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31C-016 (2) Page 2 of 2 Login Sample Receipt Checklist (Rejection Criteria Listing-Using Sample Acceptance Policy) Any False statement will be brought to the attention of Client Question Answer(True/ al. Comment T/F/NA 1)The cooler's custody sea(, if present, is intact. 2)The cooler or samples do not appear to have been compromised or tampered with. 3)Samples were received on ice. 4)Cooler Temperature is acceptable. 5)Cooler Temperature is recorded. 6) COC is filled out in ink and legible. 7 COC is filled out with all pertinent information. 8) Field Sampler's name present on COC. 9)There are no discrepancies between the sample IDs on the container and the COC. 10)Samples are received within Holding Time. 11 Sample containers have legible labels. 1 12) Containers are not broken or leaking. 13)Air Cassettes are not broken/open. 14)Sample collection date/times are provided. 15 Appropriate sample containers are used. 16)Proper collection media used. 17)No headspace sample bottles are completely filled. 18)There is sufficient volume for all requsted analyses, including any requested MS/MSDs. i 19)Trip blanks provided if applicable. 20)VOA sample vials do not have head space or bubble is<6mm 114" in diameter. 21)Samples do not require splitting or compositing. Who notified of False statements? Date/Time: Doc#277 Rev. 4 August 2013 Log-in Technician Initials: R r 1 Date/Time: Page 19 of 19 39 Spruce St . East Longmeadow,MA.01028 con test,® P:413-525-2332 ANALYTICAL LABORATORY F:413-525-6405 Page 1 of 2 www.contestiabs.com 4 Sample Receipt Checklist CLIENT NAME: ' ECEIVED BY: krn DATE: 1) Was the chain(s)of custody relinquished and signed? Yes No No CoC Included 2) Does the chain agree with the samples? Yes No If not, explain: 3) Are all the samples in good condition? Yes No If not, explain: 4) How weret w samples received: On Ice Direct from Sampling ❑ Ambient ❑ In Cooler(s) L`1' Were the samples received in Temperature Compliance of(2-6 0C)? Ye No NIA[ Temperature°C by Temp blank Temperature °C by emp gun 7• 5) Are there Dissolved samples for the lab to filter? Yes No Who was notified Date Time 6) Are there any USH or HORT HOLDING TIME samples? Ye No Who was Date Time Permission to subcontract samples? Yes No 7) Location where samples are stored: (Walk-in clients only)if not already approved Client Signature: 8) Do all samples have the proper Acid pH: Yes No ENA 9) Do all samples have the proper Base pH: Yes No 10)Was the PC notified of any discrepancies with the CoC vs the samples: Yes No NIA Containers received at Con-Test #of containers #of containers 1 Liter Amber 8 oz amber/clear jar 500 mL Amber 4 oz tuber/ tear'jar 250 mL Amber(8oz amber 2 oz amber/clear'ar 1 Liter Plastic Plastic Bag I Ziploc 500 mL Plastic SOC Kit 250 mL plastic Non-ConTest Container 40 mL Vial-type listed below Perchlorate Kit Colisure/bacteria bottle Flash point bottle Dissolved Oxygen bottle Other glass jar Encore Other Laboratory Comments: Time and Date Frozen: 40 mL vials: #HCI #Methanol Doc#277 #Bisulfate #DI Water Rev.4 August 2013 #Thiosulfate Unpreserved Page 18 of 19 Phone:413-525-2332 CHAIN OF CUSTODY RECORD 395pruceStreet Page ,_of con.� East fongmeadow,MA 01628 Fax:413-625-6405 .. , #of Containers Email:info @contestlabs.com ANALYTICAL LABORATORY www.contestiabs.com .�. , .. ._ *Preservation Telephone: ""Container Code Company Name r+.`3�1�` {� Address: f%_0 QLQORp..:'T Project# ANALYSIS REQUESTED'' Dissolved Metals Client PO# p Field Filtered N r DATA DELIVERY(check all that apply) Q Lab t0 Filter Attention: O FAX EMAIL OWEBSITE Fax# Cont.Code: Project Location: A(CP�{Jt QQ NtiN. ��\\\ A=amber glass Sampled B ir.(;7 Email:A %0-4> CLV-*— G=glass Format: OPDF OExcEL OBIS P plastic Project Proposal Provided?(for billing purposes) GY l> ST=sterile O yes _proposal date O OTHER V=vial Coll a Ion O "Enhanced Data Package" S=summa can Con-Test Lab ID p p Beginning Ending 'Matrix Client Sample I D/Description Com site Grab Code Gnnc Code {^ T= r bag pabontoryuseonNl Date Time Date Time Po 0=Oth Other' i **Preservation r, I=Iced lO H=HCL Ix M=Methanol N=Nitric Acid 5=Sulfuric Acid B=Sodium b1sulfate X=Na;hydroxide T=Na thlosulfate; O=Other *Matra Code: GW=groundwater WW=wastewater Comments: Please use the following codes to let Con-Test know if a specific sample DW=drinking water may be high in concentration in MatrixlConc.Code Box: - -- 'A=air ------------------------ --- ----- S=soil/solid H-High;M-Medium;L-Low; C-Clean; U-Unknown SL=sludge I AI O=other Relin ed by:(s' nature) Da e/Time: Turnaround Detection Limit Re uirements Is your project MCP or RCP? Q 7-Day Massachusetts: Re by:(signature ateMme: 10-Day _ 0 MCP Form Required Q Other— 0 RCP Form Required Relinquished by: ignature) Date(Time: RUSH 1 Connecticut: 0 MA State DW Form Required PWSID# 24-Hr®148-Hr " a. NELAC&AIHA-LAP,LLC w Accredited CD Received by:(signature) D A 172-Hr©14-Day V f t Require lab approval I Other WBE/DBE Certified v p If TURNAROUND TIME STARTS AT 9:00 A.M.THE DAY AFTER SAMPLE RECEIPT UNLESS THERE ARE QUESTIONS ON YOUR CHAIN. IF THIS FORM IS NOT FILLED OUT COMPLETELY OR IS INCORRECT,TURNAROUND TIME WILL NOT START UNTIL ALL QUESTIONS ARE ANSWERED BY OUR CLIENT. PLEASE BE CAREFUL NOT TO CONTAMINATE THIS DOCUMENT All I I , r041*&Sr ANALYTICAL LABORATORY 39 Spruce Street'East Longmeadow,MA 01028'FAX 413/525-6405*TEL.413/525-2332 CERTIFICATIONS Certified Analyses included in this Report Analyte Certifications SW-846 6070C in Water Arsenic NY,CT,NC,ME,NH,VA,NJ Barium NY,CT,ME,NC,NH,V A,NI Cadmium NY,CT,ME,NC,NH,VA,NJ Chromium NY,CT,ME,NC,NH,VA,NJ Lead NY,CT,ME,NC,NH,V A,NJ Selenium CT,ME,NC,NH,NY,VA,NJ Silver CT,ME,NC,NH,NY,VA,NJ SW-846 7470A in Water Mercury CT,ME,NC,NH,NY,VA,NJ The CON-TEST Environmental Laboratory operates under the following certifications and accreditations: Code Description Number Expires AIHA AIHA-LAP,LLC 100033 02/1/2016 MA Massachusetts DEP M-MA100 06/30/2015 CT Connecticut Department of Publilc Health PH-0567 09/30/2015 NY New York State Department of Health 10899 NELAP 04/1/2015 NH-S New Hampshire Environmental Lab 2516 NELAP 02/5/2015 RI Rhode Island Department of Health LA000112 12/30/2015 NC North Carolina Div.of Water Quality 652 12/31/2015 NJ New Jersey DEP MA007 NELAP 06/30/2015 FL Florida Department of Health E871027 NELAP 06/30/2015 VT Vermont Department of Health Lead Laboratory LL015036 07/30/2015 WA State of W ashington Department of Ecology C2065 02/23/2015 ME State of Maine 2011028 06/9/2015 VA Commonwealth of Virginia 460217 12/14/2015 NH-P New Hampshire Environmental Lab 2557 NELAP 09/6/2015 Pagel 6 of 19 ANALYTICAL LABORATORY 39 Spruce Street'East Longmeadow,MA 01028'FAX 413/525-6405'TEL.413/525-2332 FLAG/QUALIFIER SUMMARY * QC result is outside of established limits. t Wide recovery limits established for difficult compound. $ Wide RPD limits established for difficult compound. # Data exceeded client recommended or regulatory level Percent recoveries and relative percent differences(RPDs)are determined by the software using values in the calculation which have not been rounded. No results have been blank subtracted unless specified in the case narrative section. Page 15 of i 9 ANALYTICAL LABORATORY 39 Spruce Street'East Longmeadow,MA 01028'FAX 413/525-6405'TEL.413/525-2332 IDENTIFICATION SUMMARY FOR SINGLE COMPONENT ANALYTES LCS Dup SW-846 8082A Lab Sample ID: 6113088-BSD1 Date(s)Analyzed: 01/08/2015 01/08/2015 Instrument ID(1): Instrument ID(2): GC Column (1): ID: (mm) GC Column(2): ID: (mm) ANALYTE COL RT RT WINDOW CONCENTRATION %D FROM TO Aroclor-1016 1 0.00 0.00 0.00 3.7 2 0.00 0.00 0.00 3.5 6 Aroclor-1260 1 0.00 0.00 0.00 3.6 2 0.00 0.00 0.00 3.4 5 Page 14 of 19 Q ANALYtrAL LABORATORY 39 Spruce Street*East Longmeadow,MA 01028*FAX 4131525-6405*TEL.413/525-2332 IDENTIFICATION SUMMARY FOR SINGLE COMPONENT ANALYTES LCS SW-846 8082A Lab Sample ID: 13113088-BS1 Date(s)Analyzed: 01/08/2015 01/08/2015 Instrument ID(1): Instrument ID(2): GC Column(1): ID: (mm) GC Column(2): ID: (mm) ANALYTE COL RT RT WINDOW CONCENTRATION %D FROM TO Aroclor-1016 1 0.00 0.00 0.00 3.8 2 0.00 0.00 0.00 3.6 5 Aroclor-1260 1 0.00 0.00 0.00 3.8 2 0.00 0.00 0.00 3.6 6 Page 13 of 19 Ali I I k rnnWksko nalnL CZ LABORATORY 39 Spruce Street`East Longmeadow,MA 01028'FAX 413/525-6405'TEL.413/525-2332 QUALITY CONTROL TCLP-Metals Analyses-Quality Control Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch 11113130-SW-846 7470A Prep LCS Dup(11113130-BSDI) Prepared&Analyzed:01/08/15 Mercury 0.00200 0.00010 mg/L 0.00200 99.8 80-120 6.02 20 Matrix Spike(11113130-MSI) Source:15AO113-04 Prepared&Analyzed:01/08/15 Mercury 0.00195 0.00010 mg/L 0.00200 ND 97.7 75-125 Page 12 of 19 .� ! �? ANALYTICAL LABORATORY 39 Spruce Street*East Longmeadow,MA 01028*FAX 413/525-6405*TEL.413/525-2332 QUALITY CONTROL TCLP-Metals Analyses-Quality Control Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch B113126-SW-846 3010A Blank(BI 13126-BLKI) Prepared:01/08/15 Analyzed:01/09/15 Arsenic ND 0.010 mg/L Barium ND 0.050 mg/L Cadmium ND 0.0040 mg/L Chromium ND 0.010 mg/L Lead ND 0.010 mg/L Selenium ND 0.050 mg/L Silver ND 0.0050 mg/L LCS(B113126-BS1) Prepared:01/08/15 Analyzed:01/09/15 Arsenic 0.584 0.010 mg/L 0.500 117 80-120 Barium 0.534 0.050 mg/L 0.500 107 80-120 Cadmium 0.553 0.0040 mg/L 0.500 111 80-120 Chromium 0.510 0.010 mg/L 0.500 102 80-120 Lead 0.506 0.010 mg/L 0.500 101 80-120 Selenium 0.598 0.050 mg/L 0.500 120 80-120 Silver 0.520 0.0050 mg/L 0.500 104 80-120 LCS Dup(Bll3126-BSDI) Prepared:01/08/15 Analyzed:01/09/15 Arsenic 0.584 0.010 mg/L 0.500 117 80-120 0.0385 20 Barium 0.528 0.050 mg/L 0.500 106 80-120 1.00 20 Cadmium 0.547 0.0040 mg/L 0.500 109 80-120 0.988 20 Chromium 0.506 0.010 mg/L 0.500 101 80-120 0.744 20 Lead 0.501 0.010 mg/L 0.500 100 80-120 0.962 20 Selenium 0.599 0.050 mg/L 0.500 120 80-120 0.193 20 Silver 0.514 0.0050 mg/L 0.500 103 80-120 1.04 20 Matrix Spike(B113126-MSI) Source:15AO113-04 Prepared:01/08/15 Analyzed:01/09/15 Arsenic 0.731 0.010 mg/L 0.500 0.154 115 75-125 Barium 1.13 0.050 mg/L. 0.500 0.614 104 75-125 Cadmium 0.556 0.0040 mg/L 0.500 0.00370 110 75-125 Chromium 0.544 0.010 mg/L. 0.500 0.0231 104 75-125 Lead 0.609 0.010 mg/L. 0.500 0.120 97.8 75-125 Selenium 0.424 0.050 mg/L 0.500 ND 84.7 75-125 Silver 0.534 0.0050 mg/L 0.500 ND 107 75-125 Batch BI 13130-SW-846 7470A Prep Blank(B113130-BLK1) Prepared&Analyzed.01/08/15 Mercury ND 0.00010 mg/L LCS(B113130-BS1) Prepared&Analyzed:01/08/15 Mercury 0.00188 0.00010 mg/L 0.00200 94.0 80-120 Page 11 of 19 qffANA YI'1CAL LABORATORY 39 Spruce Street'East Longmeadow,MA 01028'FAX 413/525-6405"TEL.413/525-2332 QUALITY CONTROL Polychlorinated Biphenyls with 3540 Soxhlet Extraction-Quality Control Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch 11113088-SW-846 3540C Blank(B113088-BLKI) Prepared:01/07/15 Analyzed:01/08/15 Aroclor-1016 ND 0.20 mg/Kg Aroclor-1016[2C] ND 0.20 mg/Kg Aroclor-1221 ND 0.20 mg/Kg Aroclor-1221[2C] ND 0.20 mg/Kg Aroclor-1232 ND 0.20 mg/Kg Aroclor-1232[2C] ND 0.20 mg/Kg Aroclor-1242 ND 0.20 mg/Kg Aroclor-1242[2C] ND 0.20 mg/Kg Aroclor-1248 ND 0.20 mg/Kg Aroclor-1248[2C] ND 0.20 mg/Kg Aroclor-1254 ND 0.20 mg/Kg Aroclor-1254[2C] ND 0.20 mg/Kg Aroclor-1260 ND 0.20 mg/Kg Aroclor-1260[2C] ND 0.20 mg/Kg Aroclor-1262 ND 0.20 mg/Kg Aroclor-1262[2C] ND 0.20 mg/Kg Aroclor-1268 ND 0.20 mg/Kg Aroclor-1268[2C] ND 0.20 mg/Kg Surrogate:Decachlorobiphenyl 3.58 mg/Kg 4.00 89.6 30-150 Surrogate:Decachlorobiphenyl[2C] 3.27 mg/Kg 4.00 81.7 30-150 Surrogate:Tetrachloro-m-xylene 3.87 mg/Kg 4.00 96.8 30-150 Surrogate:Tetrachloro-m-xylene[2C] 3.41 mg/Kg 4.00 85.3 30-150 LCS(B113088-BSI) Prepared:01/07/15 Analyzed:01/08/15 Aroclor-1016 3.8 0.20 mg/Kg 4.00 94.7 40-140 Aroclor-1016[2C] 3.6 0.20 mg/Kg 4.00 89.6 40-140 Aroclor-1260 3.8 0.20 mg/Kg 4.00 95.8 40-140 Aroclor-1260[2C] 3.6 0.20 mg/Kg 4.00 90.3 40-140 Surrogate:Decachlorobiphenyl 4.35 mg/Kg 4.00 109 30-150 Surrogate:Decachlorobiphenyl[2C] 3.95 mg/Kg 4.00 98.6 30-150 Surrogate:Tetrachloro-m-xylene 3.96 mg/Kg 4.00 98.9 30-150 Surrogate:Tetrachloro-m-xylene[2C] 3.46 mg/Kg 4.00 86.6 30-150 LCS Dup(BI 3088-BSDI) Prepared:01/07/15 Analyzed:01/08/15 Aroclor-1016 3.7 0.20 mg/Kg 4.00 92.6 40-140 2.30 30 Aroclor-1016[2C] 3.5 0.20 mg/Kg 4.00 87.3 40-140 2.57 30 Aroclor-1260 3.6 0.20 mg/Kg 4.00 89.6 40-140 6.72 30 Aroclor-1260[2C] 3.4 0.20 mg/Kg 4.00 84.5 40-140 6.62 30 Surrogate:Decachlorobiphenyl 3.86 mg/Kg 4.00 96.6 30-150 Surrogate:Decachlorobiphenyl[2C] 3.52 mg/Kg 4.00 88.0 30-150 Surrogate:Tetrachloro-m-xylene 3.90 mg/Kg 4.00 97.4 30-150 Surrogate:Tetrachloro-m-xylene[2C] 3.41 mg/Kg 4,00 85.3 30-150 Page 10 of 19, A1111 , ranausr ANALYTICAL LABORATORY 39 Spruce Street'East Longmeadow,MA 01028'FAX 413/525-6405'TEL.413/525-2332 Sample Extraction Data Prep Method:SW-846 3010A-SW-846 6010C Leachates were extracted on 1/7/2015 per SW-846 1311 in Batch B113068 Lab Number[Field ID] Batch Initial[mL] Final[mL] Date 15A0113-04[01198-TCLPO11 B113126 50.0 50.0 01/08/15 Prep Method:SW-846 7470A Prep-SW-846 7470A Leachates were extracted on 1/7/2015 per SW-846 1311 in Batch B113068 Lab Number[Field ID] Batch Initial[mL] Final[mL] Date 15A0113-04[01198-TCLPOI] B113130 6.00 6.00 01/08/15 