Of Residue 9.5131 RI RI Sign Of Extinction
Weight of Balance Of Residue 1.3589 Morphology Parallel Perpindicular Elongation Angle Birefringence Fiber ID
Weight Of Dish+Filter for Centrifugate 8.1603
Weight Of Dish+Filter+Centrifugate 8.2364
Weight Of Centrifugate 0.0761
Weight Percent Centrifugate 2.1886
PLM EXAMINATION OF CENTRIFUGATE (AMPHIBOLE)Analyzed PTCT Amphibole Non-Empty PTCT Amphibole Non-Empty Trace Detected
Number of Occupied Points 400 Slide 1: 0 50 Slide 5: 0 50 NO
Number of Amphibole Asbestos Points 0 Slide 2: 0 50 Slide 6: 0 50
Percent Amphibole Asbestos by PTCT 0 Slide 3: 0 50 Slide 7: 0 50
PERCENT AMPHIBOLE ASBESTOS IN SAMPLE 0.00 Slide 4:0 50 Slide 8:0 50
AMPHIBOLE IDENTIFICATION
PERCENT TOTAL ASBESTOS IN SAMPLE 0.00 RI RI Sign Of Extinction
Morphology Parallel Perpindicular Elongation Angle Birefringence Fiber ID
2nd Measure
2nd Measure
121-12-1295
Lakeland Environmental
1257 Trumansburg Rd
COMMENTS
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.