Prep Method:SW-846 3540C-SW-846 8082A Lab Number[Field ID] Batch Initial[g] Final[mL] Date 15A0113-01[01198-PCBO1) B113088 0.507 10.0 01/07/15 15A0113-02[01198-PCB021 B113098 0.526 10.0 01/07/15 15A0113-03[01198-DUPOI) B113088 0.558 10.0 01/07/15 Page 9 of 19 4PI111 ,10noksto ANALYTICAL LABORATORY 39 Spruce Street*East Longmeadow,MA 01028*FAX 4131525-6405*TEL.413/525-2332 Project Location: 65 Paradise Rd.,Northampton Sample Description: Work Order 15AO113 Date Received: 1/7/2015 Field Sample#: 01198-TCLP01 Sampled: 11512015 00:00 Sample ID: 15AO113-04 Samule Matrix: Product/Solid TCLP-Metals Analyses Date Date/Time Analyte Results RL Units Dilution Flag/Qual Method Prepared Analyzed Analyst Arsenic 0.15 0.010 mg/L 1 SW-8466010C 1/8/15 1/9/1512:58 OP Mercury ND 0.00010 mg/L 1 SW-846 7470A 1/8/15 1/8/15 13:58 SCB Barium 0.61 0.050 mg/L 1 SW-8466010C 1/8/15 1/9/1512:58 OP Cadmium ND 0.0040 mg/L 1 SW-8466010C 1/8/15 1/9/1512:58 OP Chromium 0.023 0.010 mg/L l SW-8466010C 1 18 115 1/9/1512:58 OP Lead 0.12 0.010 mg/L I SW-8466010C 1/8/15 1/9/1512:58 OP Selenium ND 0.050 mg/L I SW-8466010C 118115 1/9/1512:58 OP Silver ND 0,0050 mg/L 1 SW-8466010C 1/8/15 1/9/1512:58 OP Page 8 of 19 Q - ANALYTAL LABORATORY 39 Spruce Street*East Longmeadow,MA 01028*FAX 413/525-6405*TEL.413/525-2332 Project Location: 65 Paradise Rd.,Northampton Sample Description: Work Order: 15AO113 Date Received: 1/7/2015 Field Sample#: 01198-DUPOI Sampled: 1/5/2015 0000 Sample ID: 15AO113-03 Sample Matrix: Caulk Polychlorinated Biphenyls with 3540 Soxhlet Extraction Date Date/Time Analyte Results RL Units Dilution Flag/Qua] Method Prepared Analyzed Analyst Aroclor-1016[1] ND 0.72 mg/Kg 4 SW-8468082A 1/7/15 1/8/1515:51 PJG Aroclor-1221[1] ND 0.72 mg/Kg 4 SW-846 8082A 1/7/15 1/8/15 15:51 PJG Aroclor-1232[1] ND 0.72 mg/Kg 4 SW-846 8082A 1/7/15 1/8/15 15:51 PJG Aroclor-1242[11 ND 0.72 mg/Kg 4 SW-8468082A 1/7/15 1/8/1515:51 PJG Aroclor-1248[1] ND 0.72 mg/Kg 4 SW-8468082A 1/7/15 1/8/1515:51 PJG Aroclor-1254[1] ND 0.72 mg/Kg 4 SW-846 8082A 1/7/15 1/8/15 15:51 PJG Aroclor-1260[1] ND 0.72 mg/Kg 4 SW-8468082A 1/7/15 1/8/1515:51 PJG Aroclor-1262[1] ND 0.72 mg/Kg 4 SW-8468082A 1/7/15 1/8/1515:51 PJG Aroclor-1268[11 ND 0.72 mg/Kg 4 SW-846 8082A 1/7/15 1/8/15 15:51 PJG Surrogates %Recovery Recovery Limits Flag/Qual Decachlorobiphenyl[11 92.6 30-150 1/8/15 15:51 Decachlorobiphenyl[2] 88.3 30-150 1/8/15 15:51 Tetrachloro-m-xylene[1] 97.0 30-150 1/8/15 15:51 Tetrachloro-m-xylene[21 87.7 30-150 1/8/15 15:51 Page 7 Of 19 A1111IMMi, At" ANALYTICAL- DRY 39 Spruce Street'East Longmeadow,MA 01028'FAX 413/525-6405'TEL.413/525-2332 Project Location: 65 Paradise Rd.,Northampton Sample Description: Work Order: 15AO113 Date Received: 1/7/2015 Field Sample#: 01198-PCB02 Sampled: 1/5/2015 0000 Sample ID: I5A0113-02 Sample Matrix: Caulk Polychlorinated Biphenyls with 3540 Soxhlet Extraction Date Date/Time Analyse Results RL Units Dilution Flag/Qual Method Prepared Analyzed Analyst Aroclor-1016[1] ND 0.76 mg/Kg 4 SW-846 8082A 1/7/15 1/8/15 15:38 PJG Aroclor-1221[1] ND 0.76 mg/Kg 4 SW-846 8082A 1/7/15 1/8/15 15:38 PJG Aroclor-1232[1] ND 0.76 mg/Kg 4 SW-846 8082A 1/7/15 1/8/15 15:38 PJG Aroclor-1242[1] ND 0.76 mg/Kg 4 SW-846 8082A 1/7/15 1/8/15 15:38 PJG Aroclor-1248[1] ND 0.76 mg/Kg 4 SW-846 8082A 1/7/15 1/8/15 15:38 PJG Aroclor-1254[1] ND 0.76 mg/Kg 4 SW-846 8082A 1/7/15 1/8/15 15:38 PJG Aroclor-1260[1] ND 0.76 mg/Kg 4 SW-846 8082A 1/7/15 1/8/15 15:38 PJG Aroclor-1262[11 ND 0.76 mg/Kg 4 SW-8468082A 1/7/15 1/8/1515:38 PJG Aroclor-1268[1] ND 0.76 mg/Kg 4 SW-846 8082A 1/7/15 1/8/15 15:38 PJG Surrogates %Recovery Recovery Limits Flag/Qual Decachlorobiphenyl[11 102 30-150 1/8/15 15:38 Decachlorobiphenyl[2] 98.8 30-150 1/8/15 15:38 Tetrachloro-m-xylene[1] 107 30-150 1/8/15 15:38 Tetrachloro-m-xylene[2] 97.4 30-150 1/8/15 15:38 Page 6 of 19 A1111 , 02flnL(Ir ANAMICAL LABORATORY 39 Spruce Street'East Longmeadow,MA 01028'FAX 413/525-6405*TEL.413/525-2332 Project Location: 65 Paradise Rd.,Northampton Sample Description: Work Order: 15A0113 Date Received: 1/7/2015 Field Sample li: 01198-PCBOI Sampled: 1/5/2015 0000 Sample ID: 15A0113-01 Sample Matrix: Caulk Polychlorinated Biphenyls with 3540 Soxhlet Extraction Date Date/Time Aualyte Results RL Units Dilution Flag/Qual Method Prepared Analyzed Analyst Aroclor-1016[1] ND 0.79 mg/Kg 4 SW-846 8082A 1!7/15 1/8/15 15:25 PJG Aroclor-1221[t] ND 0.79 mg/Kg 4 SW-846 8082A 1/7/15 1/8/15 15:25 PJG Aroclor-1232[11 ND 0.79 mg/Kg 4 SW-846 8082A 1/7/15 1/8/15 15:25 PJG Aroclor-1242[1] ND 0.79 mg/Kg 4 SW-846 8082A 117/15 1/8/15 15:25 PJG Aroclor-1248[1] ND 0.79 mg/Kg 4 SW-8468082A 1/7/15 1/8/1515:25 PJG Aroclor-1254[1] ND 0.79 mg/Kg 4 SW-8468082A 1/7/15 1/8/1515:25 PJG Aroclor-1260[1] ND 0.79 mg/Kg 4 SW-8468082A 1/7/15 1/8/1515:25 PJG Aroclor-1262[1] ND 0.79 mg/Kg 4 SW-8468082A 1/7/15 1/8/1515:25 PJG Aroclor-1268[I] ND 0.79 mg/Kg 4 SW-846 8082A 1/7/15 1/8/15 15:25 PJG Surrogates %Recovery Recovery Limits Flag/Qual Decachlorobiphenyl[1] 102 30-150 1/8/15 15:25 Decachlorobiphenyl[21 100 30-150 1/8/15 15:25 Tetrachloro-m-xylene[1] 100 30-150 1/8/15 15:25 Tetrachloro-m-xylene[2] 90.6 30-150 1/8/15 15:25 Page 5 of 19 A1111 , co"-sr ANALYTICAL LABORATORY 39 Spruce Street*East Longmeadow,MA 01028*FAX 413/525-6405*TEL.413/525-2332 CASE NARRATIVE SUMMARY All reported results are within defined laboratory quality control objectives unless listed below or otherwise qualified in this report. The results of analyses reported only relate to samples submitted to the Con-Test Analytical Laboratory for testing. I certify that the analyses listed above,unless specifically listed as subcontracted,if any,were performed under my direction according to the approved methodologies listed in this document,and that based upon my inquiry of those individuals immediately responsible for obtaining the information,the material contained in this report is,to the best of my knowledge and belief,accurate and complete. r. +U. Johanna K.Harrington Manager,Laboratory Reporting Page 4 Of 19 AMAI.YTCAL LABORATORY 39 Spruce Street'East Longmeadow,MA 01028'FAX 413/525-6405'TEL.413/525-2332 Green Environmental Consultant REPORT DATE: 1/9/2015 180 Pleasant Street-Suite 7 Easthampton,MA 01027 PURCHASE ORDER NUMBER: ATTN:Adam Lesko PROJECT NUMBER: 01198 ANALYTICAL SUMMARY WORK ORDER NUMBER: 15A0113 The results of analyses performed on the following samples submitted to the CON-TEST Analytical Laboratory are found in this report. PROJECT LOCATION: 65 Paradise Rd.,Northampton FIELD SAMPLE 4 LAB ID: MATRIX SAMPLE DESCRIPTION TEST SUB LAB 01198-PCBOI 15A0113-01 Caulk SW-846 8082A 01198-PCB02 15A0113-02 Caulk SW-846 8082A 01198-DUP01 15A0113-03 Caulk SW-846 8082A 01198-TCLP01 15A0113-04 Product/Solid SW-8461311 SW-846 6010C SW-846 7470A Page 3 Of 19 Table of Contents Sample Summary 3 Case Narrative 4 Sample Results 5 15AO 113-01 5 15AO 113-02 6 15AO 113-03 7 15AO 113-04 g Sample Preparation Information y QC Data 10 Polychlorinated Biphenyls with 3540 Soxhlet Extraction 10 B113088 10 TCLP- Metals Analyses 11 B113126 11 B113130 11 Dual Column RPD Report 13 Flag/Qualifier Summary 15 Certifications 16 Chain of Custody/Sample Receipt 17 Page 2,of 19 Rat 8 ,;AL LABORATORY 39 Spruce Street'East Longmeadow,MA 01028'FAX 413/525-6405"TEL.413/525-2332 January 9,2015 Adam Lesko Green Environmental Consultant 180 Pleasant Street-Suite 7 Easthampton,MA 01027 Project Location:65 Paradise Rd.,Northampton Client Job Number: Project Number:01198 Laboratory Work Order Number: 15A0113 Enclosed are results of analyses for samples received by the laboratory on January 7,2015.If you have any questions concerning this report,please feel free to contact me. Sincerely, d v Aaron L.Benoit Project Manager Page 1 of 19 Attachment No. 3 Laboratory Results/PCBs and TCLP RCRA 8 OrderID: 131500084 v 0 g Pages_of nallyals Type: Asbestos Chain of Custody Record umaround Time: r' Green Environmental Consulting,LLC 180 Pleasant Street 3rd Floor-Suite 7 Project Info: Easthampton,MA 01027 P/F(413)341-3418 Son o' Project Name: Results to: Commenta/Special -6 Mary McCarthy Instructions: Project Number: 6 q rMaryOCIecenviro.cm Sample Number Sample Location Sample Description r S By: Date: Received By: Date/Time: i wmvTEnpi R ished By: DateTme: Received in Lab By: r J A 4 S 2015, /Time: IjU BY Page 1 Of 1 EMSL Analytical, Inc. EMSL Order: 131500084 CustomerlD: GECL78 7 Constitution Way,Suite 107,Woburn,MA 01801 Phone/Fax (781)933-8411/(781)933-8412 CustomerPO: httn://www.EMSL.com bostonlabODemsl.com ProjectlD: Attn: Mary McCarthy Phone: (413)341-3418 Green Environmental Consulting, LLC Fax: (413)341-3419 180 Pleasant St Received: 01/08/15 9:54 AM 3rd Floor, Suite 7 Analysis Date: 1/8/2015 Collected: Easthampton, MA 01027 Project: 01198/64 Paradise Rd.Smith Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance % Fibrous % Non-Fibrous % Tvue 01198-20A Exterior Roof- Black 10% Glass 90% Non-fibrous(other) None Detected Roof Shingle Fibrous 131500084-0001 Homogeneous 01198-20B Exterior Roof- Black 10% Glass 90% Non-fibrous(other) None Detected Roof Shingle Fibrous 131500084-0002 Homogeneous 01198-21A Exterior Roof- Black 90% Cellulose 10% Non-fibrous(other) None Detected Roof Paper Fibrous 131500084-0003 Homogeneous 01198-21 B Exterior Roof- Black 90% Cellulose 10% Non-fibrous(other) None Detected Roof Paper Fibrous 131500084-0004 Homogeneous Analyst(s) Kevin Pine(4) Steve Grise,Laboratory Manager or other approved signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced,except in full,without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy,precision and uncertainty data available upon request.Unless requested by the client,building materials manufactured with multiple layers(i.e.linoleum,wallboard,etc.)are reported as a single sample.Reporting limit is 1 Samples analyzed by EMSL Analytical,Inc.Woburn,MA NVLAP Lab Code 101147-0,CT PH-0315,MA AA000188,RI AAL-107T3 and VT AL357102 Initial report from 01/08/2015 11:04:23 Test Report PLM-7.28.9 Printed:1/8/2015 11:04:23 AM THIS IS THE LAST PAGE OF THE REPORT. 1 { OrderID: 131500068 0 0 6 3 Pagel c y J y d v na ys s Type: Asbestos Chain of Custody LM Record r urn around Tim Hour Green Environmental Consulting, LLC 180 Pleasant Street-Suite 7 Easthampton,MA 01027 Proiect Info: Send Results To: Project Name: Invoice to: Results to: 5 Paradise Rd.(Smith College) Mary McCarthy Mary McCarthy olect Number: *turn Samples?: Email to: 1198 ir Mary@gecenviro.com roject Description: Comments/Special Phone: Pre Demolition Asbestos inspection Instructions: (413)341-3418 Fax: 413)341-3418 SamRI9 Number Sample Location Sample Description 101198-17A Exterior-SE Red Foundation Repair I Z 01198-17B Exterior-NE Red Foundation Repair I _3101198-18A Exterior-SE Gray Siding Paper 101198-IBB Exterior-NE Gray Siding Paper a 01198-19A Exterior-SE(stair window) Wood Window Glaze 01198-19B Exterior-SE (stair window) Wood Window Glaze r s j Sy: Date: Received f1 W Date/Time: ` 1 11 k, R in uished y: D to/Time: Received i q'b Date/Time: o� Page 1 Of 1 EMSL Analytical, Inc. EMSL Order: 131500068 CustomerlD: GECL78 7 Constitution Way,Suite 107,Woburn,MA 01801 Phone/Fax (781)933-8411/(781)933-8412 CUStomerPO: htto://www.EMSL.com bostonlabl4cDemsl.com ProjectlD: Attn: Mary McCarthy Phone: (413)341-3418 Green Environmental Consulting, LLC Fax: (413)341-3419 180 Pleasant St Received: 01/07/15 9:20 AM 3rd Floor, Suite 7 Analysis Date: 11712015 Collected: Easthampton, MA 01027 Project: 01198/65 Paradise Rd. Smith College) Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance % Fibrous % Non-Fibrous %TyDe 01198-17A Exterior;SE-Red Red 100% Non-fibrous(other) None Detected Foundation Repair Non-Fibrous 131500068-0001 Homogeneous 01198-17B Exterior;NE-Red Red 100% Non-fibrous(other) None Detected Foundation Repair Non-Fibrous 131500068-0002 Homogeneous 01198-18A Exterior;SE-Grey Tan 98% Cellulose 2% Non-fibrous(other) None Detected Siding Paper Fibrous 131500068-0003 Homogeneous 01198-18B Exterior;NE-Grey Tan 98% Cellulose 2% Non-fibrous(other) None Detected Siding Paper Fibrous 131500068-0004 Homogeneous 01198-19A Exterior;SE(Stair Tan 100% Non-fibrous(other) None Detected Window)-Wood Non-Fibrous 131500068-0005 Window Glaze Homogeneous 01198-19B Exterior;SE(Stair Tan 100% Non-fibrous(other) None Detected Window)-Wood Non-Fibrous 131500068-0006 Window Glaze Homogeneous Analyst(s) Kevin Pine(6) Steve Grise,Laboratory Manager or other approved signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced,except in full,without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST or any agency of the federal govemment. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy,precision and uncertainty data available upon request.Unless requested by the client,building materials manufactured with multiple layers(i.e.linoleum,wallboard,etc.)are reported as a single sample.Reporting limit is 1% Samples analyzed by EMSL Analytical,Inc.Woburn,MA NVLAP Lab Code 101147-0,CT PH-0315,MA AA000188,RI AAL-107T3 and VT AL357102 Initial report from 01/07/2015 17:54:45 Test ReDort PLM-7.28.9 Printed:117/2015 5:54:45 PM THIS IS THE LAST PAGE OF THE REPORT. 1 OrderID 131405755 5 :. Page 6 1( nalysis Type: Asbestos Chain of Custody �LM Record urnaround Time: 4 Hour Green Environmental Consulting,LLC 180 Pleasant Street-Suite 7 Easthampton,MA 01027 Protect Info: Send Results To: Frio,,ect Name: invoice to: Results to: aradise Rd.(Smith College) ary McCarthy ary McCarthy d Number. eturn Samples?: Email to: 8 @gecenviro.com Project Description: Comments/Special F)341-3418 ne: Instructions: ) 34i-3418 re Demolition Asbestos Inspection : Sample Number Sample Lotion Sample Description 4 01198-1SA Second Floor Bath Sheetrock t 101198-ISB Second Floor Bath Sheetrock E 3 01198-16A Small Porch Window Back Of Window Glaze House n jt !, !� 01198-16B Small Porch Window Back Of Window Glaze � House t 7 0 } F y F: Y i f. y�y f k I i' I I R: { f., e. Y T 5 ed j Date: Received By: Date/Time: Z 6ielitaq hed By: Date/Time: Received in Lab BFr Nte/Time: Page 6 Of 6 OrderID: 131405755 1 � 14u5755 Page5 rysis Type: Asbestos Chain of Custody Record runwound Time: 4 Hour Green Environmental Consulting, LLC 180 Pleasant Street-Suite 7 Easthampton, MA 01027 Proiect Info: Send Results To: Project Name: 1�ary voice to: Results to: 5 Paradise Rd.(Smith College) McCarthy ary McCarthy o'ect Number: etum Samples?: Email to: 1188 ary@gecenviro.com Project Description: Comments/Special 1413)hone: Pre Demolition Asbestos Inspection Instructions: 413) 341-3418 Fax. 341-3418 Sample Number Sample Location Sample Description 33 01198-11A Kitchen Wall Board Adhesive f 3y 01198-11B Kitchen Wall Board Adhesive w: 3'5- 01198-12A Living Room Fireplace"Grout"under Tile r 3� 101198-12B Master Bedroom Fireplace"Grout" under Tile 3 101198-13A Second Floor Bath Shower Board Adhesive 3� 01198-13B Second Floor Bath Shower Board Adhesive L t �9 101198-14A Second Floor Bath Joint Compound yF �0 01198-146 Second Floor Bath Joint Compound i Sam led By: qat Received By: Date/Time: DEC 2 2 2N uish a Receiv ed in Lab By. Date/Time: t' t Page 5 Of 6 . OrderID: 131405755 5 7 5 5 a Page 4 A alysis Type: Asbestos Chain of Custody rL M Record rumaround Time: 4 Hour Green Environmental Consulting,LLC 180 Pleasant Street-Suite 7 Easthampton, MA 01027 ` Prolect Info: Send esulb To: Project Name: CMcCarthy ice to: [Email esults to: 5 Paradise Rd,(Smith College) ary McCarthy P5 Number: eturn Samples? to: 1198 aryl cenviro.com Project Description: Comments/Special hone: Enstructions: 13)341-3418 re Demolition Asbestos Inspection ax: 13)341-3418 1 Sample Number Sample L cation Sample Description I. E .2-5* 01198-07B Kitchen Brown Linoleum L3 Adhesive 01198-08A Kitchen White Block Linoleum 01198-08B Kitchen White Block Linoleum r j: 101198-08C Second f=loor Bath White Block Linoleum 1 a. i ag 01198-09A Kitchen Cove Base Adhesive r a. f 30 01198-09B Kitchen Cove Base Adhesive i 3 01198-10A Kitchen Wall Board 3a-+ 101198-10B. Kitchen Wall Board t S d 8 Date: Received By: ' Date/Time: DEC 2 2 M4 shed By: ate/Time: Received in Lab By: Date/Time: Page 4 Of 6 �; OrderID: 131405755 �1 5 i v L _ V � r 5 5 Page 3 A ysis Type: Asbestos Chain of Custody r Record urnaround Time: 4 Hour Green Environmental Consulting.LLC 180 Pleasant Street-Suite 7 Easthampton, MA 01027 Project Info: Send Results To: Project Name: 1�ary voice to: JEmall esults to: 5 Paradise Rd.(Smith College) McCarthy ary McCarthy roject Number: eturn Samples?: to: 119com Project Description: Comments/Special hone: Instructions: 13)341-3418 re Demolition Asbestos Inspection ax: 13)341-3418 Sample Number Sample Location Sample Description 01198-03C Second Floor Bath Faux 9x9 Linoleum L1 f 01198-04A Kitchen White Linoleum L2 f fig 01198-04B Kitchen White Linoleum L2 .20 01198-05A Kitchen White Linoleum L2 Adhesive E: 01198-05B Kitchen White Linoleum L2 Adhesive 1� 01198-06A Kitchen Brown Linoleum L3 x ?3 01198-06B Kitchen Brown Linoleum L3 , 01198-07A Kitchen Brown Linoleum L3 Adhesive j i- ed By: Date: Received By: site/Time: DEC 2 2 2014 fished B D "te/Time: Received in Lab By: Date/Time: /gyp j Page 3 Of 6 OrderID: 131405755 1 3 14 6 5 7 5 5 Page 2 naiysis Type: Asbestos Chain of Custody �LM Record umaround Time. 4 Hour r Green Environmental Consulting,LLC 180 Pleasant Street-Suite 7 Easthampton, MA 01027 protect Into: Send Results To: i< Project Name: 1�ay voice to: Results to: 5 Paradise Rd.(Smith College) McCarthy Mary McCarthy ojea Number. etum Samples?: Email to: 1198 ary @gecenviro.com Project Description: Comments/Special Phone: Pre Demolition Asbestos inspection Instructions: 413)341-3418 Fax 413)341-3418 Samr)le Number Sample Location Sample Description 01198-02B Dining Room Plaster Skim Coat 10 01198-02C Living Room Plaster Skim Coat It 01198-02D Stairway Plaster Skim Coat x 01198-02E Master Bedroom Plaster Skim Coat !3 101198-02F Third Floor West Room Plaster Skim Coat 14 01198-02G Third Floor South Room Plaster Skim Coat F E 15 01198-03A Kitchen Faux 9x9 Linoleum L1 s v L 01198-0313 First Floor Bath Faux 9x9 Linoleum L1 i ed B Date: Received By: i:. ate/Time: 1 . ish Da e/Time: Received in Lab by. 'gate/Time: . Page 2 Of 6 i OrderID: 131405755 lai % 5755 Pagel nalysis Type: Asbestos Chain of Custody �Llvl Record n 4 Hour Green Environmental Consulting,LLC 180 Pleasant Street-Suits 7 Easthampton,MA 01027 Pry jnfon Send Results To: Project Name: Invoice to: Results to: 5 Paradise Rd.(Smith College) Mary McCarthy cry McCarthy roject Number: r urn Samples?: Email to: 1198 ary0gecenviro.com Project Description: Comments/Special Phone: 413)341-3418 Pre Demolition Asbestos Inspection Instructions: Fax 413) 341-3418 ample Number Sample LgMon Samote Description 0 Kitchen F�a i 1 01198-01B Dining Room Plaster Base Coat L 3 01198-01C Living Room Plaster Base Coat 101198-01D Stairway Plaster Base Coat I' s 01198-01E Master Bedroom Plaster Base Coat 101198-OIF Third Floor West Room Plaster Base Coat 01198-01G Third Floor South Room Plaster Base Coat — — - I - t g 01198-02A Kitchen Plaster Skim Coat ate/Time: led Date: Received By: r. DEC 2 2 2014 : a /Time: Received in Lab' y: ate/Time: J €, i` Page 1 Of 6 s' EMSL Analytical, Inc. EMSL Order: 131405755 7 Constitution Way,Suite 107,Woburn,MA 01801 CUstomerlD: GECL78 Phone/Fax. (781)933-8411/(781)933-8412 CustomerPO: htto://www.EMSL.com bostonlalo0emsl.com ProjectlD: Attn: Mary McCarthy Phone: (413)341-3418 Green Environmental Consulting, LLC Fax: (413)341-3419 180 Pleasant St Received: 12/22/14 12:10 PM 3rd Floor, Suite 7 Analysis Date: 12123/2014 Collected: Easthampton, MA 01027 Project: 01198/65 Paradise Rd. Smith College) Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance % Fibrous % Non-Fibrous %Type 01198-15A Second Floor Gray 5% Cellulose 93% Non-fibrous(other) None Detected Bath-Sheetrock Non-Fibrous 2% Glass 131405755-0041 Homogeneous 01198-15B Second Floor Gray 5% Cellulose 93% Non-fibrous(other) None Detected 131405755-0042 Bath-Sheetrock Non-Fibrous 2% Glass Homogeneous 01198-16A Small Porch Gray 100% Non-fibrous(other) None Detected Window Back of Non-Fibrous 131405755-0043 House-Window Homogeneous Glaze 01198-16B Small Porch Gray 100% Non-fibrous(other) None Detected Window Back of Non-Fibrous 131405755-0044 House-Window Homogeneous Glaze Analyst(s) Steve Grise(44) Steve Grise,Laboratory Manager or other approved signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced,except in full,without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction priorto analysis. Samples received in good condition unless otherwise noted. Estimated accuracy,precision and uncertainty data available upon request.Unless requested by the client,building materials manufactured with multiple layers(i.e.linoleum,wallboard,etc.)are reported as a single sample.Reporting limit is 1% Samples analyzed by EMSL Analytical,Inc.Woburn,MA NVLAP Lab Code 101147-0,CT PH-0315,MA AA000188,RI AAL-107T3 and VT AL357102 Initial report from 12/23/2014 16:05:50 Test Report PLM-7.28.9 Printed:12/23/2014 4:05:50 PM THIS IS THE LAST PAGE OF THE REPORT. 6 EMSL Analytical, Inc. EMSL Order: 131405755 7 Constitution Way,Suite 107,Woburn,MA 01801 CustomerlD: GECL78 Phone/Fax (781)933-8411/(781)933-8412 CustomerPO: httu://www.EMSL.com bostonlab @emsl.com ProjectlD: Ann: Mary McCarthy Phone: (413)341-3418 Green Environmental Consulting, LLC Fax: (413)341-3419 180 Pleasant St Received: 12/22/14 12:10 PM Suite 7 Analysis Date: 12/23/2014 3rd Floor, Collected: Easthampton, MA 01027 Project: 01198/65 Paradise Rd. Smith College) Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance % Fibrous % Non-Fibrous % Type 01198-11A Kitchen- Brown 90% Non-fibrous(other) 10% Chrysotile Wallboard Non-Fibrous 131405755-0033 Adhesive Homogeneous 01198-11 B Kitchen- Brown 90% Non-fibrous(other) 10% Chrysotile Wallboard Non-Fibrous 131405755-0034 Adhesive Homogeneous 01198-12A Living Room- Gray 100% Non-fibrous(other) None Detected Fireplace Grout Non-Fibrous 131405755-0035 under Tile Homogeneous 01198-12B Master Bedroom- Gray 100% Non-fibrous(other) None Detected Fireplace Grout Non-Fibrous 13 14 05 755-003 6 under Tile Homogeneous 01198-13A Second Floor White 100% Non-fibrous(other) None Detected Bath-Shower Non-Fibrous 13 14 05 755-003 7 Board Adhesive Homogeneous 01198-13B Second Floor White 100% Non-fibrous(other) None Detected Bath-Shower Non-Fibrous 131405755-0036 Board Adhesive Homogeneous 01198-14A Second Floor White 100% Non-fibrous(other) None Detected Bath-Joint Non-Fibrous 131405755-0039 Compound Homogeneous 01198-14B Second Floor White 100% Non-fibrous(other) None Detected Bath-Joint Non-Fibrous 131405755-0040 Compound Homogeneous Analyst(s) J Steve Grise(44) Steve Grise,Laboratory Manager or other approved signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced,except in full,without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction priorto analysis. Samples received in goad condition unless otherwise noted. Estimated accuracy,precision and uncertainty data available upon request.Unless requested by the client,building materials manufactured with multiple layers(i.e.linoleum,wallboard,etc.)are reported as a single sample.Reporting limit is 1% Samples analyzed by EMSL Analytical,Inc.Woburn,MA NVLAP Lab Code 101147-0,CT PH-0315,MA AA000188,RI AAL-107T3 and VT AL357102 Initial report from 12/23/2014 16:05:50 Test ReOort PLM-7.28.9 Printed:12/23/2014 4:05:50 PM 5 EMSL Analytical, Inc. EMSL Order: 131405755 7 Constitution Way,Suite 107,Woburn,MA 01801 CustomerlD: GECL78 Phone/Fax (781)933-8411/(781)933-8412 CustomerPO: http://www.EMSL.com bostonlab0emsl.com ProjectlD: Attn: Mary McCarthy Phone: (413)341-3418 Green Environmental Consulting, LLC Fax: (413)341-3419 180 Pleasant St Received: 12/22/14 12:10 PM 3rd Floor, Suite 7 Analysis Date: 12/23/2014 Collected: Easthampton, MA 01027 Project: 01198/65 Paradise Rd. Smith College) Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance % Fibrous % Non-Fibrous % Type 01198-07B Kitchen-Brown Tan 100% Non-fibrous(other) None Detected Linoleum L3 Non-Fibrous 13 14 05 755-0025 Adhesive Homogeneous 01198-08A Kitchen-White Gray/White 75% Non-fibrous(other) 25% Chrysotile Block Linoleum Fibrous 131405755-0026 Homogeneous 01198-08B Kitchen-White Gray/White 75% Non-fibrous(other) 25% Chrysotile Block Linoleum Fibrous 131405755-0027 Homogeneous 01198-08C Second Floor Gray/White 75% Non-fibrous(other) 25% Chrysotile Bath-White Block Fibrous 131405755-0028 Linoleum Homogeneous 01198-09A Kitchen-Cove Yellow 100% Non-fibrous(other) None Detected Base Adhesive Non-Fibrous 131405755-0029 Homogeneous 01198-09B Kitchen-Cove Yellow 100% Non-fibrous(other) None Detected Base Adhesive Non-Fibrous 131405755-0030 Homogeneous 01198-10A Kitchen- Brown/White 10% Cellulose 90% Non-fibrous(other) None Detected Wallboard Non-Fibrous 131405755-0031 Homogeneous 01198-10B Kitchen- Brown/White 10% Cellulose 90% Non-fibrous(other) None Detected Wallboard Non-Fibrous 131405755-0032 Homogeneous 1 Analyst(s) Steve Grise(44) Steve Grise,Laboratory Manager or other approved signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced,except in full,without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction priorto analysis. Samples received in good condition unless otherwise noted. Estimated accuracy,precision and uncertainty data available upon request.Unless requested by the client,building materials manufactured with multiple layers(i.e.linoleum,wallboard,etc.)are reported as a single sample.Reporting limit is 1% Samples analyzed by EMSL Analytical,Inc.Woburn,MA NVLAP Lab Code 101147-0,CT PH-0315,MA AA000188,RI AAL-107T3 and VT AL357102 Initial report from 12/23/2014 16:05:50 Test Report PLM-7.28.9 Printed:12/23/2014 4:05:50 PM 4 EMSL Analytical, Inc. EMSL Order: 131405755 7 Constitution Way,Suite 107,Woburn,MA 01801 CustomerlD: GECL78 Phone/Fax (781)933-8411/(781)933-8412 CUstomerPO: htto://www.EMSL.com bostonlab(Wemsl.com ProjectlD: Attn: Mary McCarthy Phone: (413)341-3418 Green Environmental Consulting, LLC Fax: (413)341-3419 180 Pleasant St Received: 12122/14 12:10 PM 3rd Floor, Suite 7 Analysis Date: 12123/2014 Collected: Easthampton, MA 01027 Project: 01198/65 Paradise Rd. Smith College) Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance % Fibrous % Non-Fibrous % Tvue 01198-03C Second Floor Gray/Tan 20% Cellulose 75% Non-fibrous(other) None Detected Bath-Faux 9x9 Fibrous 5% Glass 13 1405 755-001 7 Linoleum Li Homogeneous 01198-04A Kitchen-White Gray/White 10% Cellulose 80% Non-fibrous(other) None Detected 131405755-0018 Linoleum L2 Fibrous 5% Glass Homogeneous 5% Synthetic 01198-04B Kitchen-White Gray/White 10% Cellulose 80% Non-fibrous(other) None Detected Linoleum L2 Fibrous 5% Glass 131405755-0019 Homogeneous 5% Synthetic 01198-05A Kitchen-White Yellow 100% Non-fibrous(other) None Detected Linoleum L2 Non-Fibrous 131405755-0020 Adhesive Homogeneous 01198-05B Kitchen-White Yellow 100% Non-fibrous(other) None Detected Linoleum L2 Non-Fibrous 131405755-0021 Adhesive Homogeneous 01198-06A Kitchen-Brown Brown/Gray 80% Non-fibrous(other) 20% Chrysotile Linoleum L3 Fibrous 131405755-0022 Homogeneous 01198-06B Kitchen-Brown Brown/Gray 80% Non-fibrous(other) 20% Chrysotile Linoleum L3 Fibrous 131405755-0023 Homogeneous 01198-07A Kitchen-Brown Tan 100% Non-fibrous(other) None Detected Linoleum L3 Non-Fibrous 131405755-0024 Adhesive Homogeneous Analyst(s) Steve Grise(44) Steve Grise,Laboratory Manager or other approved signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced,except in full,without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction priorto analysis. Samples received in good condition unless otherwise noted. Estimated accuracy,precision and uncertainty data available upon request.Unless requested by the client,building materials manufactured with multiple layers(i.e.linoleum,wallboard,etc.)are reported as a single sample.Reporting limit is 1% Samples analyzed by EMSL Analytical,Inc.Woburn,MA NVLAP Lab Code 101147-0,CT PH-0315,MA AA000188,RI AAL-107T3 and VT AL357102 Initial report from 12/23/2014 16:05:50 Test Report PLM-7.28.9 Printed:12/23/2014 4:05:50 PM 3 EMSL Analytical, Inc. EMSL Order: 131405755 7 Constitution Way,Suite 107,Woburn,MA 01801 CustomerlD: GECL78 Phone/Fax (781)933-8411/(781)933-8412 CUstomei httn://www.EMSL.com bostonlabt-emsi.com ProjectlD: Attn: Mary McCarthy Phone: (413)341-3418 Green Environmental Consulting, LLC Fax: (413)341-3419 180 Pleasant St Received: 12122/14 12:10 PM 3rd Floor, Suite 7 Analysis Date: 12/23/2014 Collected: Easthampton, MA 01027 Project: 01198/65 Paradise Rd. Smith College) Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance % Fibrous % Non-Fibrous % Type 01198-02B Dining Room- White 100% Non-fibrous(other) None Detected Plaster Skim Coat Non-Fibrous 131405755-0009 Homogeneous 01198-02C Living Room- White 100% Non-fibrous(other) None Detected Plaster Skim Coat Non-Fibrous 131405755-0010 Homogeneous 01198-02D Stairway-Plaster White 100% Non-fibrous(other) None Detected Skim Coat Non-Fibrous 131405755-0011 Homogeneous 01198-02E Master Bedroom- White 100% Non-fibrous(other) None Detected Plaster Skim Coat Non-Fibrous 131405755-0012 Homogeneous 01198-02F Third Floor West White 100% Non-fibrous(other) None Detected Room-Plaster Non-Fibrous 131405755-0013 Skim Coat Homogeneous 01198-02G Third Floor South White 100% Non-fibrous(other) None Detected Room-Plaster Non-Fibrous 131405755-0014 Skim Coat Homogeneous 01198-03A Kitchen-Faux 9x9 Gray/Tan 20% Cellulose 75% Non-fibrous(other) None Detected 131405755-0015 Linoleum L1 Fibrous 5% Glass Homogeneous 01198-03B First Floor Bath- Gray/Tan 20% Cellulose 75% Non-fibrous(other) None Detected Faux 9x9 Linoleum Fibrous 5% Glass 131405755-0016 L1 Homogeneous I • / �- Analyst(s) Steve Grise(44) Steve Grise,Laboratory Manager or other approved signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced,except in full,without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification,approval,orendorsement by NVLAP,NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction priorto analysis. Samples received in good condition unless otherwise noted. Estimated accuracy,precision and uncertainty data available upon request.Unless requested by the client,building materials manufactured with multiple layers(i.e.linoleum,wallboard,etc.)are reported as a single sample.Reporting limit is 1% Samples analyzed by EMSL Analytical,Inc.Woburn,MA NVLAP Lab Code 101147-0,CT PH-0315,MA AA000188,RI AAL-107T3 and VT AL357102 Initial report from 12/23/2014 16:05:50 Test Report PLM-7.28.9 Printed:12/23/2014 4:05:50 PM 2 EMSL Analytical, Inc. EMSL Order: 131405755 7 Constitution Way,Suite 107,Woburn,MA 01801 CustomerlD: GECL78 Phone/Fax (781)933-8411/(781)933-8412 CUstomerPO: httD://www.EMSL.com bostonlabaemsl.com ProjectlD: Ann: Mary McCarthy Phone: (413)341-3418 Green Environmental Consulting, LLC Fax: (413)341-3419 180 Pleasant St Received: 12/22/14 12:10 PM 3rd Floor, Suite 7 Analysis Date: 1 2123/2 01 4 Collected: Easthampton, MA 01027 Project: 01198/65 Paradise Rd. Smith College) Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appearance %, Fibrous % Non-Fibrous % Tvne 01198-01A Kitchen-Plaster Gray 100% Non-fibrous(other) None Detected Base Coat Non-Fibrous 131405755-0001 Homogeneous 01198-01 B Dining Room- Gray <1% Hair 100% Non-fibrous(other) None Detected Plaster Base Coat Non-Fibrous 131405755-0002 Homogeneous 01198-01 C Living Room- Gray <1% Hair 100% Non-fibrous(other) None Detected Plaster Base Coat Non-Fibrous 131405755-0003 Homogeneous 01198-01 D Stairway-Plaster Gray <1% Hair 100% Non-fibrous(other) None Detected Base Coat Non-Fibrous 131405755-0004 Homogeneous 01198-01 E Master Bedroom- Gray <1% Hair 100% Non-fibrous(other) None Detected Plaster Base Coat Non-Fibrous 131405755-0005 Homogeneous 01198-01 F Third Floor West Gray <1% Hair 100% Non-fibrous(other) None Detected Room-Plaster Non-Fibrous 131405755-0006 Base Coat Homogeneous 01198-01 G Third Floor South Gray <1% Hair 100% Non-fibrous(other) None Detected Room-Plaster Non-Fibrous 131405755-0007 Base Coat Homogeneous 01198-02A Kitchen-Plaster White 100% Non-fibrous(other) None Detected Skim Coat Non-Fibrous 131405755-0008 Homogeneous I • --- Analyst(s) Steve Grise(44) Steve Grise,Laboratory Manager or other approved signatory EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced,except in full,without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy,precision and uncertainty data available upon request.Unless requested by the client building materials manufactured with multiple layers(i.e.linoleum,wallboard,etc.)are reported as a single sample.Reporting limit is 1% Samples analyzed by EMSL Analytical,Inc.Woburn,MA NVLAP Lab Code 101147-0,CT PH-0315,MA AA000188,RI AAL-107T3 and VT AL357102 Initial report from 12/23/2014 16:05:50 Test Report PLM-7.28.9 Printed:12/23/2014 4:05:50 PM 1 65 Paradise Road, Northampton, MA N _- w e s 01198-01 F&02F 01198-01G&02G Drawing is not to Scale 3rd Floor 65 Paradise Road, Northampton, MA N W E 01198-01E,02E&12B 01198-03C,08C, 13A, 13B, 14A 14B,15A&15B i i 1 Drawing is not to Scale ACM Key: ® = Multi-Layer Linoleum 2nd Floor 65 Paradise Road, Northampton, MA 01198-16A&16B 01198-01 B&02B Dining Room 01198-17B&18B 01198-01 C,02C,12A&12B 01198-01 D&02D Living Room W 01198-17A,18A,19A&19B s Drawing is not to Scale 01198-20A,20B,21 A&21 B ACM Key: — — - = Wallboard Adhesive ® = Multi-Layer Linoleum 1 st Floor Pre-demolition Hazardous Materials Inspection 65 Paradise Road Northampton, MA standards. Work involving lead containing paint is required but not limited to, requirements for worker training, medical surveillance, and waste disposal. OSHA does not provide a standard lead concentration for determining lead based paint. Their approach regarding determining lead hazards is to evaluate the type of work being performed, with torch burning, abrasive blasting, and similar work that might generate the highest levels of lead dust or fume, being of most concern. However, common sense dictates that the higher the lead content in paint, the higher will be the airborne lead concentrations when paint is disturbed. Thus, particular concern and careful evaluation of work practices shall be taken by the contractor and any subcontractors who disturb painted surfaces or components where lead concentrations exceed 1.0 mg/cm2. This is the concentration established by the U.S. Department of Housing and Urban Development for abatement action associated with compliance with childhood lead poisoning prevention programs. Caulking compounds used as glazing material, sealing the glass to the window sash, were determined to contain <1 ppm PCBs. In accordance with PCB regulations (40 CFR Part 761), caulking compounds containing <1 ppm PCBs are not required to be cleaned up prior to renovation work. Concentrations of leachable RCRA 8 metals identified, in a representative sample of the waste stream resulting from the demolition of the building, were less than applicable regulatory limits. If you have any questions regarding this inspection or the sampling and/or analytical techniques employed, please contact us at (413)341-3418. Sincerely, Green Environmental onsulting, LLC Adam Lesko President MA Asbestos Inspector Lic#A1073071 Page 10 of 10 Pre-demolition Hazardous Materials Inspection 65 Paradise Road, Northampton, MA The following table summarizes the results of GEC's TCLP sampling activities. s� � - 01198- ;0.15 £ND 10.023 0.12 ND ND ND 0.61 TCLP01 b J...�.,... ... ..., route. .ro,.. ... .. S �. All sample results are represented in milligrams per kilogram (mg/L) ND=Not detected at the laboratory's minimum reporting limits Limitations This report is intended for the sole use of Smith College. This report is not intended to serve as a bidding document nor as a project specification and actual site conditions and quantities should be field-verified. The scope of services performed in execution of this evaluation may not be appropriate to satisfy the needs of other users, and use or re-use of this document,the findings,conclusions, or recommendations herein is at the risk of said user. Although a reasonable attempt has been made to locate suspect asbestos-containing materials (ACM's) in the areas identified,the inspection techniques used are inherently limited in the sense that only full demolition procedures will reveal all building materials of a structure and,therefore, all areas of potential ACM. Exploratory demolition was not performed and potential hidden asbestos may be present. Caution should be used during renovation/demolition activities. Electrical systems and/or components were not included in GEC's survey due to the safety issues inherent with sampling such systems. The information contained in this report regarding the presence or absence of lead paint does not constitute a comprehensive evaluation of lead-containing components in accordance Massachusetts Department of Public Health (DPH) Child Lead Poisoning and Prevention Regulations. GEC understands that the purpose of renovation work is to repair or upgrade the property and not to abate lead hazards or achieve a Letter of Compliance. Conclusions/Recommendations Asbestos-containing materials (ACMs) were identified during GEC's inspection. Identified ACMs should be removed, handled, and disposed of properly, in accordance with applicable state and federal regulations prior to building demolition. Any suspect asbestos-containing material that is discovered during building renovation/demolition that is not included in this report should be assumed to contain asbestos until further bulk sampling and analysis is performed. Lead containing paint was identified on select interior and exterior building components. Renovation or demolition work involving lead containing paint is subject to OSHA's Lead in Construction Standard. The standard establishes minimum work requirements, engineering controls and employee exposure Page 9 of 10 Pre-demolition Hazardous Materials Inspection 65 Paradise Road, Northampton, MA In accordance with the Toxic Substances Control Act (TSCA)40 CFR Part 761, caulk containing PCB concentrations greater than or equal to (>_) 50 parts per million (ppm) is not authorized for use and must be removed and properly disposed. In addition, PCB-containing caulk is considered PCB bulk product waste if the concentration detected in the caulk is >_ 50 parts ppm. Samples were collected and submitted to Con-Test Analytical Laboratory in East Longmeadow, MA. Samples were extracted using USEPA Method 3540C (Soxhlet Extraction) and analyzed for PCBs using USEPA Method 8082. Reported PCB sample concentrations were below the laboratory detection limit (non-detect). Refer to Attachment No. 3 for laboratory results, QA/QC information, as well as chain-of custody records for PCB samples collected. The following table summarizes the results of GEC's PCB sampling activities. r � I Wood Window Glaze Rear Entry Window 01198-PCB0I 1/5/15 ND Wood Window Glaze SE Stairway Window 01198-PCB02 1/5/15 ND 1 s All samples extracted by Soxhlet Method 3540C and analyzed using USEPA Method 8082 All sample results are represented in milligrams per kilogram (mg/Kg) ND=Not detected at the laboratory's minimum reporting limits TCLP Sampling/Results The Resource Conservation and Recovery Act (RCRA) is a law that regulates safe management of environmentally hazardous and non-hazardous waste in the United States. The U.S. Environmental Protection Agency (EPA) promulgates guidelines and regulations for the proper handling and disposal of certain types of waste in accordance with the Code of Federal Regulations. Part of the regulatory requirements involves monitoring a list 8 metallic elements known as RCRA 8 metals commonly found in construction or demolition debris. These regulated metals include arsenic, cadmium, chromium, lead, mercury, selenium, silver and barium. One (1) composite bulk sample representative of the building debris resulting from the demolition of the building was collected and submitted to Con-Test Analytical Inc. in East Longmeadow, Massachusetts for analysis of RCRA 8 metals by Toxicity Characteristic Leaching Procedure (TCLP). The TCLP is a test designed to simulate the leaching a waste will undergo if disposed of in a sanitary landfill. Concentrations of RCRA 8 metals identified in the composite bulk sample collected were less than applicable regulatory limits. Refer to the laboratory results provided in Attachment No. 3 for TCLP sample results, as well as chain-of- custody records. Page 8 of 10 Pre-demolition Hazardous Materials Inspection 65 Paradise Road, Northampton MA 62 3rd Floor-SE Room (Middle) brown I wood floor 0.09 63 € 3rd Floor-SE Room (Middle) white ' plaster ;ceiling 0.0 64 3rd Floor-SW Room (West) [brown =wood window frame 0.02 stain 65 3rd Floor-SW Room (East) brown wood y closet hanger 0.22 stain 66 3rd Floor-South Room (Middle) brown mm I wood floor 0.07 stain 67 3rd Floor-South Room (South) brown wood F window frame 0.01 stain I 1 68 Front Porch gray wood floor 4.5 69 Front Porch (North) brown wood ;shakes 4 { 70 Front Porch (NW) yellow wood window frame 1 17.4 71 Front Porch (NW) yellow wood window sill 4 W72 Front Porch (NW) _,....,, yellow wood~ Window apron 26.9 73 Front Porch yellow wood ceiling 21.2 74 Front Porch (South) yellow wood hand rail 5.8 75 I Front Porch (South) `gray wood i stair tread 0.0 ......_., _� . 76 Front Porch (North) yellow wood door frame 17.2 77 Exterior (East) brown wood shakes I 2.1 78 Exterior (East) yellow wood window sill 231 79 Exterior(North) yellow wood i door 1.8 ( 80 Exterior(North) yellow wood fixed window 13.8 --- —.,.a� 81 4 Exterior (North) r yellow wood �window frame x 13.1 ..,._. ........,. . µ �...�....�......,,.._.�..........._� . . ._. . 82 Basement (South) white brick wall 0.0 PCB Sampling/Results Certain joint caulking compounds used as a part of standard construction practices for masonry buildings and concrete structures erected between the 1940's and 1970's is known to have been manufactured with PCBs. PCBs were added to caulking for durability, resistance to degradation, and as a softener/plasticizer for application. On January 5, 2015, GEC collected representative samples of window glazing compounds to assess the concentration of PCBs associated with these materials. Two (2) samples of glazing compounds were collected. A duplicate sample was also submitted and analyzed to verify lab results for quality control purposes. Page 7 of 10 Pre-demolition Hazardous Materials Inspection 65 Paradise Road, Northampton, MA t' 38 2nd Floor Hallway(North) white plaster upper wall 0.0 { 39 2nd Floor-Hallway(North) white plaster lower wall 0.0 40 mN2nd Floor-Hallway(West)brown wood door frame 0.18 stain i _ { r � ; � 41 2nd Floor-Hallway(West) brown 'wood chair rail 0.05 stain 42 2nd Floor-SW Room (Middle) brown wood floor 0.0 stain 43 g 2nd Floor-SW Room (Middle) white plaster Ceiling 0.08 44 2nd Floor-SW Room (North) s brown wood wainscot 0.3 stain j 45 2nd Floor-SW Room (North) brown I wood fireplace mantel 0.24 r + stain 46 2nd Floor-SW Room (West) brown ",wood I base trim 0.22 Stain 3 E$E$E$ y ryryNryryry� 47 2nd Floor-SW Room (NW) brown 3 wood closet hanger 0.4 stain 3 1 48 2nd Floor-NW Room (North) 'white plaster wall 0.0 49 2nd Floor-NW Room (North) ] brown wood window frame 0.2 stain 50 2nd Floor-NW Room (Middle) white plaster ceiling 0.08 51 2nd Floor-NW Room (South) brown wood base trim 0.25 stain T` ( s 52 2nd Floor-NE Room (North) white i plaster wall 0.25 53 a 2nd Floor-NE Room (East) white ; plaster wall 0.0 54 2nd Floor-NE Room (East) brown wood door trim 0.29 I stain i 55 2nd Floor-NE Room (West) brown wood closet shelf 0.01 56 2nd Floor-NE Room (Middle) white� °plaster ceiling 0.8 57 2nd Floor-Bath (West) white wood door frame 0.5 58 2nd Floor Bath (West) white z Sheetrock wall 0.0 59 3rd Floor-Hallway (Middle) brown wood floor 0.21 I 60 3rd Floor-Hallway(West) brown wood base cabinet 0.0 stain � �door 61 3rd Floor Hallway(West) white I plaster wall 0 0 Page 6 of 10 Pre-demolition Hazardous Materials Inspection 65 Paradise Road Northampton MA 14 1st Floor Kitchen (NW) white wood shelf 0.17 15 1st Floor-NW Room (Middle) brown wood floor y 0.0 stain i 16 1st Floor-NW Room (West) white °plaster �E aal l l O�C 17 1st Floor-NW Room (NW) white wood window sill 0.0 18 1st Floor-NW Room (North) white wood window apron 0.0 19 1st Floor-NW Room (Middle) white ( ` plaster ceiling 0.0 ,. 20 1st Floor-NW Room (West) silver ;metal e p p 0.01 21 1st Floor-SW Room (South) white plaster wall i 0.0 _,----,, 22 1st Floor-SW Room (West) white wood base trim 0.29 23 1st Floor-SW Room (NE) white wood fireplace mantel 0.0 1st Floor-SW Room (East) brown wood pocket door _ 0.0 I stain 7_ a r l 25 ( 1st Floor SW Room (East) white wood door frame 0.0 F 26 1st Floor-Hall (South) E brown wood base trim 0.06 stain I I 27 1st Floor-Hall (South) white i plaster wall 13.3 28� 1st Floor-Hall (East) brown wood window frame 0.04 stain � 29 1st Floor-Hall (South) s brown wood door 0.03 , stain 30 1st Floor-Front Entry (West) brown wood chair rail 0.02 stain 31 1st Floor-Front Entry (West) brown wood ; base trim 0.02 stain 32 r 1st Floor-Front Entry (East) white Plaster lower wall 0.01 33 Stairway-1st Floor to 2nd Floor brown wood stair newel post 0.03 ! (South) stain r 34 Stairway-1st Floor to 2nd Floor brown wood stair tread 0.0 (South) stain 35 Stairway-1st Floor to 2nd Floor brown wood stair riser 0.06 (South) stain ` I 's, t 36 Stairway-1st Floor to 2nd Floor brown wood stair bannister 0 (South) stain = 37 Stairway-1st Floor to 2nd Floor brown I. wood hand rail 002 s r . t (South) stain Page 5 of 10 Pre-demolition Hazardous Materials Inspection 65 Paradise Road, Northampton, MA Lead Sampling/Results As a part of our limited hazardous materials inspection, a preliminary screening for lead-based paint was performed. Testing was performed utilizing a Thermo Scientific Niton XLp XRF Analyzer on December 22, 2014.The instrument was calibrated prior to and following testing according to the instrument manufacturer's protocol. Lead-Based Paint (LBP) is defined by the Department of Housing and Urban Development (HUD) standards (24 CFR Part 35) and the United States Environmental Protection Agency's (USEPA's) Toxic Substances Control Act (TSCA) as any paint surface coating that contains lead equal to or exceeding 1.0 milligram per square centimeter(1.0 mg/cm2) or 03 percent by weight. Furthermore, the Occupational Safety and Health Administration (OSHA) require that employers utilize proper procedures to limit potential employee exposures during activities that disturb paint containing any amount of lead (i.e. >0.0 mg/cm2). The OSHA Lead in Construction Standard (29 CFR 1926.62) considers any level of lead (i.e. >0.0 mg/cm2) to be potentially harmful to workers when disturbed during construction related activities. Specific work practices and worker protection are required based on the nature of the disturbance. Lead-based paint was detected in materials in the building including, but not limited to, select plaster walls and ceilings, exterior window and door components (casings, trim, sashes, etc.), exterior shake siding and porch components. The following table summarizes the results of the XRF sampling. i 1 1st Floor-Kitchen (East) white plaster wall 4.2 2 1st Floor-Kitchen (East) white wood window frame 0.29 3 1st Floor-Kitchen (East) white metal heater cover g 0.04 4 1st Floor-Kitchen (South) white wood door frame 0.18 5 1st Floor-Kitchen (SE) brown wood base cabinet 0.4 stain door 6 1st Floor-Rear Entry (East) white ;wood door 0.26 7 1st Floor Rear Entry(Middle) white plaster ceiling 24.3 _. _.....,...._.� ....... ... 8 1st Floor-Rear Entry(South) white vinyl wall 31 9 1st Floor-Rear Entry(South) white wood base trim 0.1 I 10 1st Floor-Bath by Rear Entry white (metal radiator 0.15 (North) E 11 1st Floor-Bath by Rear Entry white € plaster wall 0.22 (North) 12 1st Floor-Bath by Rear Entry white wood E window frame 0.14 (South) 13 1st Floor Kitchen (NE) white metal pipe 0 Ol �� n. _w .. .. r- Page 4 of 10 Pre-demolition Hazardous Materials Inspection 65 Paradise Road, Northampton MA The following materials were sampled and determined not to be asbestos-containing materials (less than one-percent asbestos): Plaster Base Coat 1st, 2nd and 3rd Floors (walls and ceilings) 01198-01A, 01B, 01C, I OID 01E CIF &O1G Plaster Skim Coat 1st, 2nd and 3rd Floors (walls and ceilings) 01198-02A, 02B, 02C, 02D, 02E, 02F &02G Linoleum (faux 9" design) 1st Floor-Kitchen and Bath; 2nd Floor-Bath 01198-03A, 03B & _ 03C White Linoleum and 1st Floor-Kitchen and Bath (2nd Layer) 01198-04A, 04B, 05A associated Adhesive & 05B Brown Linoleum Adhesive 1st Floor-Kitchen and Bath; 2nd Floor-Bath 01198-07A& 07B (Tan) (bottom layer) Cove Base Adhesive 1st Floor-Kitchen '01198-09A&09B Wallboard � 1st Floor Kitchen 01198-IOA&IOB Tile Grout 1st Floor-Living Room (Fireplace) 01198-12A&12B Construction Adhesive 2nd Floor-Bath (Shower Enclosure) 01198-13A&13B Joint Compound 2nd Floor-Bath 01198-14A&14B Sheetrock 2nd Floor-Bath 01198-ISA&15B Wood Window Glaze Rear Entry Window 01198-16A&16B Red Foundation Repair Exterior 00198-17A&17B Siding Paper Exterior(under wood siding) 00198-18A&18B Wood Window Glaze SE Stairway Window 00198-19A&19B Roofing Shingle Roof 00198-20A&20B Roofing Paper Roof 01198-21A&21B Peter to Attachment No.2 for asbestos laboratory results, including detailed descriptions of sampling locations, as well as chain-of custody records for samples collected. Asbestos bulk samples were collected in a statistically random manner,per EPA guidelines. Page 3 of 10 Pre-demolition Hazardous Materials Inspection 65 Paradise Road Northampton MA Asbestos Sampling/Results Fifty-four(54) samples of suspect asbestos-containing materials (ACM's) were collected and submitted to an accredited laboratory for analysis using Polarized Light Microscopy (EPA/600/R-93/116). Materials found to contain greater than one percent asbestos are considered to be asbestos-containing materials (ACM's). Fieldwork associated with the asbestos inspection was performed from December 18, 2014 to January 7, 2015. The following materials were determined to be asbestos-containing materials (ACMs): Linoleum 1st Floor-Kitchen and 350 01198-06A, 06B,08A, I Multiple Layers; Bath; 2nd Floor-Bath Square 08B& 08C Brown Feet i Linoleum and White Block Linoleum; S Removal should include all layers down I to existing sub- floor Wallboard Adhesive 1st Floor-Kitchen 25 Square ,01198 11A&11B Backsplash and (Brown) I Feet € behind former oven location Page 2 of 10 Green Environmental Consulting, LLC 180 Pleasant Street 3rd Floor-Suite 7 tel/fax 413-341-3418 Easthampton, MA 01027 www.GecEnviro.com January 14, 2015 Mr. Richard Korzeniowski Environmental Health and Safety Coordinator Smith College 126 West Street Northampton, MA 01063 RE: Pre-demolition Hazardous Materials Inspection 65 Paradise Road Northampton, MA Dear Mr. Korzeniowski: Pursuant to your request, Green Environmental Consulting, LLC (GEC) performed a pre-demolition hazardous materials inspection of the residential building located at 65 Paradise Road in Northampton, Massachusetts. This inspection was performed in response to the planned demolition of the building and consisted of an asbestos inspection, lead-based paint and polychlorinated biphenyl (PCB) sampling. In addition, at your request, representative Toxicity Characteristic Leaching Procedure(TCLP) metals testing was performed. Background The building consists of a three-story, residential structure with a full basement and front porch. Interior finish materials include linoleum, wood floors, and plaster wall and ceiling systems. Exterior finish materials include wood shake siding,vinyl windows, wood windows and asphalt-based roofing shingles. Refer to Attachment No. 1 for a site sketch outlining the general layout of the building including identified ACM and sample locations. Page 1 of 10 UIG SAFE SYSTI"M, INC. - Create New Quick "Picket I q,C I of 1 Request Number: 20150501755 Date 01/30/2015 Time 07:08 Latitude: Longitude: I —I State: MASSACHUSETTS Municipality: NORTHAMPTON Address/Intersection: 65 PARADISE RD Nearest Cross Street 1: STATE HWY 9 Nearest Cross Street 2: I Additional Information: Nature Of Work: DEMOLITION Area Of Work: STREET TO HOUSE Area Is Premarked: Y Start Date: 02/04/2015 Start Time: 0200 Caller: MICHAEL Title: Return Call: Phone#: 413-732-3179 Fax#: Alt.Phone#: --J Email Address: Contractor: ASSOCIATED BUILDING WRECKERS Address: 352 ALBANY STREET City: SPRINGFIELD State: MA Zip: 01105 Excavator Doing Work: I E -] Member Utility List Code Abbreviation Name AJ CONGAS COMCAST-SOUTH BURLINGTON MC NGRDEL—� NATIONAL GRID ELECTRIC-MASS ELEC SP VERIZN VERIZON _.i WG CMAGAS COLUMBIA GAS OF MASSACHUSETTS ON ONTARG ON TARGET LOCATING RJ DM INNOVATIVE DATA MANAGEMENT • There may be non-member utilities in the area that you need to notify. • Electric and other companies may not mark lines they don't own or maintain. You may waist -c contact them for more information. • The excavator is responsible to maintain markings placed by member utilities... DIG SAFE ENCOURAGES A COPY OF T11111S ELECTRONIC TICKET ON SITE AT ALL TINIFS. Create New Create From Existing ; Print Ticket E Return To Menu Return To Home littp://digsafeform.digsafe.com/cgi-bin/dlcgi.exe 0 1130120 15 Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality L i BWP AQ 06 Notification Prior to Construction or Demolition This is a revision to an existing form. Project 11)for existing form to be revised: This jub is heing conducted under a 13lankct Permit �Vlassl)!-'I'assigned Blanket Authorization ID: Thisjob is being conducted under a Non"Traditional Abatement Work Practice Permit. MassDEP assigned Non Traditional Work Practice Authorization]D: None of the above conditions apply,generate a new fonn. Revised: 1 1,13,2013 P,r�� .�1 1 t LlMassachusetts Department of Environmental Protection eDE ransaction Copy i Here is the file you requested for your records. j i i To retain a copy of this file you must save and/or print. I I I Username: DEMOCOORD Transaction ID: 718239 Document: AQ 06 -Construction/Demolition Notification Size of File: 218.65K f Status of Transaction: In Process I Date and Time Created: 1/30/2015:7:38:06 AM i Note: This file only includes forms that were part of your � transaction as of the date and time indicated above. If you need i a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. I I I i I i I i I i �:i)Ll? - Massf)LI''s OnlineFiling System I'„L,_c I A, I Horne i Contact i �i- F MassDEP's Online Filing Systern Username:DEM000ORD Nickname:DEMO,. Receipt J Forms Signature Payment (,I' Summary/Receipt print receipt Exit Your submission is complete. 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DEP Transaction ID: 718239 Date and Time Submitted: 1/30/2015 7:36:51 AM Other Email DEP Transaction ID: 718239 Date and Time Submitted: 1/30/2015 7:36:51 AM Other Email Form Name: AQ 06 - Construction/Demolition Notification Form Name: AQ 06 - Construction/Demolition Notification Payment Information DEP code: 103629 Date: 1/30/2015 7:36:39 AM Amount ($): 100 Payment Detail: COORDINATOR DEMO --AccountType -- AccountNumber ****2979 ConfirmationNumber: Vlasst)FF Home Cont,;: a F. y MassDEP's Onllne Filing System ver.12.12.1.00c 2015 MassD'cF liltps://edep.dcl).mass.gov/Pages/Pi-intReccipt.asl)x U 1/30/2015 LlMassachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality BWP AQ 06 1 00214724 Notification Prior to Construction or Demolition asbestos Project Minibel' ,/ C.General Construction or Demolition Description(continued) The Asbestos Abatement Notilication Number for this BY OTHERS address is: --This Project project C'onsu uctiun ,v Demolition is: 2/12/2015 6/30/2015 Project Start Date(MM/DD/YYYY) Project End Date(M'A'DD/`IYYY) 8. For demolition and construction projects, indicate dust suppression techni ILK!:, io be used (— Seeding lv Weuina Covering j Paving Shrouding Other-specily: 9. For Emergency Demolition Operations,who is the MassUFP ol-ficial N\h,, iluaitd the cmergcii_v N/A Name of MassDEP Official N/A Title 1/2/2015 N/A Date of Authorization(MM/DD/YYYY) MassDEP Waiver Number D. Certification I certify that I have personally ANDREW MIRKIN examined the foregoing and am Print Name familiar with the information ANDREWMIRKIN contained in this document and Authorized Signature all attachments and that, based PRESIDENT on my inquiry of those individuals immediately Position/Title responsible for obtaining the ASSOCIATED BUILDING WRECKERS information, I believe that the Representing information is true, accurate, and 1/30/2015 complete. I am aware that there Date(MM/DD/YYYY) _ are significant penalties for UNKNOWN submitting false information. including possible fines and P.E.# imprisonment.The undersigned hereby states, under the penalties of perjury,that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised:03/17/2014 LlMassachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality BWP AQ 06 100214724 Notification Prior to Construction or Demolition Asbestos Project Nutnh,'i B.General Project Description(continued) 3. General Contractor: ASSOCIATED BUILDING WRECKERS 352 ALBANY STREE f Name Address -----— ----– SPRINGFIELD MA 011050000 4137323179 City/Town State Zip Code Telephone ANDREW MIRKIN 4137323179 General Contractor's On-site Manager/Foreman Telephone _ C. General Construction oi- Demolition Description General I. Construction or dcu101111on contractor: Statement: If asbestos is found ASSOCIATED BUILDING WRECKERS 352 ALBANY STREEI during a Construction Contractor Name Address — or Demolition operation,all SPRINGFIELD MA 011050000 4137323179 responsible parties 5 City/Town State Zip Code Telephone CMR 7 00,7.09 7.1 1 must comply with 5 ANDREW MIRKIN 4137323179 . . . and Chapter 21 E of Construction and Demolition On-site Manager Telephone the General Laws of the Commonwealth. I Licensed Contractor Supervisor: This would include, but would not bw ANDREW MIRKIN CS-062382 limited to.filing an _- asbestos removal Supervisor Name License Number notification with the Department and/or a 3. Is the entire facility to be demolished'? [ yes ( No notice of releaselthreatof 4. Describe the area(s)to be demolished: release or a hazardous ENTIRE STRUCTURE TG BE DEMOLISHED substance to the Department if applicable ----- ------ 5. If this a construction projccl, describe the buildings) or addition(s) 10 he x0nsu'UC1ud, MassDEP Use Only N/A Date Received 6. If this is a demolition or renovation project,were the StRiCture(s)survey ed for the presence of Asbestos-Containing Material(ACM)'? Yes I No 7. Was asbestos containin-.,material (ACM) found'? Ves No If a survey was conducted,who conducted the survey? ADAM LESKO A1073071 Name Department of Labor Standards Certification Numbei Rcvised:03/17;2014 _ , 7 LlMassachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality BWP All 0 6 00214724 Notification Prior to Construction or Demolition '��be;tos Project Number A. Applicability A Construction or Demolition operation of an industrial, commercial, or institutional building, or residential building with 20 or more units is regulated by the Department of Environmental Protection(MassDEP), Bureat-.of Waste Prevention,Air Quality Division, under Regulations 310 CMR 7.09. Notification of Construction or Demolition operations is required under 310 CMR 7.09(2)ten (10)working days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09. Is this a fee exempt notification(c,ry town, district, municipal housing authority, state facility, owneroccupied residential property of four units or les_)'� Is this a fee exempt notification (city,town,district,municipal housing authorit), facility,owner-o,c„p].,d residential property of four units or less)? Yes l” No Type oh Notification: I— Revision ol'an Fzistin,Form C'anccllation oTPrujert Instructions: I. Blanket Permit Project Approval, if applicable: Approval ID# 1.All sections of this 1 Non-Traditional Asbestos Ahatement Work Practice Approval,il'applicable. form must be completed in order to Approval ID# comply with the Department of B. General Project Description Environmental I. Facility Information: Protection notification SINGLE FAMILY RESIDENCE 65 PARADISE ROAD requirements of 310 CMR 7.09 Name of facility Street Address NORTHAMPTON MA 010630000 4135852424 2.Submit Original City/Town State Zip Code Telephone Form To Commonwealth of RICHARDKORZENIOWSKI MANAGER Massachusetts Facility Contact Person Contact Person Title Asbestos Prograrn P.O.Box 129087 4135852424 derno @ build ingwrecRers.cot, Boston, MA Facility Contact Person Telephone Facility Contact Person Emml 02112-0087 Facility Size: 2000 2 Square Feet Number of Floors Was the facility built prior to 1950? " Yes No Describe the current or at use of the facility. VACANT RESIDENTIAL STRUCTURE Is the facility a residential facility? Yes No If yes, how many units'�1 2. Facility Owner: SMITH COLLEGE 126 WEST STREET Facility Owner Name Address NORTHAMPTON MA 010630000 4135852424 City/Town State Zip Code Telephone RICHARD KORZENIOWSKI 126 WEST STREET On-Site Manager/Owner Representative Address Northampton MA 01063 41358:3:_42,1 City/Town State Zip Code 1 elephorIc 103/17,20 14 i';u 1 r _ Certification of Visual Inspection Green Environmental Consulting,LLC 180 Pleasant Street-Suite 7 Easthampton,MA 01027 GEC Project tt: Date: 01239 �� 31 2015 Project Address: Client: 65 Paradise Road Smith College Northampton,MA Work Area Inspected: Basement Materials Removed and Quantity: Boller-40 SF in accordance with applicable regulations and projects requirements,I hereby certify that i have visually inspected accessible surfaces in the Work Area and have found no visible debris. Ow s Representative: Date: License 0 License Exp.Date: 1.71 AM900441 5/27/2015 Notes: Roilpr was rp„mn)LPH intact and wrapped with p01v duP to a5st1mBd10tariar ACM's Certification of Visual Inspection Green Environmental Consulting, LLC 180 Pleasant Street-Suite 7 Easthampton, MA 01027 - ------------ GEC Project M Date 01239 1 31 2015 Project Address: Client: 65 Paradise Road Smith College Northampton, MA Work Area Inspected: 1st Floor-Kitchen, Bath& Entry 2na F loor-Bath -Materials Removed and Qua nt—ity: Linoleum-475 SF Wallboard Adhesive-25 SF In accordance with applicable regulations and projects requirements, I hereby certify that I have visually inspected accessible surfaces in the Work Area and have found no visible debris. Owner's Representative: Date: License# License Exp. Date: AM900441 5/27/2015 Notes: Asbestos Air Sample 0,,,ain of Custody Record Green Erivircirmen,.al Consl'jitinq. Lt-C I80 Pleasant Street-Suite 7 Easthampton, MA 01027 Ro d Collection Date: 1/31/2015 � G�c projpct $t: 012 9 Collected Analyzed by: Brian Renaud t "W Volume Actual Adjusted Results LOD Duplicate Ivp° Start bt;.,,P tlota (liters) Fibers Fields Fibers Fields (f/cc) (f/cc) Fibers Fields -j I I ZF 7 T 13 !D -t� riniil Air S 2 01 Final A;r 12, 3 17z 11 80 j, 028273 No.)" C', 100 I-4 efererce S:ide 5 100 Vii•'. , ., Green Environmental Consulting, LLC 180 Pleasant Street-Suite 7 Easthampton, MA 01027 Phase Contrast Microscopy (PCM) Air Sample Report Client: Smith College GEC Project it: 01239 Client Address: Physical Plant Sampled by: Brian Renaud Northampton, MA 01063 Analysts Date: 1/31/2015 Project Name: 65 Paradise Road > roject Address: 65 Paradise Road Northampton,MA Sample Sample Volume LOD Fibers Number Sample Location Type Date 'hers Fibers Fields Fi er ccl cc ,�-',ii035 1st Floor-Kitchen Final Air Clearance 1/31/2015 1215 2 100 .002 .003 i 7512 1st Floor-Bath Final Air Clearance 1/31/2015 1200 3 100 .002 <.002 ?478 2nd Floor-Bath Final Air Clearance 1/31/2015 1230 5 100 .002 <.002 ;164 2nd-Floor-Bath Final Air Clearance 1/31/2015 1200 8 100 .002 .003 7573 0 100 Field Blank 1/31/2015 3-,273 Field Blank 1/31/2015 0 100 �rr�e Adam Lesko, Laboratory Quality Assurance Manager Fiber count by Phase Contrast Microscopy(PCM),NIOSH 7400 Method,Revision 3,Issue 2,8/15/94. Repor-t—e-cFesuits have been blank corrected as applicable. This report relates only to the samples reported above. This report may not be reproduced,except In full,without written approval by Green Environmental Consulting,LLC(GEC). Massachusetts Class"C"Asbestos Analytical License#AA000206 .., r ,r ":, .. .. ., :.. t.« E- ., ' r.i � :t - �- ... ._ r.. .. �. � J !. ... .0 L1u►GCIU VI VV cIJIG [-►CVGIIIIVII ' ryll YUd Illy BWP ANF-001 Pre-Form Notification Prior to Construction or Demolition F This is a revision to an existing foram. Project ID for existing form to be revised: 100214210 This job is being conducted under a Blanket Permit MassDEP assigned Blanket Authorization ID: This job is being conducted under a Non Traditional Abatement Work Practice Permit. MassDEP assigned Non Traditional Work Practice Authorization 1D: I am a non-licensed contractor removing or disturbing non-friable shingles off. None ofthe above conditions apply,generate a new form Revised: 11 13/2013 Page I of I I i Massachusetts Department of Environmental Protection eDEP Transaction Copy i i Here is the file you requested for your records. To retain a copy of this file you must save and/or print. i { Username: USCTMQ Transaction ID: 718327 Document: AQ04-Asbestos Removal Notification Form ANF-001 Size of File: 206.84K Status of Transaction: In Process Date and Time Created: 113012015:11:42:18 AM { Note: This file only includes forms that were part of your transaction as _, ''-,a date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. i i 's { I I I (f G i E LI �,0xtut►Utiweatut Ui ivIuS5activactta 10021421081 Asbestos Notif cation Form ANF-001 Asbestos Project # Project Revision Notification r Project Revision Project Cancellation C. Certification Note:Contractor must >gn this form for DLS "I certify that I have personally nclificalion purposes examined the foregoing and am TOMMACQ EEN TOMMACQUEEN familiar with the information Nam Authorized Signature Contained in this document and GENERALMANAGER 1/30/2015 all attachments and that based PositioNTrtle Date(MMtDD/YYYY) on my inquiry of those 4133227193 UNITED SERVICE COMPANY LLC individuals immediately responsible for obtaining the Telephone Representing information I believe that the 20 CANAL STREET HOLYOKE information is true accurate. and Address City/Town complete. I am aware that there MA 01040 are significant penalties for submitting false information State Zip Code including possible fines and imprisonment. The undersigned hereby states that I have read the Commonwealth of Massachusetts regulations governing asbestos abatement (453 CMR 6 00 promulgated by the Department of Labor Standards and 310 CMR 7 15 promulgated by the Department of Environmental Protection) and that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made. Revised: 11 13/2013 Page 2 of 2 a Asbestos Notincanon k orm AfNV-UUI Asbestos Project# Project Revision Notification D r Project Revision / r Project Cancellation v A. Asbestos Abatement Description 1.Facility Location: SMITH COLLEGE EGE PROPERRTY 65 PARADISE ROAD Name of Facility Street Address Instructions 1 All NORTHAMFrON MA 01063 4135842700 sections of this form Cdy7Town Slate Zip Code Telephone must be completed in MR RICH KORZENIOWSKI HEALTH&SAFETY DIRECTOR order to comply with MassDEP notification Facility Contact Person Name Facility Contact Person Title requirements of 310 Worksite Location: 65 PARADISE ROAD,FLRS 1&2,KITCHEN&BATHS CMR7.15 and Department of Labor Building Name Wing,Floor,Room,etc. Standards(OLS) 2,Blanket Permit Project Approval, if applicable: notification requirements of 453 Approval ID# CMR 6 72 3.Non-Traditional Asbestos Abatement Work Practice Approval, if applicable: Approval ID# MassDEP Use Only 1131/2015 2!712015 Date Received Project Start Date(MMIDDNYYY) End Date(MMIDDNYYY) NIA 8AM-4FM Work Hours-Monday Through Fnday Work Hours-Saturday&Sunday 2 Submit Original Form To. Commonwealth of B. Other Project Revisions: Massachusetts Asbestos Program ADDITIONAL QUANTITIES 40-SF OF BOILER INSULATION,AND 6-SF OF SINK MASTIC P.O.Box 120087 Boston,MA 02112- 0087 „_ f?inPorary is only ru at the place s of a DDS .Ast�eslos cr rr transfer . rna;e::oy i i,a1X1 n.i:;t lit a{ice with Solid :aa,Re�oiaUans C,MR 19 900 Revised: 11 13 2013 Page 1 of 2 Massachusetts Department of Environmental Protection Bureau of Waste Prevention - Air Quality BWP ANF-001 Pre-Form Notification Prior to Construction or Demolition r This is a revision to an existing form. Project ID for existing form to be revised: This job is being conducted tinder a Blanket Permit MassDEP assigned Blanket Authorization ID: This job is being conducted under a Non Traditional Abatement Work Practice Permit. MassDEP assigned Non Traditional Wort.Practice Authorization ID: I am a non-licensed contractor removing or disturbing non-friable shingles only. r None of the above conditions apply,generate a new form Revised: It '13/2013 Page I of 1 LlMassachusetts Department of Environmental Protection eDEP Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: USCTMQ Transaction ID: 715387 Document: AQ04-Asbestos Removal Notificatlon Form ANF-001 Size of File: 226.02K Status of Transaction: in Process Date and Time Created- 111712015:2:51:08 PM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. Commonwealth of Massachusetts 100214210 Asbestos Notification Form ANF-001 Asbestos Project # Project Revision r" Project Cancellation +ots:uontrsctor must C Asbestos Transportation& Disposal: (cont.) sign this form for DLS notification purposes 3.Name and address of temporan,storage location/transfer station for the asbestos containing waste material: TRANSWASTE,INC. 3 BARKER DRIVE Temporary storage Location Name Address WAWNGFORD CT 06492 2032698300 City(Town State Zip Code Telephone 4.Name and location of final disposal site(asbestos landfill): MINERVA LANDFILL MINERVA ENTERPRISES,INC. Final Disposal Site Name Final Disposal Site Owner Name 9000 MINERVA ROAD Address WAYNESBURG CH 44688 3308663435 Gtyffown State Zip Code Telephone D. Certification "I certify that I have personally examined the foregoing and am TOMMACQLEE14 TOM MACQUEEN familiar with the information Name Authorized Signature contained in this document and GENERALMANAGER 1/17/2015 all attachments and that based PostionfT�tle Date(MMlDDNYYY) on my inquiry of those 4133227193 UNITED SERVICE COMPANY H C individuals immediately responsible for obtaining the Telephone Representing information,I believe that the 20 CANAL STREET HOLYOKE information is true,accurate, and Address City/Town complete.I am aware that there MA 01040 are significant penalties for Slate Zip Code submitting false information, including possible fines and imprisonment.The undersigned hereby states that I have read the Commonwealth of Massachusetts regulations governing asbestos abatement (453 CMR 6.00 promulgated by the Department of Labor Standards and 310 CMR 7.15 promulgated by the Department of Environmental Protection), and that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised: 11113/2013 Page 4 of 4 Commonwealth of MassachUSCUS 100214210 Asbestos Notification Form ANF-001 Asbestos Project# {� Project Revision F- Project Cancellation B. Facility Description I.Current or prior use of facility' RESUICE 2 is the facility owner-occupied residential with J units or less? ( Yes No 3 SKI-H COLLEGE ELM STREET Facility Owner Name Address NORTHAMPTON MA 01063 4135842700 CityfTown State Zip Code Telephone 4.MR RICH KORZEN(0VVSW 126 WEST STREET Name of Facility Owner's On-Site Manager Address NORTHAMPTON MA 01063 4135852458 City/Town -7S-tate Zip Code Telephone $.UNITED SERVICE COMPANY LLC 20 CANAL STREET Name of General Contractor Address HOLYOKE MA 01040 4133227193 CityfTown State Zip Code Telephone Note:Temporary STATE NA11OWL INSURMCE COMPANY storage cl Asbestos Contrador's Worker's Compensation Insurer cOn[s'nmg waste rnateal is only NFA 0824100 3f29r1015 n ailoweci at the place Policy p Expiration Date(MMIDD/YYYY) cf Gunness of a DLS ncensed Asbestos 6. What is the size of this facility? 3000 3 contractor or a transfer station that is perrniiied by Square Feel #of Floors Mass°EI'and C. Asbestos Transportation & Disposal operated in compliance with Solid 'Naste Regulations 1.Transporter of asbestos-containing waste material from site of generation: 710 CMR 19.000 F- Directly to Landfill or r To Temporary Storage Locationn'ransf`er Station UNITED SERVICE COMPANY,LLC 20 CANAL STREET Name of Transporter Address HOLYOKE MA 01040 4133227193 Cityfiown State Zip Code Telephone 2. 1I'a temporary storage location/transfer station is used,list name of transporter of asbestos containing waste material from temporary storage local ion/fransfer station to final disposal site: TRANSWASTE,INC. 3 BARKER DRIVE Name of Transporter Address WALLINGFORD CT 06492 2032699300 CityfTown State Zip Code Telephone Revised: 1 113 2013 Page 3 o 4 Commonwealth of Massachusetts 100214210 Asbestos Notification Form ANF-001 Asbestos project # Li F- Project Revision C— Project Cancellation A.Asbestos Abatement Description:(coat.) 12.Abatement procedures(check all that apply): (— Glove flag (— Encapsulation r- Enclosure. (— Dislx)sal Only r- Cleanup r Full Containment Other-Please Specify: 13.Job is being conducted: (v+ Indoors r- Outdoors 14.Total amount of each type of asbestos Containing materials(ACM)lobe removed,enclosed,or encapsulated: 500 Linear Feet(Lin Ft Square Feet(Sq.FL) Boiler,Breaching,Duct, Transile Pipe Tank Surface Coatings Lin Ft Sq.FL Lin.FL Sq.Ft Pita insuluuon Transite Shingles Lin.FL Sq.FL bn.FL Sq,FL Spray-On Fireproofing Transite Panels Lin.Ft Sq.FL Lin,Ft Sq.FL Cloths, Woven Fabrics Other-Please Specifv: Lin Ft Sq.FL Insulating Ccment VAT MASTIC &GLUE 500 Lin.Ft. Sq.FL Lin.FL Sq.Ft 15. Describe the decontamination systcm(s)to be used: THREE STAGE PERSONNEL DECON UNIT WITH SHOWER CONTIGUOUS AND REMOTE TO WORK AREAS 16.Dcscrihe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)(g): WFTfED ACM TO PACKAGED IN TWO 6-MIL POLY BURIAL BAGS OR WRAPPED IN TWO LAYERS OF 6-ML POLYETHYLENE,SEALED AND LABELED 17,For Emergency Asbestos Operations,the MassDEP and DLS officials who evaluated the emergency. Name of MassDEP Official Title of MassDEP Official Date of Authorization(MMIDD(YYYY) Waiver# Name of DLS Official Title of DLS Official Date of Authorization(MM/DDIYYYY) Waiver# 18. Do prevailing stage rates as per M.G.L.c. 149,§26,27 or 27A F apply to this Yes !✓ No project'' Revised: 11'13 2013 Page 2 of-1 Commonwealth of Massachusetts 100214210 Asbestos Notification Form ANF-001 Asbestos Project# r Project Revision j-- Project Cancellation A. Asbestos Abatement Description I.facility Location: SMITH COLLEGE PROPERTY 65 PARADISE ROAD Name of Facility Street Address Instructions 1.All NORTHAMPTON MA 01063 4135842700 sections of this form Cityf'rown State Zip Code Telephone must be completed in MR.RICH KORZENIOWSha HEALTH&SAFETY DIRECTOR order to comply with MassDEP notification Facility Contact Person Name Facility Contact Person Title requirements of 310 Worksite Location: 65 PARADISE ROAD FLRS 1&2,KITCHEN&BATHS CMR 7.15 and Department of Labor Building Name,Wing,Floor,Room,etc. Standards(DLS) 2. Is the facility occupied? f Yes f'No notification requirements of 453 CMR 6.12 3. Is this a fee exempt notification(city,town, district, municipal housing authority, state facility,or owner-occupied residential property of four units or less)? F Yes t✓ No MassOEP Use only 4 Blanket Permit Project Approval.it'applicable: Date Received Approval ID# 5.Non-Traditional Asbestos Abatement Work Practice Approval, 2.Submit Original if applicable: Approval ID# Form To Commonwealth of 6.Asbestos Contractor: Massachusetts UNITED SERVICE COMPANY 20 CANAL ST Asbestos Program P.O.Box 120087 Nam Address Boston,MA 02112• HOLYOKE MA 01040 4133227193 0087 City/Town State Zip Code Telephone ACW0729 Contract Type: r Written (-Verbal DLS License# 7. DALE A HARDY AS071733 Name of Contractor's On-Site Supervisor/Foreman DLS Certification# 8. NIA Name of Project Monitor DLS Certification# y, ATC GROUP SERVICES INC AA000005 Name of Asbestos Analytical Lab DLS Certification# 10. 1/3112015 217201 r> Project Start Date(MM/DD/YYYY) End Date(MMMD/YYYY) NIA 8AM-41 M Work Hours-Monday Through Friday Work Hours-Saturday&Sunday 11.What type of project is this? F Demolition Renovation I` Repair F Other-Please Specify: Revised: 1 1'13/20113 Page 1 of 4 83 Warwick.Street LU � ECOBuILDING Springfield, Massachusetts 01104 .. 413-788-6900 recycled stuff from floors to doors- Fax 413-788-6909 Dear Melissa, Thank you for the opportunity to walk through 65 Paradise Rd and identify recoverable materials that would be appropriate for reuse. We would be able to accept the following donated materials from the house: • Exterior Doors -Front and Back, including • Main staircase -railings,newel posts,balusters storm doors • Treads -if they come out in one piece • Porch Railings • Decorative windows in the stairway,paneling • All light fixtures -interior,exterior below and around them • All the fluted trim • Bench in front bedroom-2nd floor • All the radiators • Paneling above the bench • Pocket Door in the main entry+hardware • All shelves and poles from built-ins and closets • Both fireplace mantels,if they come off in good • Bathtub -2nd floor bathroom and shower curtain shape ring above it • No in-wall valving,but tub spouts okay • Any electrical switches we can recover • Attic railing • All interior doors and hardware • Attic triangle door,including trim • Baseboards -longer pieces are better • Built-in drawers from 2nd floor closet and top of • Kitchen range hood stairs-drawers only • Dishwasher • Hot water heater • Kitchen sink,with disposal attached • Boiler • Both toilets • Slop sink-basement • Bath bath vanities • Pool table -basement • Bath accessories -towel bars, medicine cabinets, • Barn door&transom-basement mirrors • Dart boards -basement • Shower unit-first floor bathroom • Main electrical panel Upon receipt of the materials we would generate a detailed inventory for a donation receipt acknowledging the donation. Please do not hesitate to call me with any questions. Thanks, John L. Grossman Sales Manager 419-847-0650 www.ecobuildingbargains.org Page I oi' 1 Michael Orr From: John Hall [hall @northamptonma.gov] Sent: Thursday, November 06, 2014 11:33 AM To: demo @buildingwrecl<ers.com Subject: 65 Paradise Road \41ke, 1.. sent an E-Mail to Louis Hasbrouck, Northampton Building Comrnissioner, around 1 l:15 l.m. this morning, telling him that I had inspected the Sewer Service cut off at this address, done )y GeeieiZer Enterprises. J.N. (City of Northampton E-mail is a public record except when it falls under one 1 1/06/2014 U I'Y ()1' N()k*I I LAIMPTON, MASSACI It IS I,.FFS DEIPARTNILNT OF PUBLIC WORKS N()R] I IA M 1) 1 N. N 1A 01060 4I 31-587-1570 S I IL111t1e\ P.L. August 29, 2014 Louis Hasbrouck, Building Inspector Municipal Office Annex 212 Main Street Northampton, Ma 01060 Dear Mr. Hasbrouck: The water service at 965 Paradise Road has been disconnected from the city water supply and the water meter has been removed from the premises as of August 29, 2014. Please contact me if you have any questions. Sillcerel A/ � e/gr y�Nuttelman Superintendent of Water Cc: Ned Huntley, Director of Public Works Jim Laurila, City Engineer Michael Orr From: ASSOCIATED BUILDING [abw_inc @comcast.net] Sent: Friday, January 30, 2015 12:07 PM To: demo @bui Id ingwreckers.com Subject: Fwd: Disconnection of Cable Service From: "Jeff Romito" <Jeff_Romito @cable.comcast.com> To: "ASSOCIATED BUILDING" <abw_inc @comcast.net> Sent: Friday, January 30, 2015 12:03:11 PM Subject: RE: Disconnection of Cable Service From: ASSOCIATED BUILDING [mailto:abw__inc @ comcast.neQ Sent: Friday, January 30, 2015 7:19 AM To: Romito, Jeff Subject: Disconnection of Cable Service Good Morning Jeff, Attached you will find a request for the disconnection of cable service at 65 Paradise h:oad. If you have any questions or need any additional information, please le; me know. Michael Orr Associated Building Wreckers 1)('molitioi7 Cnor-clin(r1or 352 Albany Street pringfield, MA Telephone: (413) 732-3179 Fax: (413) 734-6224 erno buildi�i-ivvreckers.com . 1,30/201 DATE: 10/27/2014 FROM: Verizon Engineering 146 Leland St.—Flr.2 Framingham, Ma. 01702 RE: 65 and 69 Paradise Rd, Northampton, MA This letter is to inform you that the Verizon services involving 65 and 69 Paradise Rd,Northampton, MA have been disconnected. i ORIZON—E.'gieer Thank you, Lisa Donovan Central Engineering 866-686-1195 Colu n Gas y of Massachusetts A NiSource Company 995 Belmont Street Brockton,MA 02301 Date: August 18, 2014 To Whom It May Concern: The address listed below has had the gas service(s) disconnected and is now ready for demolition. ADDRESS : 65 Paradise Road TOWN : Northampton STATE : Massachusetts Sincerely, Lisa Buckley Integration Center Columbia Gas Of Massachusetts 508-580-0100 Ext 1293 nationalgrid 40 Sylvan Rd Waltham MA 02451 August 26, 2014 Mr. Richard Korzeniowski SMITH COLLEGE 126 West St. Northampton, MA 01063 EMAIL: rkorzeni@smith.edu RE: Service Removal for Building Demolition Dear Mr. Korzeniowski: This letter is to confirm, per your request,National Grid has removed electrical service and meter as of August 26, 2014 from 65 Paradise Rd.,Northampton, MA. If you have any questions or need further assistance,please feel free to contact me at(508) 357-4605. Sincerely, Ann9llarie Estreffa Nationalgrid Customer Fulfillment FAX: 315-460-9149 PH: 508-357-4605 annmarie.e strella @nationalgrid.com Ref: WR 417679323 DEMOLITION REVIEW APPLICATION Activity Tracking Sheet Property: 65 Paradise Road Map 31C Parcel 016 Year Built 1887 Address: 65 Paradise Road Received in Building Department: March 31, 2014 Referred from Building Department: April 9, 2014 Action Taken/ Northampton Historical Commission Action Taken Bv: X Entire Commission Sub-Committee of the Commission Commission Designee/ Staff Date Action Taken: April 22, 2014 Initial Determination N/A Public Meeting held May 19, 2014 Public Hearing Held Determination Made: Property has been determined not to be Significant according to Ordinance definition. No further action will be taken. Demolition Permit may be issued. Property has been determined to be Significant according to the Ordinance definition and a Public Hearing has been/will be scheduled. Demolition Permit may not be issued at this time. Public Hearing has been held, Property was determined Significant but not Preferably Preserved. No further action will be taken/ Demolition Permit may be issued. Photo documentation may be required. Public Hearing has been held. Property has been deemed to be Preferably Preserved. The demolition review period has been initiated. No demolition permit may be issued until the Historic Commission approves an alternative plan or the twelve month period concludes. X Alternate plan has been approved/ delay terminated. Alternate Plan shall include architectural salvage of the building and its components, and photo-documentation in a format suitable for submission to Forbes Library and the Smith College Archives. Twelve month time period has expired, demolition permit may be issued. Referred by: Sarah LaValley Date December 1, 2014 Louis Hasbrouck </hm mmrthonmptonnna.go*> �� Paradise � �� " �8��=U�� .=~�= 1 message Sarah LaVa\\my <a|avo||ey@northomotonma.Qov» Thu. Dec 11, 2014 at 1:14 PM To: Warren Cochrane <VVCuchnane@uo|-cons u|ting.00m>. Louis Hasbrouck <|haobrouok@northannptonnla.gov» Warren and Louis- Attached please find the demo tracking sheet for 65 Paradise Road that approves photo documentation and architectural salvage for the structure. Demo can proceed ot any time. Thanks very much- Sarah Sarah I. LaVulley Conservation, Preservation and Land Use Planner City ofNorthampton Office nf Planning and 8uataioubility uzo Main Street, Room zz Nnctburuptou MA, 0zU0o 413-507-1203 [------------'--------------1 | � � (City of Northampton E-mail is a public record except when it falls under one of the specific statutory exemptions.) Demo Tracking Shemt -Dm|oy Lifted'pdf —~ 8SSK The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): ASSOCIATED BUILDING WRECKERS, INC. Address:352 ALBANY STREET City/State/Zip: SPRINGFIELD, MA 01105 Phone #:(413) 732-3179 Are you an employer? Check the appropriate box: Type of project(required): 1.Q I am a employer with 32 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.# required.] 5. F1 We are a corporation and its 10.F-1 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: GREAT DIVIDE INSURANCE COMPANY Policy#or Self-ins. Lic. #:WCA154516513 Expiration Date.02/01/2016 Job Site Address: 65 PARADISE ROAD City/State/Zip:NORTHAMPTON,MA 010630 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one- ear imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 y against e violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations o the IA for i urance coverage verification. I do hereby cer ify er the ins nd penalties of perjury that the information provided above is true and correct. Si nature: Date: 2131�t5 Phone# �2(e' a Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: ~ � ` � ! � _ | License Number Expiration Dale Telephonc- �0�= � | ` � | ! i _ | 10-,,1101�.KERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) . "°"'~`=""o ' "Insurance affidavit=Must,e completed and submitted with this application. Failure ~provide ~'s ~'^^~~^ `~ ^' ' Of o[the building -` / �`cn --- Y— Thrcurr~xoxcmplioo for^homcnnvco^ was pxcxdcdminclude fonc(\) or /w^(2) zndt^ o\�,wouchhomoo*no^nmouguouindividualkxNro`dwd*mnmpossoxulioome. 11is01-. CNI1Z78Q, Sixth Edition Section lf)8.3.5.1. Dell i.`i/''�n of Flom cownel: Person(s)whn own^parcel of!and oil whid`hc/xhc,m ides mr in\nndxm ,vsidr�unx'|`i,h U`,," is. o,il� to be. a one or two family dwelling,attached or detached structures accessory to such use amd/'or farill sm/cmrc,. �uch1`noc^woo- shall Submit to the UuUU/n- Official,oil u form ::ceptxu|om the uu«wo(Iumc/m,11!13!1101,01c-�/,'L�,c As your presence oil thejvh site will hem(Joil-edh^mdmo*dn`cdvrin�-'oodop^u cnmp\m!on o[the work for vhichthis pcnnh is issued. ,�'I|w be advised thotnid`rcrermnoem Chapter 152(Workers' Cn"opei`omiuu) and Chmpter 15-1 ([iabiUty nfEu.p|oy'u to Bnplu?m» Av injuries not,mn6n,g i, Death)of the Massachusetts General Laws AnootatcJ. h, i=o,"'` ynoki,c �n perform�,vnrk for youvnJcr|kispcuoi|. 11`, m`Vuv -nud"hmnenw/`m'`coniE:s and aosun r,,osponoUbility for compliance with the State Uui|Jix"CoJc� NO,ho-nton Ordinances, St;iite mx Lnno| Zoning Laws and State ofMaoncbee|u Gcocm| Laws Annotated. Dnm,ox`,,Signature ° OF PROPOSED WORK(check at Nv) 1-1,011si, Addition Replacement Windows Alteration(s) Or Doors R oofing ! %L L000, ` A-Cossory��`fldf Demolition New Signs Ir-11 Decks JM Siding �01 Oth e r ['1i ' n�� ' | | | om§ono,mxisU:� bedmomYou�� No Adding new bogxmm Yes _�m� No i ! ------ xu/z .e.] Noxahv� Renovating Yes No ! ^ ------ —��-- � r|xns�Ko�he� '<»X -Sheet | ' - � � | | � / a Usoc<' uiWing One Fami� Two Fami� Other ________ b Nxm�o/ofm,,.usin each fami{yunit: Number nfBathrooms / c |sthemagarge attached? ________ J r/ono,ed footage nf new oonot,uoVon. Dimensions n Nxmbo/o�ytoi^»7 � Method of Fireplaces urVVoodstovas Number of each | g Eoe,gyCo^seoatinn Comp|ianma, Monpcheck Energy Compliance form atta-.hed?______________ | h� Type ofoor,,�'/.'rdon i !suoco,,u�ioxwithin1DO ft. of wetlands? Yes No. |x construction within 100 yr. Moodp|ninYooNc / ! Depth ofbaessantor cellar floor below fininhed grade | k Vt`/h:i,!/n0rononntn the Building and Zoning regulations? Yes No | Tank City Sewer P�-ivate wel| City water Supply _____ '�FCTICN 7n- HrR AUTHORIZATION -TO BE COMPLETED WHEN rt CONTRACTOR APPLIES FOR BUILDING PERMIT | | aa Owner nfJ`em,�� ' p� fy | | � t,, *c!�un my Uoh»!f in all matters relative iuworl� aut"t#izeg by this Uu||gmg penn/tapp|/cut.on. ) - | i � al j e*0wi ie, omn � as Owncr,'Atlthorlzr�d xyom nomuy that the utaleman�s and /nmnnamon on the mmgmnp application nnrnnr and to the vva of my VN zndba|iof \ / / V i Section 4. ZONING /ill Information N;ust Be Completed. Permit Can Be Denied Due To Incomplete Information L,,istIIIg Proposed Required by ZoninLr 7 I his column to be filled in by Frc ill Buildin,rklcutrncm tf ,_,.., Front i Side Rear But (iim, Hei�,ht 31d (Ii ,.ire Footage Opcii Foota,e 0 Ot a 'uia bld&<E.paved 1 0 iF Spaces it II as a Special Permit/Variance/Finding ever been issued for/on the site? O DON'T KNOW Q YES 0 IF YF!., date issued:' IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T :;NOW 0 YES 0 IrF' `FS: enter Book Page', and/or Document It 11. Cyr the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 YES 0 II" YES, has a permit been or need to be obtained from the Conservation Commission? !H-eds to be obtained 0 Obtained 0 Date issued: C. C' tiny signs exist on the property? YES 0 NO 0 YES, describe size, type and location: D. Ar : ':here any proposed changes to or additions of signs intended for the property ? YES 0 NO ;!-YES, describe size, type and location. F V.111"ie construction activity disturb (clearing,grading, excavation, or filling) over 1 acre or is it part of a common pion will disturb over 1 acre? YES NO O IF YI-S, then a Northampton Storm Water Management Permit from the DPW is required. j 'l J � s ' � 'k��:. �9s7 ttiA', '„�.,,, Department use only c�Q City of Northampton Status of Permit: ��VG Building Department Curb Cut/Driveway Permit w,.w 212 Main Street Sewer/Septir,Availablllty- _ Room 100 Water/Well Availability &pa�� orthampton, MA 01060 I"wp 5ets of Structural Plons—__._, one 413-587-1240 Fax 413-587--1272 Plot/Site Plans ti�cNo�ra Other Specify..__—.�.__... TO CONSTRUCT,ALTER, REPAIR, R[7,NOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING fUt! SI E (FORMATION This section to be completed by office `Q 5 Phradi se —e)tx A Map----- _ Lot Zone Overlay_- — ___----Overlay District_ O%o(o3 Elm St. District CB District ":r TlC7ti P( OI f:.RTY OWNERSHIPIAUTHORIZED AGENT `'..'t of lme( ,i l) urrent A dr 1 to KD. Cv- 1k i..I six't _ Telephone Also S " V& Nt�t S�'ht�, c►IAA , (10,51 a Current Mailing Addr s: vAnAk Telephone 3,F-S'°-"HATED CONSTRUCTION COSTS � ---- --_ _- n Estimated Cost(Dollars)to be Official Use Only i completed by lnermitr plicant 22..E ovo Ot7 (a) Building Permit Fee (b) Estimated'Total Cost of Construction from (6 _ Funding Permit Fee r Y— ical (? VAC) Prote tern _ . — — --- ot� 4+ 5) Cher.,k Number 7 his Section Far Official Use Only`__ Date Pet:mt Niir�,,I�er: _ —�_----- Issued:-- i � ic:n<,tr re. Building Comtnissior,er/Inspec'.or cf Buildings DatF� File#BP-2015-0797 APPLICANT/CONTACT PERSON ASSOCIATED BUILDING WRECKERS INC ADDRESS/PHONE 352 ALBANY ST SPRINGFIELD01105 (413)732-3179 PROPERTY LOCATION 65 PARADISE RD MAP 3 1 C PARCEL 016 001 ZONE EU(100)/URC(100V THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: DEMOLISH FORMER RESIDENTIAL STRUCTURE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building-Plans Included: Owner/Statement or License 063282 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFqRffAVTION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding _ Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management De Ii Signature o Bui in O icia Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. 65 PARADISE RD BP-2015-0797 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 3 1 C-016 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Catefory:demolition BUILDING PERMIT Permit# BP-2015-0797 Project# JS-2015-001551 Est. Cost: $22000.00 Fee: $200.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ASSOCIATED BUILDING WRECKERS INC 063282 Lot Size(sq. ft.): 17554.68 Owner: SMITH COLLEGE OFFICE OF TREASURER Zoning: EU(100)//URC(100)/ Applicant: ASSOCIATED BUILDING WRECKERS INC AT. 65 PARADISE RD Applicant Address: Phone: Insurance: 352 ALBANY ST (413) 732-3179 Workers Compensation SPRINGFIELDMA01105 ISSUED ON:211812015 0:00:00 TO PERFORM THE FOLLOWING WORK.-DEMOLISH FORMER RESIDENTIAL STRUCTURE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeTvpe• Date Paid: Amount: Building 2/18/2015 0:00:00 $200.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner