The URL can be used to link to this page

25A-129 (10) DEMOLITION REVIEW APPLICATION Activity Tracking Sheet Property: 69 Day Avenue (house and garage) Map 25A Parcel 129 Year Built 1900 Address: 69 Day Avenue Received in Building Department: April 1, 2015 Referred from Building Department: April 1,2015 Action Taken/ Northampton Historical Commission Action Taken Bv: Entire Commission X_ Sub-Committee of the Commission Commission Designee/Staff Date Action Taken: _April 15,2015 Initial Determination NA Public Meeting held NA Public Hearing Held Determination Made: _X_ 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. Alternate plan has been approved/delay terminated. Demolition may or may not be approved as part of plan. Twelve month time period has expired,demolition permit may be issued. Referred by: Sarah LaValley Date April 21,2015 ¥# a_t .Department 9PuEaSafety ° Board of BQaa9 gm oGa %an ad\ slam« wwm+r ƒ I nS:� CS-062382 +»a � ANDREW HA!#�a- N 299I&KC EwOOD DR\ 9 « t0»&gAD,olf«A¥ / t /��\ / 6 a«iae 101312015 Office of Consumer Affairs and Business Regulation. 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169969 Type: Corporation Expiration: 8/25/2017 Tr# 268310 ASSOCIATED BUILDING WRECKERS, INC. ANDREW MIRKIN 352 ALBANY STREET SPRINGFIELD, MA 01105 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card ._Office of Consumer Affairs&Business Regulation License or registration valid for individul use only t before the expiration date If found return to: HOME IMPROVEMENT CONTRACTOR V2 Registration: 169968 Type: Office of Consumer Affairs and Business Regulation xpiration: 8/2512017 Corporation IU Park Plaza-S 'te Slit} Boston, 0211 ASSOCIATED BUILDING WRECKERS,INC. ANDREW MIRKIN 352 ALBANY STREET SPRINGFIELD,MA 01105 Undersecretary Not valid without signature Northampton, MA Property Detail Page 2 of 2 Acreage Type Street/Road Type Acres Value no no information information Sales Info I Permit Info yp 0� Date Permit# Price Purpose ate T e Price Validi 10/11/2006 IREMOVE DOOR no information E:::= �CLOSE UP W/SIDI http://www.northamptonassessor.us/noho/propertydetail.php?map_no=25A-129-001&pa... 08/05/2015 Northampton, MA Property Detail Page 1 of 2 City of Northampton, MA: Residential Property Record Card New Search Property Type Classification Code Reference Card 1 of 1 Parcel - Location -Zoning- Assessment Map-Block-Lot: 25A-129-001 Zoning: Assessment: Location: 69 DAY AVE Neigborhood: 8 Land: 133,200 #Living Units: 1 Deed Book: 6587 Building: 137,400 St le: Conventional lass* R-101 Deed Page: 234 Total: 270,600 Year Built: 1900 gfbgij%Wfprmation 1.5 Building Sketch Attic: None Descriptor/Area Basement: Full 18 A:1.5FrJB 6 12 Wood Deck 12 636 sgft Total Rooms: 216 B:OFP Bedrooms: 3 84 sgft 7 15 C:EFP Full Baths: 1 144 sgft Half Baths: 1 1 105 15 225 15 D 225 sgft Exterior Walls: Frame 7 15 E:EFP Unfinished Area: 0 30 105sgft F:FBAY Ground Floor Area: 636 FBAY 14 66 sgft Total Living rea: 1428 G:1Fr g ss 1.5Fr/B 12 24sgft 26 H:Wood Deck 0X0 Finished Basement Living s3s F 216sgft Area: 12 12 14a 12 Basement Recreation Area: 0 X 0 13 Woodburning Fireplace 0 0 3 G 3 s 'B 6 Stacks/Openings: 14 Metal Fireplace Stacks/Openings: 0/0 Addition Information: Heat/Central A/C: Basic Heating System: Electric Fuel Type: Electric Lower 1st Story 2nd Story 3rd Story Are Quality Grade: C Basemen One Story Frame Half Story Frame�� 636 Physical Condition: Average 0 Open Frame Porch 84 Interior/Exterior: Same 0 Enclosed Frame Porch 144 Condition/Desirability/Utility: GD One Story Frame-��-� 225 Vacant/Dwell/Oby Status: Dwelling Enclosed Frame Porchil 105 Additional Features: Frame Bay 66 One Story Frame 24 Brick Trim: 0 X 0 � 216 Stone Trim: 0 X 0 Wood Deck Remodeling Data: La ga mo e e Outbuilding Info s Typ Qty Yea Size 1 Size2 Grd Cond SQ Utilities RG1 01947 600 ©FF Type Feet Value no FRS 1974 108 ©A Prime information Site 19,000 133,150 http://,Aww.northamptonassessor.us/noho/propertydetail.php?map_no=25A-129-001&pa... 08/05/2015 DIG SAFE SYSTEM, INC. - Create New Quick Ticket Page 1 of 2 Request Number: 20153206327 Date 08/05/2015 Time 07:27 Latitude: Longitude: State: MASSACHUSETTS Municipality: NORTHAMPTON Address/Intersection: 69 DAY AVE Nearest Cross Street 1: STATE HWY 9 Nearest Cross Street 2: BATES ST Additional Information: Nature Of Work: DEMOLITION Area Of Work: STREET TO HOUSE Area Is Premarked: Y Start Date: 08/10/2015 Start Time: 09:00 Caller: MICHAEL Title: Return Call: Phone#: 413-732-3179 Fax#: Alt.Phone#: Email Address: Contractor: ASSOCIATED BUILDING WRECKERS,INC. Address: 352 ALBANY STREET City: SPRINGFIELD State: MA Zip: 01105 Excavator Doing Work: Member Utility List Code Abbreviatio F Name F103 FVCOLL FIVE COLLEGE NET LLC MC NGRDEL NATIONAL GRID ELECTRIC-MASS ELEC SP VERIZN VERIZON WG CMAGAS COLUMBIA GAS OF MASSACHUSETTS ON ONTARG ON TARGET LOCATING RJ VERIZN VERIZON • 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 want to contact them for more information. • The excavator is responsible to maintain markings placed by member utilities... http://digsafeform.digsafe.com/cgi-bin/dlcgi.exe 08/05/2015 - Massachusetts Department of Environmental Protection L7� )' Bureau of Waste Prevention • Air Quality BWP AQ 06 Notification Prior to Construction or Demolition • This is a revision to an existing form. Project ID for existing form to be revised: • 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 ID: • None of the above conditions apply,generate a new form. Revised: 11/13/2013 Page 1 of 1 Massachusetts Department of Environmental Protection T, 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: DEMOCOORD Transaction ID: 764136 Document: AQ 06-Construction/Demolition Notification Size of File: 88.94K Status of Transaction: in Process Date and Time Created: 8/6/2015:11:00:01 AM 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. eDEP - MassDEP's OnlineFiling System Page 1 of 1 MassDEP Home I Contact I Privacy Policy MassDEP's Online Filing System Usemame:DEM000ORD Nickname:DEM01 My eDEP FormsLA My Profilelim Help Notifications CReceipt Forms Signature Payment Receipt Summary/Receipt print receipt Exit Your submission is complete. Thank you for using DEP's online reporting system. You can select"My eDEP" to see a list of your transactions. DEP Transaction ID: 764136 Date and Time Submitted: 8/6/2015 10:57:25 AM Other Email : DEP Transaction ID: 764136 Date and Time Submitted: 8/6/2015 10:57:25 AM Other Email : Form Name: AQ 06 -Construction/Demolition Notification Form Name: AQ 06 -Construction/Demolition Notification Payment Information DEP code: 112170 Date: 8/6/2015 10:57:08 AM Amount($): 100 Payment Detail: COORDINATOR DEMO --AccountType--AccountNumber ****2979 Confirmation Number: My eDEP MassDEP Home Contact Privacy Policy MassDEP's Online Filing System ver.12.17.2.00 2015 MassDEP https:Hedep.dep.mass.gov/Pages/PrintReceipt.aspx 08/06/2015 Massachusetts Department of Environmental Protection LlBureau of Waste Prevention • Air Quality BwP AQ 06 100226274 Notification Prior to Construction or Demolition Asbestos Project Number# C.General Construction or Demolition Description(continued) The Asbestos Abatement Notification Number for this TBD address is: This project r— Construction F Demolition is: 8/19/2015 10/31/2015 Project Start Date(MM/DD/YYYY) Project End Date(MM/DD/YYYY) 8.For demolition and construction projects,indicate dust suppression techniques to be used r' Seeding F Wetting r, Covering r- Paving r- Shrouding F- Other-Specify: 9.For Emergency Demolition Operations,who is the MassDEP official who evaluated the emergency? Name of MassDEP Official Title Date of Authorization(MM/DD/YYYY) MassDEP Waiver Number D. Certification "I certify that I have personally ANDREWMIRKIN 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 ASSOCIATED BUILDING WRECKERS responsible for obtaining the ASSOCCIATE information, I believe that the Representing information is true,accurate,and 8/6/2015 complete. I am aware that there Date(MM/DD/YYYY) are significant penalties for N/A 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 Page 3 of Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality 10 BWP AQ 06 0226274 Notification Prior to Construction or Demolition Asbestos Project Number# B.General Project Description(continued) 3.General Contractor: ASSOCIATED BUILDING WRECKERS 352 ALBANY STREET Name Address SPRINGFIELD MA 011050000 4137323179 City/Town State Zip Code Telephone ANDREW MIRKIN 4137323179 General Contractor's On-site Manager/Foreman Telephone General C. General Construction or Demolition Description Statement:If asbestos is found 1.Construction or demolition contractor: during a Construction or Demolition ASSOCIATED BUILDING WRECKERS 352 ALBANY STREET operation,all Contractor Name Address responsible parties must comply with 310 SPRINGFIELD MA 011050000 4137323179 CM 7.00,7.09,7.15, City/Town State Zip Code Telephone and Chapter 21 E of ANDREW MIRKIN 4137323179 the General Laws of the Commonwealth. Construction and Demolition On-site Manager Telephone This would include, but would not bw 2,Licensed Contractor Supervisor: limited to,filing an asbestos removal ANDREWMIRKIN CS-062382 notification with the Department and/or a Supervisor Name License Number notice of release/threat of 3.Is the entire facility to be demolished? r Yes FNo release of a hazardous 4.Describe the area(s)to be demolished: substance to the Department,if ENTIRE STRUCTURE applicable. MassDEP Use Only 5. If this a construction project,describe the building(s)or addition(s)to be constructed: Date Received N/A I 6.If this is a demolition or renovation project,were the structure(s)surveyed for the presence of Asbestos-Containing Material(ACM)? r Yes �No 7. Was asbestos containing material(ACM)found? Yes r No If a survey was conducted,who conducted the survey? UNKNOWN UNAVAILABLE Name Department of Labor Standards Certification Number Revised:03/17/2014 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality B V�'I AQ 06 100226274 L71� Notification Prior to Construction or Demolition Asbestos 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), Bureau 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(city, town,district,municipal housing authority,state facility,owneroccupied residential property of four units or less)? Is this a fee exempt notification(city,town,district,municipal housing authority,state facility,owner-occupied residential property of four units or less)? r Yes r No Type of Notification: r— Revision of an Existing Form Cancellation of Project Instructions: 1.Blanket Permit Project Approval,if applicable: Approval ID# 1.All sections of th is 2.Non-Traditional Asbestos Abatement Work Practice Approval,if applicable: form must be completed in order to Approval ID# comply with the Department of B. General Project Description Environmental 1.Facility Information: Protection notification RESIDENTIAL STRUCTURE 69 DAYAVENUE requirements of 310 CMR 7.09. Name of facility Street Address NORTHAMPTON MA 010600000 4135636639 2.Submit Original City/Town State Zip Code Telephone Form To: Commonwealth of JOHN SACKREY PROJECT MANAGER Massachusetts Facility Contact Person Contact Person Title P.O.Box 4062 4135636639 DEMO@BUILDINGWRECKERS.COM Boston,MA 02211 Facility Contact Person Telephone Facility Contact Person Email Facility Size: 1428 2 Square Feet Number of Floors Was the facility built prior to 1980? F Yes r" No Describe the current or prior use of the facility: RESIDENTIAL STRUCTURE Is the facility a residential facility? F Yes FNo If yes,how many units?1 2.Facility Owner: KIM GOGGINS 71 KING STREET Facility Owner Name Address NORTHAMPTON MA 010600000 4135751597 City/Town State Zip Code Telephone JOHN SACKREY 83 SOUTH MAIN STREET On-Site Manager/Owner Representative Address Sunderland MA 01375 4135636639 City/Town State Zip Code Telephone Revised:03/17/2014 Page 1 of 3 + x. Asbestos Sulk Sample Chain-of Custody 73 William Franks Drive QTR West Springfield, MA, 07089 Tel: 413-781-0070 Shaping the Mare Fax: 443-781-3734 Project Name: Sackery Construction _ _ Project Address: 69 Day Avenue,Northampton,MA Project Number: Project Manager;E&Vard Kolodziei Sampled Byz--Edward L<o lodzI ' Date: 7113/201.5 Results To:edward.kolodzieiCccardno com Analysis Type: PL Turnaroond Time:_24 firs Positive Stop: des No Special Instructions or Comments: a Homogeneous . Field ID —Sample Description — - _. Location Material 69D4$A Joint Com Z and White V Floor,Back Entrance Area — ^ 0 M N � 7 3' •• ' t Rclinqu,shed By: Date: 3 ? ' Received By- _ Date: Relinquished By: pate: Rcceivcd By: Date: EMSL Analytical, Inc. EMSL Order: 031521847 307 West 38th Street,New York,NY 10018 CUStOmerlD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CustomerPO: 11-81-0030 http//www.EMSL.com manhattanlabCcDemsl.com ProjectlD: Attn: Edward Kolodziej Phone: (413)781-0070 Cardno ATC Fax: (413)781-3734 73 William Franks Drive Received: 07/14/15 1:26 PM Analysis Date: 7115/2015 West Springfield, MA 01089 Collected: 7/13/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA The samples in this report were submitted to EMSL for analysis by Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy. The reference number for these samples is the EMSL Order ID above. Please use this reference number when calling about these samples. Report Comments: Scope:Leica#6 Ser.961374717AX0001 Sample Receipt Date:: 7/1412015 Sample Receipt Time: 1:26 PM Analysis Completed Date: 7/15/2015 Analysis Completed Time: 8:24 AM Analyst(s): /- VoA,� ,�, , 4A,� Emily Myint PLM(1) Samples reviewed and approved by: James Hall,Laboratory Manager or other approved signatory EMSL maintain.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.New York,NY AIHA-LAP,LLC—IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 Initial report from 07/15/2015 11:02:09 Test Report PLM(S)-7.25.0 Printed:7/15/2015 12:09:51 PM THIS IS THE LAST PAGE OF THE REPORT. 2 EMSL Analytical, Inc. EMSL Order: 031521847 307 West 38th Street,New York,NY 10018 CustomerlD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CUstomerPO: 11-81-0030 htto:/twww.EMSL.com manhattanlab(cDemsi.com ProjectlD: Attn: Edward Kolodziej Phone: (413)781-0070 Card no ATC Fax: (413)781-3734 73 William Franks Drive Received: 07/14/15 1:26 PM West Springfield, MA 01089 Analysis Date: 7/15/2015 Collected: 7/13/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA 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 69D-48A JOINT White 60% Ca Carbonate None Detected 031521847-0001 COMPOUND Non-Fibrous 40% Non-fibrous(other) (WHITE)-1ST Homogeneous FLOOR/BACK ENTRANCE AREA Scope:Leica#6 Ser.961374717AX0001 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 I 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 1 recommends gravimethc 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.New York,NY AIHA-LAP,LLC—IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 Initial report from 07/15/2015 11:02:09 Test Report PLM(S)-7.25.0 Printed:7/15/2015 12:09:51 PM 1 C"rwrna Asbestos Bulk Sample Chain-o#Custody 73 William Franks Drive QTC West Springlleld, MA, 01089 Tel. 413-781.0070 wing the FW= Fax. 413.781.3734 proiw Name: Sackery Construction Project Address 69 Day Avenue,Northampton,MA Project Number _ Project Manager:Edward Kolodziei Sampled By. Edward Kolodzaej __--_ Date 6/16/2015 Results To _edward kolodaiej; ardno.com Analysis Type: PLM Turnaround Time: 48 hrs Positive Stop: Yes No Special Iistructions or Comments b .Qn Homogeneous m Field ID Samplo Descri ion Location MstMUl ~ 69D-4470 Vermiculite Attic Insulation Attic 1 69D-047D Vermiculite Attic Insulation Attic l Relinquished By; Date: 0 ..e Received By: Date: Relinquished By: date: Received$y: Date: EMSL Analytical, Inc. rProjjectID: 031520060 307 West 38th Street,New York,NY 10018 ATC62 Phone/Fax: (212)290-0051/(212)290-0058 : 11-81-0030 htto//www.EMSL.com manhattanlabaOemsl.com Attn: Edward Kolodziej Phone: (413)781-0070 Cardno ATC Fax: (413)781-3734 73 William Franks Drive Received: 06/30/15 2:17 PM Analysis Date: 711/2015 West Springfield, MA 01089 Collected: 6116/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE,NORTH HAMPTON,MA The samples in this report were submitted to EMSL for analysis by Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy. The reference number for these samples is the EMSL Order ID above. Please use this reference number when calling about these samples. Report Comments: Sample Receipt Date:: 6/30/2015 Sample Receipt Time: 2:17 PM Analysis Completed Date: 7/1/2015 Analysis Completed Time: 9:44 AM Analyst(s): Emily Myint PLM(1) HenfyAkintunde PLM(1) Samples reviewed and approved by: 5v� James Hall,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 Gient to claim product ce rtification.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 gravimetdc reduction pr or 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.New York,NY AIHA-LAP,LLC--IHLAP Accredited#102581,NVLAP Lab Code 101048-9,N'S ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 � Initial report from 07/01/2015 11 09:12 Test Report PLM(S)-7.25.0 Printed:7/1/2015 11:09:12 AM THIS IS THE LAST PAGE OF THE REPORT. 2 EMSL Analytical, Inc. EMSL Order: 031520060 307 West 38th Street,New York,NY 10018 Custor lD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CustomerPO: 11-81-0030 httD://www.EMSL.com manhattanlab@emsi.com ProjectlD: Attn: Edward Kolodziej Phone: (413)781-0070 Card no ATC Fax: (413)781-3734 73 William Franks Drive Received: 06/30/15 2:17 PM West Springfield, MA 01089 Analysis Date: 711/2015 Collected: 6/16/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE,NORTH HAMPTON,MA 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 69D-047C ATTIC- Brown 2% Cellulose 18% Non-fibrous(other) None Detected VERMICULITE Non-Fibrous 80% Vermiculite 031520060-0001 ATTIC Homogeneous INSULATION TEM CARB method recommended. 69D-047D ATTIC- Brown 2% Cellulose 13% Non-fibrous(other) None Detected VERMICULITE Non-Fibrous 85% Vermiculite 031520060-0002 ATTIC Homogeneous INSULATION TEM CARIB method recommended. 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.New York,NY AIHA-LAP,LLC--IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 i Initial report from 07/01/2015 11:09:12 Test Report PLM(S)-7.25.0 Printed:7/1/2015 11:09:12 AM 1 Asbestos Bulk Sample Chain-of-Custody 73 William Franks Drive ��, West Springfield, MA, 01088 Tel: 413481-0070 Shaping the Fulum pax: 413.7$13734 Project Name: Sackery Construction Project Address 69 Day Avenue.Northampton. MA Project Number Project Manager. Edward Koiodziej Sampled By Edward Kolodziej Date: 6116/2015 Results To edward.kolodzieI&grdno corn Analysis Type PLM __. Turnaround Time- 44 day Positive Stop: Yea No Special Instructions or Comments Hmagenecus Field ID _ Sample Oe"OpMon Location Materiel 69D-40B Felt Ice&Water Shield Roof 40 69D-41 A Extenor Door Window Glaze Exterior-Shed 41 69D-41 B Exterior Door Window Glaze Exterior-Shed 41 69D-42A Exterior Window Glue Exterior-Shed 42 69D-42B Exterior Window Glaze Exterior-Shed 42 69D-43A Exterior As ha)t Siding Sin to Exterior-Shed 43 69D-43B Exterior Asphalt Siding Single Exterior-Shed 43 69D-44A Roof Shingle CTop La yer) Roof-Shed 44 69D-44B Roof Sh in le(Top Layer) Roof-Shed 44 69D-45A Roof Shingle(Bottom Layer Roof-Shed 45 691)-45A Roof Shin a Bottom Layer) Roof-Shed 45 6913-46A Felt Paper Roof-Shed 46 69D-46B Felt Paper Roof-Shod 46 rn 69DA7A Vermiculite Atbc Insulation Attic "i47 cr, 69D-47B Vermiculite Attic Insulation Attic e=47 rri �WOVI, Co Relinquished By: � Date: �/ Received By I%e- Date: CO Asbestos Bulk Sample Chain-vf Custody 73 William Fre&s D� West Springfield, , g7 ATC Tel: 4137 She�ing tfie RAim Fax: 413 11- C-1 J1 Project Name: Seckery Construction Project Address: 69 Day Avenue, Northarnpton, MA —+ Project Number: Project Manager Edward Kolodziei _ r Sampled By: Edward Kolodztei Date 6/16/20)5 Results To: edward kolodzi j cardno.corn Analysis Type- PLM Tarnaround Time 4 clay Positive Strap: Yes No Special Instructions or Comments: Hornogoneaus Field ID SOMP49 Descri Ion Location Materiel 69D-313 V x I'Cefling Tile Room 1 31 69D-32A Flue Cement Basement 32 6913-328 Flue Cement Basement 32 69D-33A Boiler Pad Basement 33 69D-33B Boiler Pad Basement 33 69D-34A Debris on Basement Floor Basement 34 69D-34B Debris on Basement Floor Basement 34 6913.340 Debris on Basement Floor Basement 34 69D-35A Paper under C J! beard Siding Porch 35 69D-35B Paper under Cla iaaard Sjding Room 4 35 69D-16A Exterior Basement Window Glaze Exterior 36 69E]-37A Exterior Entrance Door Window Glaze Exterior 37 69D-37B Exterior Entrance Door Window Glaze Exteror 37 691-38A Roof Shin a(Top Layer) Roof 38 69D-38B Roof Shingle To Layer) Roof 38 69D-39A Roof Shingle 13ottom La er Roof 39 69D-39B Roof Shingle Bottom Layer) Roof 39 69D-44A Felt ce&Water Shield Roof 40 Relinquished By: Dy {{ ved 1ae '(& 414 " 7" Asbestos Bulk Sample Chain-of-Custody 73 William Franks Drive �� Writ Springfield, 81-007Q Shah no do Future Fax: 413-781-3734 Project Name; Sackery Construction Project Address 69 Darr Avenue Northampton,MA Project Number. Project Manager: Edward Kolodmaj Sampled By- Edward Kolodzieci .Date: 6/1612015 Results To edward.kolodziei,Acardno.com - Analysis Type PLM _ _- _ Turnaround Time. 44 day Positive Stop: Yes No Special Instructions or Comments Homogeneous Field 10 Sample Description Location Material 6917-23A Linoleum Wood Panel Room 7 w 23 691-23B Linoleum Wood Pane) Room 5 23 69D-24A 12"x 12"Tan 5 A Floor Tile 21d Floor Bathroom 24 69D-24B 12"x 12"Tan S A Floor Tile 2"d Floor Bathroom 24 6913-25A 12"x 12"Tan S.A.Floor Tile Adhesive 2 11 Floor Bathroom 25 691-25B 12"x 12"Tan S.A.Floor Tile Adhesive 2"d Floor Bathroom 25 69D-26A Ceramic Wall Tile Grout 21d Floor Bathroom 26 69D-26B Ceramic Wall Tile Grout 2°d Floor Bathroom 26 69D-27A Ceramic Wall Tile Adhesive 21 Floor Bathroom 27 69D-27B Ceramic Wall`File Adhesive 2cd Floor Bathroom 27 69D-28A Gre y Lmoleum 1 Floor Bathroom 28 69D-28B Grey Linoleum 1 Floor Bathroom 28 69D-28C Grey Linoleum Room 4 28 6913-29A Orcy linoleum Adhesive 1 Floor Bathroom 29 6913.298 Grey Linoleum Adhesive 1'Floor Bathroom 29 6913-30A Backs lash Adhesive Kitchen c 69D-30B Backs lash Adhesive Kitchen 69D-31 A V x V Ceiling Tile 21id Floor lull r•I --i Relinqumbed By' Date: Received By Date R 'o Z _ 3,-3sq.-, e4 031 ��sst + rI7Q� Asbestos Bntk� ' Kin-of-Custody 73 William Franks Drive C7) 1� . T West Springfield, MA, 01089 �� % r4NtA Tel 473-7$1-0070 Shaping the future 15 J JJij 9 Fax: 413.7'$1-3734 Project Name: Sackery Construction Project Address: 4 A Avenue,Northmpton, MA Project Narnber: Project Manager: Edward Kolodziej Sampled By: Edward Kolodziet Date. 611612015_ Results To edward.kolodzreiQcardnc corn Analysis Type PLM Turnaround Time 4 day Positive Stop: Yes No Special Instructions or Comments: Hanxgeneous Field ID Sample Descrl Ion Location MWerlal 69D-14A Linoleum Brown Wood Panel), Kitchen 14 691-14B Linoleum Brown Woad Panel Kitchen 14 69D-15A Linoleum Brown Wood Panel Adhesive Kitchen 15 6913-1 5B Linoleum Brown Wood Panel Adhesive Kitchen 15 69D-16A Paper under Linoleum Room 5 16 6913-16B Paper under Linoteum Hall 2 16 69D-17A 2' x 4'Su!p2qded Ceiling Tile Room 5 17 69D-17B 2' x 4' Sus2cndcd Cciling Tile Room 5 17 691}I&A 9"x 9"Brown w\Brown Streaks Floor Tile Room 6 19 69D-1911 9"x 9" Brown wlBrown Streaks Floor Tile Room 3 Closet 18 69D-19A 9"x 9"Brown wSrown Streaks Floor Tile Adhesive Room 6 19 69D-19B 9"x 9"Brown wlBrown Streaks Floor Tile Adhesive koom 3 Closet 19 69D-20A Dark Grew Linoleum Woven Back Hall 2 20 6913-20B Dark Grey Linoleum Woven Back Hall 2 20 69D-21A Dark Grey Linoleum Woven Back Adhesive Hall 2 21 691}21 B Dark Gjq Linoleum Woven Back Adhesive Hall 2 21 69D-22A Green Linoleum 2'd Floor Hall Closet 22 69D-22B Green Linoleum 2"d Floor Hall Closet 22 AelinquLshed By Date: .r Received Bar Date: L,�► 3° 35A,,, * j Asbestos Bulb Semple Chain-of-Custody 73 William Franks Drive �,. West Springfield, MA, 01089 TO 413.781.0070 Shaping the fuwa Fax: 413-781-3734 Project Name: Sacker, Con trruuction Project Address. 69 Day Avenue,Northampton,MA Project Number: Project Manager: Edward Kclodaiej Sampled By: Edward Koi ztej _ Date. 611612015 Results To edward.kolodzieif&cardno cam Analysis Type PLM - - Turnaround Time: 4 day Positive Stop: Yes No Special Instructions or Comments: Nomogeneous Field ID Sam Is 1386ad an Locabon Material 691707$ Plaster Ceiling Room 3 7 tx9 3,010 piaster Ceiling Roarn 5 7 6917O7D Plaster Ceiling 2" Floor Hall 7 69M7E Plaster Ceiling Room 7 7 69DABA Cupet Adhesive Porch 8 69D-08B Carpet Adhesive Porch 9 6- 9A Single Pane Window Glaze Porch 9 69I709B Sin a Pane W indvw Glaze Porch 9 69D•l 0A PVer under Wood Floor Room 1 10 69D•IOB Pa r under Wood Floor Kitchen 10 69D.11 A Panel Adhesive Room 3 11 69D-11B Panel Adhesive 2"a Floor HaH1$tairwell 11 69D-12A Joint ComDound Dining Room 1 690-12B Joint Compound Kitchen r' 69D-12C Joint Compound 2i3 Floor Bath r*r 69D-120 Joint Compound Hall 2 z 69U-13A Sheets cck Room 4 3 4 f 69Y -I 3B 5hewock Room 4 .. 3 b 00le 00 Relinquished By: 0 Date: /1' _ Iteceived B Date: CGS p>f Asbestos Bulk Sample Chain-of-Castody 73 William Franks Drive ATC West Springfield, MA, 01089 Tel: 443-781-0070 Shopng the Rowe Fax: 413-781-3734 Project Name; Sackery Constrmtion Protect Address fig Day Avenue Northampton, MA Project Nwnben Project Manager: Edward Kolodziel Sampled By. Edward Kolodzied Date. 6/16/2015 Rcsults To- edward kolodziejCu),cardno com Analysis Type P1 M _ Turnaround Time 44 y Positive Stop: Yes No Special Instructions or Comments: Homcgeneous Field ID Sample Desert Ion Location Material 69D-01 A 9"x 9"Tan Floor Tile Porch 1 691)-01B 9"x 9"Tan Floor Tile Porch i 691)-02A 9"x 9"Tan Floor Tile Mastic Black Porch 69D-02B 9"x 9"Tan Floor Tile Mastic Black Porch Li <n 69D-02C 9-'x 9"Floor Tile Mastic Black Porch 69D-03A 9"x 9"Brown Tile under Carpet Porch '-•3 69D-04A Black Cove Base Kitchen 4 69D-04B Black Cove Base Kitchen + —+ 69D-05A Black Cove Base Adhesive Kitchen `: $ 6913-05B Black Cove Base Adhesive Kitchen 69D-06A Plaster Wall Room 1 S 6 Cu 69D-06B Plaster Wall Room 2 6 6917-06C Plaster Wall Dining Room 6 69D-06D Plaster Wall Room 3 6 69D-06E Plaster Wail Basem nt Stairwell 6 6913-06F Plaster Wall Room 5 6 69D-06G Plaster Wall Room 7 6 69D-07A Plaster Ceilin Hall 1 7 Relinquished By: ! -- bate: _ Received By Date. 3 35rt r-� EMSL Analytical, Inc. EMSL Order: 031518551 307 West 38th Street,New York,NY 10018 CustomerlD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CustomerPO: 11-81-0030 http:/twww.EM$L.com manhattanlab(a)emsl.com ProjectlD: Attn: Edward Kolodziej Phone: (413)781-0070 Card no ATC Fax: (413)781-3734 73 William Franks Drive Received: 06/19/15 11:48 AM West Springfield, MA 01089 Analysis Date: 6123/2015 Collected: 6/1612015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA The samples in this report were submitted to EMSL for analysis by Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy. The reference number for these samples is the EMSL Order ID above. Please use this reference number when calling about these samples. Report Comments: Sample Receipt Date:: 6/19/2015 Sample Receipt Time: 11:48 AM Analysis Completed Date: 6/23/2015 Analysis Completed Time: 10:06 AM Analyst(s): (24't" 1M t al W°4 Uv h Deen Liang PLM(56) Kame/A/awawda PLM(37) Samples reviewed and approved by: 5vy James Hall,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 Gient to claim P,oduct certification,approval,or endorsement by NVLAP,NI ST or any agency of the federal govamment. 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.New York,NY AIHA-LAP,LLC-1,LAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 Initial report from 06/2312015 10:11:35 Test Report PLM(S)-7.25.0 Printed:6/23/2015 10:11:35 AM THIS IS THE LAST PAGE OF THE REPORT. 15 EMSL Analytical, Inc. EMSL Order: 031518551 307 West 38th Street,New York,NY 10018 CustomerlD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CUstomerPO: 11-81-0030 httD://www.EMSL.com manhattanlab(Memsl.com ProjectlD: Attn: Edward Kolodziej Phone: (413)781-0070 Card no ATC Fax: (413)781-3734 73 William Franks Drive Received: 06/19/1511:48 AM West Springfield, MA 01089 Analysis Date: 6123/2015 Collected: 6116/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA 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 69D-46B ROOF-SHED- Black 35% Cellulose 45% Matrix None Detected FELT PAPER Fibrous 20% Non-fibrous(other) 031518551-0103 Homogeneous 69D-47A ATTIC- Brown 5% Non-fibrous(other) None Detected VERMICULITE Non-Fibrous 95% Vermiculite 031518551-0104 ATTIC Homogeneous INSULATION 69D-47B ATTIC- Brown 10% Non-fibrous(other) None Detected VERMICULITE Non-Fibrous 90% Vermiculite 031518551-0105 ATTIC Homogeneous INSULATION EMSL maintains liability limited to cast 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.New York,NY AIHA-LAP,LLC—IHLAP Accredited#102581,NVLAP Lab Code 101048-9..NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 Initial report from 06/23/2015 10:11:35 Test Report PLM(S)-7.25.0 Printed:6/23/2015 10:11:35 AM 14 EMSL Analytical, Inc. EMSL Order: 031518551 307 West 38th Street,New York,NY 10018 CustomerlD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CustomerPO: 11-81-0030 htto:/twww.EMSL.com manhattanlalorwemsl.com ProjectlD: Attn: Edward Kolodziej Phone: (413)781-0070 Cardno ATC Fax: (413)781-3734 73 William Franks Drive Received: 06/19/15 11:48 AM West Springfield, MA 01089 Analysis Date: 6/23/2015 Collected: 6/16/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA 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 69D-42B EXTERIOR- Brown/White 25% Ca Carbonate None Detected 031518551-0095 SHED- Non-Fibrous 75% Non-fibrous(other) EXTERIOR Homogeneous WINDOW GLAZE 69D-43A EXTERIOR- Black 44% Cellulose 14% Quartz None Detected SHED- Non-Fibrous 42% Non-fibrous(other) 031518551-0096 EXTERIOR Homogeneous ASPHALT SIDING SINGLE 69D-43B EXTERIOR- Black 20% Cellulose 25% Quartz None Detected 03151051-0097 SHED- Non-Fibrous 55% Non-fibrous(other) EXTERIOR Homogeneous ASPHALT SIDING SINGLE 69D-44A ROOF-SHED- Black 6% Glass 36% Quartz None Detected ROOF SHINGLE Non-Fibrous 58% Non-fibrous(other) 031518551-0098 (TOP LAYER) Homogeneous 69D-44B ROOF-SHED- Black 5% Glass 25% Quartz None Detected ROOF SHINGLE Non-Fibrous 70% Non-fibrous(other) 031518551-0099 (TOP LAYER) Homogeneous 69D-45A ROOF-SHED- Black 34% Cellulose 40% Matrix None Detected ROOF SHINGLE Non-Fibrous 26% Non-fibrous(other) 031518551-0100 (BOTTOM Homogeneous LAYER) 69D-45B ROOF-SHED- Black 35% Cellulose 60% Non-fibrous(other) None Detected ROOF SHINGLE Non-Fibrous 5% Glass 031518551-0101 (BOTTOM Homogeneous LAYER) 69D-46A ROOF-SHED- Black 33% Cellulose 44% Matrix None Detected 031518551-0102 FELT PAPER Fibrous 23% Non-fibrous(other) Homogeneous 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.New York,NY AIHA-LAP,LLC—IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 I\ Initial report from 06/23/2015 10:11:35 Test Report PLM(S)-7.25.0 Printed:6/23/2015 10:11:35 AM 13 EMSL Analytical, Inc. =ProjectID: 551 307 West 38th Street,New York,NY 10018 Phone/Fax: (212)290-0051 1(212)290-0058 030 http7//www.EMSL.com manhattanlab0emsl.com Attn: Edward Kolodziej Phone: (413)781-0070 Cardno A TC Fax: (413)781-3734 73 William Franks Drive Received: 06/19/1511:48 AM West Springfield, MA 01089 Analysis Date: 6/23/2015 Collected: 6/16/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA 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 69D-38B ROOF-ROOF Black 25% Quartz None Detected SHINGLE(TOP Non-Fibrous 15% Ca Carbonate 031518551-0087 LAYER) Homogeneous o 60/o Non-fibrous(other) 69D-39A ROOF-ROOF Black 5% Glass 22% Quartz None Detected SHINGLE Non-Fibrous 40% Matrix 031518551-0088 (BOTTOM Homogeneous 33% Non-fibrous(other) LAYER) 69D-39B ROOF-ROOF Black 5% Glass 25% Quartz None Detected SHINGLE Non-Fibrous 70% Non-fibrous(other) 031518551-0089 (BOTTOM Homogeneous LAYER) 69D-40A ROOF-FELT Black 4% Glass 20% Quartz None Detected (ICE&WATER Non-Fibrous 76% Non-fibrous(other) 031518551-0090 SHIELD) Homogeneous 69D-40B ROOF-FELT Black 6% Glass 24% Quartz None Detected (ICE&WATER Non-Fibrous 70% Non-fibrous(other) 031518551-0091 SHIELD) Homogeneous 69D-41A EXTERIOR- Brown 55% Ca Carbonate None Detected SHED- Non-Fibrous 45% Non-fibrous(other) 031518551-0092 EXTERIOR Homogeneous DOOR WINDOW GLAZE 69D-41B EXTERIOR- Brown 35% Ca Carbonate None Detected SHED- Non-Fibrous 65% Non-fibrous(other) 031518551-0093 EXTERIOR Homogeneous DOOR WINDOW GLAZE 69D-42A EXTERIOR- White 62% Ca Carbonate None Detected SHED- Non-Fibrous 38% Non-fibrous(other) 031518551-0094 EXTERIOR Homogeneous WINDOW GLAZE 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 ce rtification,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 materals 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.New York,NY AIHA-LAP,LLC—INCA,Accredited,102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 Initial report from 06/23/2015 10:1135 Test Report PLM(S)-7.25.0 Printed:6/23/2015 10:11:35 AM 12 EMSL Analytical, Inc. EMSL Order: 031518551 307 West 38th Street,New York,NY 10018 CustomerIll ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CustomerPO: 11-81-0030 hftp://www.EMSL.com manhattanlaboemsi.com ProjectlD: Attn: Edward Kolodziej Phone: (413)781-0070 Call ATC Fax: (413)781-3734 73 William Franks Drive Received: 06/19/1511:48 AM West Springfield, MA 01089 Analysis Date: 6/23/2015 Collected: 6/16/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA 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 69D-34C BASEMENT- Stop Positive(Not Analyzed) DEBRIS ON 031518551-0080 BASEMENT FLOOR 69D-35A PORCH-PAPER Black 25% Fibrous(other) 75% Non-fibrous(other) None Detected UNDER Fibrous 031518551-0081 CLAPBOARD Homogeneous SIDING 69D-35B ROOM 4- Brown/Black 80% Cellulose 20% Non-fibrous(other) None Detected PAPER UNDER Fibrous 031518551-0082 CLAPBOARD Homogeneous SIDING 691l EXTERIOR- Gray 60% Ca Carbonate None Detected 031518551-0083 EXTERIOR Non-Fibrous 40% Non-fibrous(other) BASEMENT Homogeneous WINDOW GLAZE 691l EXTERIOR- Gray 23% Quartz None Detected 031518551-0084 EXTERIOR Non-Fibrous 77% Non-fibrous(other) ENTRANCE Homogeneous DOOR WINDOW GLAZE 69D-37B EXTERIOR- Gray 25% Ca Carbonate None Detected 031518551-0085 EXTERIOR Non-Fibrous 75% Non-fibrous(other) ENTRANCE Homogeneous DOOR WINDOW GLAZE 69D-38A ROOF-ROOF Black 6% Glass 24% Quartz None Detected SHINGLE(TOP Non-Fibrous 33% Matrix 031518551-0086 LAYER) Homogeneous o 37/o Non-fibrous(other) 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.New York,NY AIHA-LAP,LLC—IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 Initial report from 06/23/2015 10:11:35 Test Report PLM(S)-7.25.0 Printed:6/23/2015 10:11:35 AM 11 EMSL Analytical, Inc. EMSL Order: 031518551 307 West 38th Street,New York,NY 10018 CUstomerlD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CustomerPO: 11-81-0030 http:/Awww.EMSL.com manhattanlaWDemsi.com ProjectlD: Attn: Edward Kolodziej Phone: (413)781-0070 Cardno ATC Fax: (413)781-3734 73 William Franks Drive Received: 06/19/1511:48 AM West Springfield, MA 01089 Analysis Date: 6123/2015 Collected: 6/16/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA 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 69D-30B KITCHEN- Gray 20% Cellulose 50% Matrix None Detected BACKSPLASH Non-Fibrous 30% Non-fibrous(other) 031518551-0071 ADHESIVE Homogeneous 69D-31A 2ND FLOOR Brown 40% Min.Wool 27% Non-fibrous(other) None Detected HALL-1'X 1' Fibrous 33% Cellulose 03151 8551-00 72 CEILING TILE Homogeneous 69D-31 B ROOM 1 -V X 1' Brown 45% Cellulose 20% Non-fibrous(other) None Detected CEILING TILE Fibrous 35% Min.Wool 031518551-0073 Homogeneous 69D-32A BASEMENT- Gray 15% Quartz 30% Chrysotile 031518551-0074 FLUE CEMENT Non-Fibrous 22% Ca Carbonate Homogeneous 33% Non-fibrous(other) 690-32B BASEMENT- Stop Positive(Not Analyzed) 031518551-0075 FLUE CEMENT 69D-33A BASEMENT- Brown 35% Quartz 8% Chrysotile 031518551-0076 BOILER PAD Non-Fibrous 12% Ca Carbonate Homogeneous 45% Non-fibrous(other) 69D-33B BASEMENT- Stop Positive(Not Analyzed) 031518551-0077 BOILER PAD 690-34A BASEMENT- Gray 22% Ca Carbonate 18% Chrysotile 031518551-0078 DEBRIS ON Fibrous 60% Non-fibrous(other) BASEMENT Homogeneous FLOOR 69D-34B BASEMENT- Stop Positive(Not Analyzed) 031518551-0079 DEBRIS ON BASEMENT FLOOR 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 lproduct 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 i 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.New York,NY AIHA-LAP,LLC—IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 Initial report from 06123/2015 10:11:35 Test Report PLM(S)-7.25.0 Printed:6/23/2015 10:11:35 AM 10 EMSL Analytical, Inc. EMSL Order: 031518551 307 West 38th Street,New York,NY 10018 CustomerlD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CustomerPO: 11-81-0030 http:/&vww.EMSL.com manhattanlabWemsl.com ProjectlD: Attn: Edward Kolodziej Phone: (413)781-0070 Cardno ATC Fax: (413)781-3734 73 William Franks Drive Received: 06/19/15 11:48 AM West Springfield, MA 01089 Analysis Date: 6/23/2015 Collected: 6/16/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA 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 69D-27A 2ND FLOOR Brown 70% Matrix None Detected 031518551-0063 BATHROOM- Non-Fibrous 30% Non-fibrous(other) CERAMIC WALL Homogeneous TILE ADHESIVE 69D-27B 2ND FLOOR Brown 55% Matrix None Detected 031518551-0064 BATHROOM- Non-Fibrous 45% Non-fibrous(other) CERAMIC WALL Homogeneous TILE ADHESIVE 690-28A 1ST FLOOR Gray 35% Cellulose 53% Non-fibrous(other) None Detected BATHROOM- Non-Fibrous 12% Glass 031518551-0065 GREY LINOLEUM Homogeneous 690-28B 1 ST FLOOR Gray 22% Glass 43% Non-fibrous(other) None Detected 031518551-0066 BATHROOM- Non-Fibrous 35% Cellulose GREY LINOLEUM Homogeneous 69D-28C ROOM 4-GREY Gray 8% Glass 52% Non-fibrous(other) None Detected 031518551-0067 LINOLEUM Non-Fibrous 40% Cellulose Homogeneous 69D-29A 1ST FLOOR White 10% Fibrous(other) 33% Matrix None Detected BATHROOM- Non-Fibrous 57% Non-fibrous(other) 031518551-0068 GREY Homogeneous LINOLEUM ADHESIVE 69D-29B 1ST FLOOR White 5% Fibrous(other) 55% Matrix None Detected BATHROOM- Non-Fibrous 40% Non-fibrous(other) 031518551-0069 GREY Homogeneous LINOLEUM ADHESIVE 69D-30A KITCHEN- Gray 60% Matrix None Detected BACKSPLASH Non-Fibrous 40% Non-fibrous(other) 031518551-0070 ADHESIVE Homogeneous 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.New York,NY AIHA-LAP,LLC--IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 Initial report from 06/23/2015 10:11:35 Test Report PLM(S)-7.25.0 Printed:6/23/2015 10:11:35 AM 9 EMSL Analytical, Inc. EMSL Order: 031518551 307 West 38th Street,New York,NY 10018 CUStomerlD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CUstomerPO: 11-81-0030 htb0:/hvww.EMSL.com manhattanlabCcDemsl.com ProjectlD: Attn: Edward Kolodziej Phone: (413)781-0070 Card no ATC Fax: (413)781-3734 73 William Franks Drive Received: 06/19/15 11:48 AM West Springfield, MA 01089 Analysis Date: 6/23/2015 Collected: 6/16/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA 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 69D-23A ROOM 7- Black 10% Cellulose 60% Matrix None Detected 031518551-0055 LINOLEUM Fibrous 30% Non-fibrous(other) (WOOD PANEL) Homogeneous 69D-23B ROOM 5- Black 35% Cellulose 45% Matrix None Detected 031518551-0056 LINOLEUM Non-Fibrous 20% Non-fibrous(other) (WOOD PANEL) Homogeneous 69D-24A 2ND FLOOR Gray/Tan 25% Quartz None Detected BATHROOM-12" Non-Fibrous 75% Non-fibrous(other) 031518551-0057 X 12"TAN S.A. Homogeneous FLOOR TILE 69D-24B 2ND FLOOR Gray/Tan 22% Quartz None Detected BATHROOM-12" Non-Fibrous 78% Non-fibrous(other) 031518551-0058 X 12"TAN S.A. Homogeneous FLOOR TILE 69D-25A 2ND FLOOR Brown 66% Matrix None Detected BATHROOM-12" Non-Fibrous 34% Non-fibrous(other) 031518551-0059 X 12"TAN S.A. Homogeneous FLOOR TILE ADHESIVE 69D-25B 2ND FLOOR Not Submitted BATHROOM-12" 031518551-0060 X 12"TAN S.A. FLOOR TILE ADHESIVE 69D-26A 2ND FLOOR White 4% Quartz None Detected BATHROOM- Non-Fibrous 70% Ca Carbonate 031518551-0061 CERAMIC WALL g Homo eneous TILE GROUT 26% Non-fibrous(other) 69D-26B 2ND FLOOR White 25% Ca Carbonate None Detected 031518551-0062 BATHROOM- Non-Fibrous 75% Non-fibrous(other) CERAMIC WALL Homogeneous TILE GROUT 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.New York,NY AIHA-LAP,LLC--IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 Initial report from 06/23/2015 10:11:35 Test Report PLM(S)-7.25.0 Printed:6/23/2015 10:11:35 AM 8 Eli Analytical, Inc. EMSL Order: 031518551 307 West 38th Street,New York,NY 10018 CUStomerlD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CUstomerPO: 11-81-0030 http://www.EMSL.com manhattanlabta7emsl.com ProjectlD: Attn: Edward Kolodziej Phone: (413)781-0070 Ca rd no ATC Fax: (413)781-3734 73 William Franks Drive Received: 06/19/15 11:48 AM West Springfield, MA 01089 Analysis Date: 6/23/2015 Collected: 6/16/2015 LProject: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA 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 69D-19B ROOM 3 Brown 10% Cellulose 90% Non-fibrous(other) None Detected (CLOSET)-9"X Fibrous 031518551-0048 9"BROWN W/ Homogeneous BROWN STREAKS FLOOR TILE ADHESIVE 69D-20A HALL 2-DARK Brown 88% Cellulose 12% Non-fibrous(other) None Detected GREY Fibrous 031518551-0049 LINOLEUM Homogeneous (WOVEN BLACK) 69D-20B HALL 2-DARK Brown 90% Cellulose 10% Non-fibrous(other) None Detected GREY Fibrous 031518551-0050 LINOLEUM Homogeneous (WOVEN BLACK) 69D-21A HALL 2-DARK Brown 7% Cellulose 53% Matrix None Detected 031518551-0051 GREY Non-Fibrous 40% Non-fibrous(other) LINOLEUM Homogeneous (WOVEN BLACK) ADHESIVE 69D-21 B HALL 2-DARK Brown 5% Cellulose 55% Matrix None Detected 031518551-0052 GREY Non-Fibrous 40% Non-fibrous(other) LINOLEUM Homogeneous (WOVEN BLACK) ADHESIVE 69D-22A 2ND FLOOR Black 15% Cellulose 60% Matrix None Detected HALL CLOSET- Non-Fibrous 25% Non-fibrous(other) 031518551-0053 GREEN Homogeneous LINOLEUM 69D-22B 2ND FLOOR Black 45% Cellulose 55% Non-fibrous(other) None Detected HALL CLOSET- Fibrous 031518551-0054 GREEN Homogeneous LINOLEUM 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.New York,NY AIHA-LAP,LLC—IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 Initial report from 06/23/2015 10:11:35 Test Report PLM(S)-7.25.0 Printed:6/23/2015 10:11:35 AM 7 EMSL Analytical, Inc. EMSL Order: 031518551 307 West 38th Street,New York,NY 10018 CUstomerlD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 11 CustomerPO: 11-81-0030 htto:/Avww.EMSL.com manhattanlabGDemsl.com ProjectlD: Attn: Edward Kolodziej Phone: (413)781-0070 Cardno ATC Fax: (413)781-3734 73 William Franks Drive Received: 06/19/15 11:48 AM West Springfield, MA 01089 Analysis Date: 6/23/2015 Collected: 6/16/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA 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 69D-16A ROOM 5- Brown 90% Cellulose 10% Non-fibrous(other) None Detected PAPER UNDER Fibrous 031518551-0041 LINOLEUM Homogeneous 69D-16B HALL 2-PAPER Brown 88% Cellulose 12% Non-fibrous(other) None Detected UNDER Fibrous 031518551-0042 LINOLEUM Homogeneous 69D-17A ROOM 5-2'X 4' Brown 80% Cellulose 20% Non-fibrous(other) None Detected SUSPENDED Fibrous 031518551-0043 CEILING TILE Homogeneous 69D-17B ROOM 5-2'X 4' Brown 94% Cellulose 6% Non-fibrous(other) None Detected SUSPENDED Fibrous 031518551-0044 CEILING TILE Homogeneous 69D-18A ROOM 6-9"X 9" Brown 12% Quartz 5% Chrysotile 031518551-0045 BROWN W/ Non-Fibrous 83% Non-fibrous(other) BROWN Homogeneous STREAKS FLOOR TILE 69D-18B ROOM 3 Stop Positive(Not Analyzed) 031518551-0046 (CLOSET)-9"X 9"BROWN W/ BROWN STREAKS FLOOR TILE 69D-19A ROOM 6-9"X 9" Brown 70% Matrix None Detected 031518551-0047 BROWN W/ Non-Fibrous 30% Non-fibrous(other) BROWN Homogeneous STREAKS FLOOR TILE ADHESIVE 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.New York,NY AIHA-LAP,LLC—IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 Initial report from 06/23/2015 10:11:35 Test Report PLM(S)-7.25.0 Printed:6/23/2015 10:11:35 AM 6 EMSL Analytical, Inc. EMSL Order: 031518551 307 West 38th Street,New York,NY 10018 CUstomerID: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CustomerPO: 11-81-0030 http://www.EMSL.com manhattanlabOemsl.com ProjectlD: Attn: Edward Kolodziej Phone: (413)781-0070 Ca rd no ATC Fax: (413)781-3734 73 William Franks Drive Received: 06/19/15 11:48 AM West Springfield, MA 01089 Analysis Date: 6/23/2015 Collected: 6116/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA 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 69D-12C 2ND FLOOR Stop Positive(Not Analyzed) BATH-JOINT 031518551-0033 COMPOUND 690-12D HALL 2-JOINT Stop Positive(Not Analyzed) 031518551-0034 COMPOUND 69D-13A ROOM 4- Gray 4% Cellulose 60% Gypsum None Detected SHEETROCK Non-Fibrous 36% Non-fibrous(other) 031518551-0035 Homogeneous 690-13B ROOM 4- Brown/Gray 12% Cellulose 55% Gypsum None Detected 031518551-0036 SHEETROCK Non-Fibrous 33% Non-fibrous(other) Homogeneous 69D-14A KITCHEN- Gray 25% Cellulose 53% Non-fibrous(other) 22% Chrysotile LINOLEUM Non-Fibrous 031518551-0037 BROWN(WOOD Homogeneous PANEL) 69D-14B KITCHEN- Stop Positive(Not Analyzed) 031518551-0038 LINOLEUM BROWN(WOOD PANEL) 69D-15A KITCHEN- Brown 55% Matrix None Detected 031518551-0039 LINOLEUM Non-Fibrous 45% Non-fibrous(other) BROWN(WOOD Homogeneous PANEL) ADHESIVE 69D-15B KITCHEN- Brown 55% Matrix None Detected 031518551-0040 LINOLEUM Non-Fibrous 45% Non-fibrous(other) BROWN(WOOD Homogeneous PANEL) ADHESIVE 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 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.New York,NY AIHA-LAP,LLC—IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 Initial report from 06/23/2015 10:11:35 Test Report PLM(S)-7.25.0 Printed:6/23/2015 10:11:35 AM 5 EMSL Analytical, Inc. EMSL Order: 031518551 307 West 38th Street,New York,NY 10018 CustomerlD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CustomerPO: 11-81-0030 http:/tWWW.EMSL.com manhattanlab(cDemsi.com ProjectlD: Attn: Edward Kolodziej Phone: (413)781-0070 Cardno ATC Fax: (413)781-3734 73 William Franks Drive Received: 06/19/15 11:48 AM West Springfield, MA 01089 Analysis Date: 6/23/2015 Collected: 6/16/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA 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 69D-08B PORCH- Brown/Blue 2% Fibrous(other) 45% Matrix None Detected 031518551-0024 CARPET Non-Fibrous 53% Non-fibrous(other) ADHESIVE Homogeneous 69D-09A PORCH- Gray 2% Fibrous(other) 55% Ca Carbonate None Detected SINGLE PANE Non-Fibrous 43% Non-fibrous(other) 031518551-0025 WINDOW GLAZE Homogeneous 69D-09B PORCH- Gray 55% Ca Carbonate None Detected SINGLE PANE Non-Fibrous 45% Non-fibrous(other) 031518551-0026 WINDOW GLAZE Homogeneous 69D-10A ROOM 1 - Beige 88% Cellulose 12% Non-fibrous(other) None Detected PAPER UNDER Fibrous 031518551-0027 WOOD FLOOR Homogeneous 69D-10B KITCHEN- Brown/Beige 88% Cellulose 12% Non-fibrous(other) None Detected PAPER UNDER Fibrous 031518551-0028 WOOD FLOOR Homogeneous 69D-11A ROOM 3-PANEL Gray 45% Matrix 3% Chrysotile 031518551-0029 ADHESIVE Non-Fibrous 52% Non-fibrous(other) Homogeneous 69D-11 B 2ND FLOOR Stop Positive(Not Analyzed) HALL/ 031518551-0030 STAIRWELL- PANEL ADHESIVE 69D-12A DINING ROOM- Tan 6% Mica 2% Chrysotile JOINT Non-Fibrous 65% Ca Carbonate 031518551-0031 COMPOUND g Homo eneous 27% Non-fibrous(other) 69D-12B KITCHEN- Stop Positive(Not Analyzed) JOINT 031518551-0032 COMPOUND 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 gravimetnc reduction pnorto 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.New York,NY AIHA-LAP,LLC—IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 L �l Initial report from 06/23/2015 10:11:35 Test Report PLM(S)-7.25.0 Printed:6/23/2015 10:11:35 AM 4 EMSL Analytical, Inc. EMSL Order: 031518551 307 West 38th Street,New York,NY 10018 CUstomerlD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CustomerPO: 11-81-0030 htto://www.EMSL.com manhattanlabaemsi.com ProjectlD: Ann: Edward Kolodziej Phone: (413)781-0070 Cardno ATC Fax: (413)781-3734 73 William Franks Drive Received: 06/19/1511:48 AM West Springfield, MA 01089 Analysis Date: 6123/2015 Collected: 6/16/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA 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 69D-06G ROOM 7- Gray 2% Hair 55% Quartz None Detected 031518551-0017 PLASTER WALL Non-Fibrous 15% Gypsum Homogeneous 28% Non-fibrous(other) 69D-07A HALL 1 - Gray 1% Hair 67% Quartz None Detected 031518551-0018 PLASTER Non-Fibrous 3% Mica CEILING Homogeneous ° 29/o Non-fibrous(other) 69D-07B ROOM 3- Brown 3% Hair 45% Quartz None Detected 031518551-0019 PLASTER Non-Fibrous 4% Mica CEILING Homogeneous ° 12/° Ca Carbonate 36% Non-fibrous(other) 69D-07C ROOM 5- Gray 2% Hair 43% Quartz None Detected 031518551-0020 PLASTER Non-Fibrous 4% Mica CEILING Homogeneous ° 13/° Ca Carbonate 38% Non-fibrous(other) 69D-07D 2ND FLOOR Gray 1% Hair 46% Quartz None Detected HALL-PLASTER Non-Fibrous 3% Mica 031518551-0021 CEILING Homogeneous 15% Ca Carbonate 35% Non-fibrous(other) 69D-07E ROOM 7- Gray 2% Hair 45% Quartz None Detected 031518551-0022 PLASTER Non-Fibrous 3% Mica CEILING Homogeneous 20% Gypsum 30% Non-fibrous(other) 69D-08A PORCH- Brown 5% Fibrous(other) 68% Matrix None Detected 031518551-0023 CARPET Non-Fibrous 27% Non-fibrous(other) ADHESIVE Homogeneous 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 sarr�le 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 ce rtification,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 ii.e.linoleum,wallboard,etc.)are reported as a single sample.Reporting limit is 1 Samples analyzed by EMSL Analytical,Inc.New York,NY AIHA-LAP,LLC—" P A LA ccredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 it Initial report from 06/23/2015 10:11:35 Test Report PLM(S)-7.25.0 Printed:6/23/2015 10:11:35 AM 3 EMSL Analytical, Inc. EMS Order:rder 031518551 307 West 38th Street,New York,NY 10018 CustomerlD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CustomerPO: 11-81-0030 htto:/twww.EMSL.com manhattanlabC&emsl.com ProjectlD: Ann: Edward Kolodziej Phone: (413)781-0070 Cardno ATC Fax: (413)781-3734 73 William Franks Drive Received: 06/19/15 11:48 AM West Springfield, MA 01089 Analysis Date: 6/23/2015 Collected: 6/16/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA __ J 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 69D-05B KITCHEN- Brown 65% Matrix None Detected 031518551-0010 BLACK COVE Non-Fibrous 35% Non-fibrous(other) BASE ADHESIVE Homogeneous 69D-06A ROOM 1 - Gray 65% Quartz None Detected PLASTER WALL Non-Fibrous 2% Mica 031518551-0011 Homogeneous 33% Non-fibrous(other) 69D-06B ROOM 2- Gray 68% Quartz None Detected PLASTER WALL Non-Fibrous 4% Mica 031518551-0012 Homogeneous 12% Ca Carbonate 16% Non-fibrous(other) 69D-06C DINING ROOM- Gray 65% Quartz None Detected PLASTER WALL Non-Fibrous 2% Mica 031518551-0013 Homogeneous 33% Non-fibrous(other) 69D-06D ROOM 3- Brown 1% Hair 45% Quartz None Detected PLASTER WALL Non-Fibrous 4% Cellulose 2% Mica 031518551-0014 Homogeneous 12% Ca Carbonate 36% Non-fibrous(other) 69D-06E BASEMENT Brown 70% Quartz None Detected STAIRWELL- Non-Fibrous 5% Mica 031518551-0015 PLASTER WALL Homogeneous o 25/o Non-fibrous(other) 69D-06F ROOM 5- Gray 2% Hair 45% Quartz None Detected 031518551-0016 PLASTER WALL Non-Fibrous 22% Gypsum Homogeneous 31% Non-fibrous(other) 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.New York,NY AIHA-LAP,LLC—IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 Initial report from 06/23/2015 10:11:35 Test Report PLM(S)-7.25.0 Printed:6/23/2015 10:11:35 AM 2 EMSL Analytical, Inc. EMSL Order: 031518551 307 West 38th Street,New York,NY 10018 CustomerlD: ATC62 Phone/Fax: (212)290-0051/(212)290-0058 CustomerPO: 11-81-0030 htto://www.EMSL.com manhattanlab(cDemsl.com ProjectlD: Attn: Edward Kolodziej Phone: (413)781-0070 Cardno ATC Fax: (413)781-3734 73 William Franks Drive Received: 06/19/1511:48 AM West Springfield, MA 01089 Analysis Date: 6/23/2015 Collected: 6/16/2015 Project: SACKERY CONSTRUCTION/69 DAY AVENUE/NORTHAMPTON,MA 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 69D-01A PORCH-9"X 9" Tan 15% Quartz 6% Chrysotile 031518551-0001 TAN FLOOR TILE Non-Fibrous 79% Non-fibrous(other) Homogeneous 69D-01 B PORCH-9"X 9" Stop Positive(Not Analyzed) 031518551-0002 TAN FLOOR TILE 69D-02A PORCH-9"X 9" Black 76% Matrix None Detected TAN FLOOR TILE Non-Fibrous 24% Non-fibrous(other) 031518551-0003 MASTIC(BLACK) Homogeneous 69D-028 PORCH-9"X 9" Black 50% Matrix None Detected TAN FLOOR TILE Non-Fibrous 50% Non-fibrous(other) 031518551-0004 MASTIC(BLACK) Homogeneous 69D-02C PORCH-9"X 9" Black 2% Quartz None Detected 031518551-0005 FLOOR TILE Non-Fibrous 78% Matrix MASTIC(BLACK) Homogeneous 20% Non-fibrous(other) 69D-03A PORCH-9"X 9" Brown 95% Non-fibrous(other) 5% Chrysotile BROWN TILE Non-Fibrous 031518551-0006 UNDER CARPET Homogeneous 69D-04A KITCHEN- Brown 30% Quartz None Detected 031518551-0007 BLACK COVE Non-Fibrous 70% Non-fibrous(other) BASE Homogeneous 69D-04B KITCHEN- Brown 22% Ca Carbonate None Detected 031518551-0008 BLACK COVE Non-Fibrous 78% Non-fibrous(other) BASE Homogeneous 69D-05A KITCHEN- Brown 85% Matrix None Detected 031518551-0009 BLACK COVE Non-Fibrous 15% Non-fibrous(other) BASE ADHESIVE Homogeneous 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.New York,NY AIHA-LAP,LLC--IHLAP Accredited#102581,NVLAP Lab Code 101048-9,NYS ELAP 11506,NJ NY022,CT PH-0170,MA AA000170 Initial report from 06/23/2015 10:11:35 Test Report PLM(S)-7.25.0 Printed:6/23/2015 10:11:35 AM 1 Attachment C Laboratory Reports and Chain of Custody Cardno ATC Project#183BS00380 69 Day Avenue July 16,2015 Northampton,MA /%:. / //r/ ✓/,%/,/,/%/ �/��/�/�/, ////�%�%i/ti i//iii/, //�/i// . /i / % � //// /,,,, / ,,,�,/,i/,�//. ��/�i//, .�/✓iii.%-.✓�,,./////� /,i��%//,;�: Vermiculite Attic Insulation' 9"x 9"Tan Floor Tile Mastic Black Black Cove Base Black Cove Base Adhesive Plaster Wall Plaster Ceiling Carpet Adhesive Single Pane Window Glaze Paper under Wood Floor Linoleum Brown Wood Panel Adhesive Paper under Linoleum 2' x 4' Suspended Ceiling Tile 9"x 9" Brown w\Brown Streaks Floor Tile Adhesive Dark Grey Linoleum(Woven Back) Dark Grey Linoleum(Woven Back)Adhesive Green Linoleum Linoleum Wood Panel —2nd Floor 12"x 12"Tan S.A. Floor Tile 12"x 12"Tan S.A. Floor Tile Adhesive Ceramic Wall Tile Grout Ceramic Wall Tile Adhesive Grey Linoleum Grey Linoleum Adhesive Backs lash Adhesive 1' x 1' Ceiling Tile Paper under Clapboard Siding Exterior Entrance Door Window Glaze Roof Shingle(Top Layer) Roof Shingle(Bottom Layer) Felt Ice& Water Shield Exterior Door Window Glaze Exterior Window Glaze Exterior Asphalt Siding Single Roof Shingle(Top Layer) Roof Shingle(Bottom Layer) Felt Paper Joint Compound(White) 1 See Section 5(E) regarding Vermiculite Attic Insulation. z Tan joint compound contains Asbestos Cardno ATC Project#183BS00380 69 Day Avenue July 16,2015 Northampton,MA Attachment B List of Non Asbestos Containing Materials Cardno ATC Project#183BS00380 69 Day Avenue July 16,2015 Northampton,MA ,, :../�/rpj iriri/ /ri/rrr:/// r'////r�////r/r 1✓/i,./%r r r rl�%%r ✓,/,r �u. r.�r r //r r�/' rr,✓�ir�/�� r /✓ic o%r�:. v�/ /�i/�i /ri ,i,//i/, /�/r„ r%�//ii%i/iri/ r !i /iir r r ,. /�!r„!,,,, /�,✓i'/�,%;,ri Oi�//i///i%y;:��ri.s err/rirr/�r �:v....//. n. //,„/�....,.,�/, /./,. ,,, / ,: / /i rrr/ rf. r /,r; '/ii ///i////r �/.///� ,a �,////�a�/ir�j ��ri. r i r, i.� ✓..�r /i,r rr�-, //i r�/%re��f��ii/r/%„ �//j/��ijL%., ,,�/.r,/�r r�y%/r��i%�/�/!r/////��// �9 �/;>✓ //� rid:' //, � o/i!;`// r// r� / /i��i/ Porch 9”x 9”Floor Tiles 140 SF Under Carpet Kitchen Linoleum Flooring 115 SF Kitchen Sheetrock\Joint Compound 360 SF Walls&Ceiling Dining Room Sheetrock\Joint Compound 220 SF Walls&Ceiling Ist Floor Bathroom Sheetrock\Joint Compound 205 SF Walls&Ceiling 1St Floor,Back Room Adjacent Panel Adhesive 420 SF to Kitchen Room Adjacent to Kitchen 9"x 9"Floor Tiles 20 SF Closet 1St Floor Hall Panel Adhesive 70 SF 2nd Floor,Back Bedroom 9"x 9"Floor Tiles 135 SF (driveway side) 2nd Floor, Back Bedroom Sheetrock\Joint Compound 135 SF Ceiling (driveway side) Sheetrock\Joint Compound 2nd Floor Bathroom 240 SF Walls&Ceiling 2nd Floor Hall/Stairwell Panel Adhesive 150 SF Basement Thermal Systems Insulation 950 SF Debris on Floor and Boiler Pad Basement Flue Cement 4 SF Exterior Asphalt Flat Roof 50 SF Entrance Cardno ATC Project#183BS00380 69 Day Avenue July 16,201 S Northampton,MA Attachment A List of Asbestos-Containing Materials Cardno ATC Project#183BS00380 69 Day Avenue July 16,2015 Northampton,MA Microscopy (PLM) analysis as an acceptable analytical method for determining the Asbestos content in non-friable, organically bound (NOB) materials. However, comparative studies between PLM analysis and Transmission Electron Microscopy(TEM) analysis have shown that PLM analysis may yield false negative analytical results for NOB's such as floor tiles. Cardno ATC recommends that, prior to Renovation/Demolition activities, one sample from each homogeneous area of floor tiles and other non-friable organically bound (NOB)materials that originally tested negative by PLM undergo confirmatory analysis by TEM, utilizing ELAP-198.4 TEM Method for Identifying and Quantifying Asbestos in NOB bulk samples. D. For materials which contain less than 1 percent asbestos several OSHA requirements still apply if the asbestos permissible exposure limit(PEL) is exceeded or might be exceeded. These include requirements regarding: • the use of wet methods • prompt clean-up and disposal of waste and debris contaminated with asbestos in leak tight containers • and record keeping requirements associated with negative exposure assessment E. Vermiculite Attic Insulation (VAI)was identified in the attic space. The VAI was sampled and submitted for PLM analysis as described in the MassDEP regulations. No asbestos was detected by the PLM method, however, false negatives can result from PLM analysis for this material. Cardno ATC recommends that the material be analyzed by a Qualitative Method by Transmission Electron Microscopy (TEM)to confirm the material does not contain asbestos. Cardno ATC Project#183BS00380 Page 4 of 4 69 Day Avenue July 16,2015 Northampton,MA 3.2 ASBESTOS ANALYSIS Bulk samples were analyzed for asbestos content using Polarized Light Microscopy (PLM)with Dispersion Staining(EPA Method 600/R-93/116: Method for the Determination of Asbestos in Bulk Building Materials). To qualify as asbestos- containing,the material must be determined to contain one percent or more (>_I%) asbestos from a homogeneous material area set of samples. Consequently, according to the EPA/AHERA and MassDEP criteria, all bulk samples from a homogeneous area must be found to contain less than one percent(<1%) asbestos in order to be classified as non-asbestos-containing. 4.0 FINDINGS Refer to the following Attachments for a summary of each tested material, location, analytical results and abatement cost estimates: A............................................................LIST OF ASBESTOS-CONTAINING MATERIALS B............................................................................LIST OF NON-ASBESTOS MATERIALS C...................................................LABORATORY REPORTS AND CHAIN OF CUSTODY 5.0 CONCLUSIONS Several asbestos materials were identified in the building materials. The following response actions are required to be implemented to properly manage these materials at the site: A. In accordance with MassDEP asbestos regulations, all materials found to be asbestos- containing in the building will be required to be abated prior to renovation/demolition activities. In addition, all asbestos abatement work is required to be performed by a Massachusetts state licensed Asbestos Abatement Contractor in accordance with local, state and federal regulations. B. Any suspect asbestos-containing material discovered during the course of renovation/demolition which is not included in this report shall be assumed to be asbestos-containing until further bulk sampling and analysis is performed. C. The Massachusetts Department of Environmental Protection (DEP), as well as the U.S. Environmental Protection Agency (EPA) currently recognize Polarized Light Cardno ATC Project#183BS00380 Page 3 of 4 69 Day Avenue July 16,201 S Northampton,MA 2.0 SITE DESCRIPTION The residence a 69 Day Avenue,Northampton, Massachusetts is a two story structure with an attic and a basement. Interior finishes consist of plaster, sheetrock and hardwood flooring and various floor sheeting. 3.0 ASBESTOS INSPECTION Cardno ATC's Scope of Work included an Asbestos Inspection of the above referenced building. Outlined below is a description of Cardno ATC's testing methodology. 3.1 ASBESTOS PROTOCOL Cardno ATC preformed a limited demolition survey to identify suspect asbestos- containing materials in the above referenced building. The Asbestos Inspection included a visual assessment of accessible suspect asbestos-containing materials and subsequent bulk sampling and analysis. MassDEP define ACBM as any material containing equal to or greater than one percent (>1%) asbestos. The ACBM inspection and bulk sampling was performed in accordance with the methods outlined in the U.S. EPA guidance document titled, Guidance for Controlling Asbestos-Containing Materials in Buildings (Document No. 560/5-85/024). In addition, bulk sampling of asbestos was performed in general accordance with 40 CFR Part 763 Asbestos Hazard Emergency Response Act(AHERA)requirements for number of samples and types of ACBM to be sampled. According to these requirements, materials are classified as either surfacing (e.g., ceiling plaster, wall plaster, spray-applied fireproofing), thermal system insulation (e.g., pipe insulation, pipe fitting insulation, boiler insulation), or miscellaneous materials (e.g., floor tile, ceiling tile,wallboard). The number of samples collected from each material varies based on the classification of the material and increases as the potential for a non-uniform mixture of asbestos in the material increases. Samples collected for asbestos analysis were obtained by qualified and certified (Certified State of Massachusetts Site Inspector)personnel utilizing proper safety measures such as wetting the material prior to sampling, cleaning up the area by wet wiping any resulting residual debris,and wearing proper protective equipment, as needed. In order to be certain of sampling the entire thickness of a material,coring tools and knives were utilized to penetrate all layers of a material. All collected samples were then placed in appropriately labeled airtight containers for shipment to the laboratory for analysis. Cardno ATC Project#183BS00380 Page 2 of 4 69 Day Avenue July 16,2015 Northampton,MA 1.0 SITE INSPECTION SUMMARY SITE: 69 Day Avenue Northampton, MA CLIENT: Sackrey Construction 83 South Main Street Sunderland, MA The enclosed Asbestos Inspection Report was performed and prepared by Cardno ATC. A pre- demolition asbestos inspection of the above referenced structure was performed Mr. Edward Kolodziej, an EPA-trained and Massachusetts Certified Asbestos Inspector. Edward Kolodziej Massachusetts Asbestos Inspector#: AI073072 The report was reviewed by: Brian Williams Branch Manager Cardno ATC Project#183BS00380 Page I of 4 69 Day Avenue July 16,201 S Northampton,MA LIST OFACRONYMS AND ABBREVIATIONS ACBM Asbestos-Containing Building Material ACM Asbestos-Containing Material AHERA Asbestos-Hazard Emergency Response Act CFR Code of Federal Regulations DPH Department of Public Health EPA Environmental Protection Agency LBP Lead Based Paint NESHAP National Emission Standards for Hazardous Air Pollutants NOB Non-Friable Organically Bound OSHA Occupational Safety and Health Administration PACM Presumed Asbestos-Containing Material PCB Poly Chlorinated Biphenyl PLM Polarized Light Microscopy RACM Regulated Asbestos-Containing Building Material TEM Transmission Electron Microscopy XRF X-Ray Fluorescent Cardno ATC Project#183BS00380 69 Day Avenue July 12015 Northampton,MA TABLE OF CONTENTS 1.0 Site Inspection....................................................................................................................1 2.0 Site Description..................................................................................................................2 2.1 Survey Limitations.................................................................................................2 3.0 Asbestos Inspection............................................................................................................2 3.1 Asbestos Protocol...................................................................................................2 3.2 Asbestos Analysis...................................................................................................3 4.0 Findings...............................................................................................................................5 5.0 Conclusions.........................................................................................................................5 ATTACHMENTS A........................................................................LIST OF ASBESTOS-CONTAINING AM TERLALS B........................................................................................LIST OF NON-ASBESTOS MATERIALS C...............................................................LABORATORY REPORTS AND CHAIN OF CUSTODY Cardno ATC Project#183BS00380 69 Day Avenue July 16,201 S Northampton,MA Prepared For: Sackrey Construction 8') South Main Street Sunderland, MA 01375 Attn: John Sackrey ASBESTOS INSPECTION SITE: 69 Day Avenue Northampton, MA Prepared By: C"7) CwWnc ATC Cardno ATC 73 William Franks Drive West Springfield,MA 01089 Cardno ATC Project Number: 183BS00380 July 16,2015 Results: AIR SAMPLIt4G DATA pt testa tOP l tt Flee .04-1, . t Basement, Ce 4;39 Final X0.003 ?. €l3 #34r3 m.. . 4,1 t : l t. t.,l*ort A3 M . ,4 � ' LOW ... , ill P M 441:P r , ,1 3i l st Conte <UO3 . . . 4.I . T) t ub 3 t'�;: 4,M44 P 'final t t . t�5 €t . 4,"1-, 2nd `1< 3 31 ? , 03 .003 80 t1 : 4> ; . end° 1,, 3.43""t' czitcr 0. 0,003 004A S. 9 l rd l t rth t r rr ntM The o rt a+grrierit was rls r l r inspected and found to be free of suspect-at r'0 ✓. lud t1egru af asbestos containing e I i � err fly rrrs Instil tIO S nd,resi� fie,wallboard systems, v lc� s�a ri"+ g� end rrer us sdheslves by full crt�ntelnmer t -rr�et3i�i�, The l n# l r r oe s :nd'ard in the 5tetO cf "O sa us is is fl'l`fit�erstcc sir. :f r a�rl no fiber l�+l in this area was blav� Ittl . A001tioInelly, le(;t roofing was,removed from the a terlor en"nCe= P.rc� of ph r qs are available upon request. i n Or�Vall se ?a"l 0001,52 c: file Al:Sploctrum's es, 69 Wentworth �� evarts A 021 S i"-2 155, ?horse:-5 3465 5 5-Fax,50 = 6 re, 5 5'1 NOO w� AugUSt , 2015' Report For. Top-;Notch atdment, LL Attn.. loss' Ox 11 - ' horndike, MA 01079 A. Pro ec � Residence 19-DaIx 6t tartarrptdn ;U . , pa€ ref S Am pling'. Au ust 4,12015 Date ofAtialysl ust 4 , 2Q15 Scope: lt,was regta stud t ; isuaf lnspecti n h p rft�rmed and firs l air samples taa colt t:i tern end a6` Iyzod f6t fiber content. The Irispectit rt, rtci`al rsamp,in ,were,porfo rr d key Robert Gre allese, an"AHfERA acp lred�t+ a and l�laas chusatts licensed pro act"monitor. Methodology*, he' ale' sampled were collected in accord nce-.1,ith 453 CMR 6.00.'The ds uvere a naffed by the NI SH , 400 method' for P)iase Fast Nticto y.. The sat�riples w cc�llected;w� high oiurne pumps Ith OW, rats A d'l�c� r�rdo ' ha rp arnet r use tci rr asure:the flow rpte was calfbrateW 6 a prlmary standard Within tlici past'6 'months. . 'Samplespollootoo inside cpntal.gment were performed y a r a ly `- t�tpllr math demo coordinator From: John Hall <jhall @northamptonma.gov> Sent: August 06, 2015 11:00 AM To: demo @buildingwreckers.com Subject: Building Demolition 8/6/15 10:55a.m. Mike, I sent an E-Mail to Louis Hasbrouck the Building Commissioner for the City Of Northampton, informing him that you would be taking down two buildings in the City. One at 69 Day Avenue and the second at 107 Whittier Street. I explained to him that you would call me for an inspection of the capped Sewer Service when the building had been taken down. John Hall Foreman Sewer Department City of Northampton i demo coordinator From: Romito, Jeff <Jeff_Romito @cable.comcast.com> Sent: August 11, 2015 8:24 AM To: demo coordinator Subject: RE: Request for Disconnection of Service All set From: demo coordinator [mailto:demo @buildingwreckers.com] Sent:Tuesday, August 11, 2015 6:46 AM To: Romito,Jeff Subject: FW: Request for Disconnection of Service Good Morning Jeff, Any updates on this one? Thank you, Michael Orr Demolition Coordinator Associated Building Wreckers, Inc. 352 Albany Street Springfield, MA 01105 (413) 732-3179 (0) (413) 734-6224 (F) demo@ buildingwreckers.com From: demo coordinator [mailto:demo @buildingwreckers.com] Sent:August 05, 2015 7:29 AM To:Jeff Romito (Jeff Romito @cable.comcast.com) <Jeff Romito @ca ble.comcast.com> Subject: Request for Disconnection of Service Good Morning Jeff, Attached you will find a request for the disconnection of cable service at 69 Day Avenue in Northampton. Please let me know if you have any questions, or require any additional information. Thank you, Michael Orr i RECEIVED 09/07/2013 10:07 08/07/2015 15:25 4137322361 VERIZON PAGE 01 s � ,Associ4-te4 E,,dding Wreckers, Inc. 3521 U any St.,Springfield.MA 01105 Tel:(413;i 132-3179/(800)448-2822 Fa ,r (4t3)7346224 Augusts,2015 To:Pam Puchala Email:namela.d.»uchalaCa.verizon.com of: Verizon Phone: (866)686-1.1,95 (508)884-4908 Please cut all services of all buildin-g at the following location as it is being scheduled for demolition: 69 Day A enue,Northampton,MA Once disconnection has been complc ted,please either sign,below and fax it to(413)734- 6224 or send a notification on your c x_apany letterhead. Thank you very much for your assia.vice in this matter. Sincerely, Associated Building Wreckers,Inc. SERVICE.AT: y 69 Day i� venue.,Northampton,MA HAVE BEEN DISCONNECTED,4 3 Ol+ SI77 PRINT NAW, : � _SIGNATURE REMARKS,REMARKS,IF ANY: R'91 (.)f Massachusetts A NiSource Company 995 Belmont Street Brockton, MA 02301 Date: August 11, 2015 To Whom It May Concern: The address listed below has no gas service(s). ADDRESS : 69 Day Ave 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 19, 2015 Mr. John Sackrey Sackrey Construction Co., LLC 83 S Main St. Sunderland, MA 01375 EMAIL: sackrey @crocker.com RE: Service Removal for Building Demolition. Dear Mr. Sackrey: This letter is to confirm that, per your request,National Grid has removed electrical service and meter(s)from 69 Day Ave.,Northampton, MA 01060 as of 8/19/15. If you have any questions or need further assistance, please feel free to contact me at (508)357- 4605. Sincerely, Ann Varie Zsfreffa Customer Fulfillment Fax: 315-460-9149 Phone: 508-357-4605 an=arie.estrella@nationalgrid.com Nationalgrid WR#19957114 City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: (64 1,.0 Xy4eA&cr4 The debris will be transported by: WN ttAr% The debris will be received by: Li WAW 4kok4,e ks 4LAaW aV.&. LA/Ie- Building permit number: Name jPer A pplicant &%At 4i MaO1 %Vx . Qe4,s Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of IndustrialAccidents W Office of Investigations d I Congress Street, Suite 100 Boston,MA 02114-2017 ,1M 5� •` 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.W I am a employer with 32 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. F-1 New construction 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. Q Demolition working or me in an capacity. employees and have workers' g Y P Y• $ 9. ❑ Building addition [No workers' comp. insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑ 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: 69 Day Avenue City/State/Zip:Northampton, MA 01060 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-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations t e DIA or insurance coverage verification. I do hereby ce of under thepains andpenalties ofperjury that the information provided above is true and correct. Signature:.- Date:August 19, 2015 Phone#: (413 732-909 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#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: �Al�tuz License Number Zq �' � ood► Acc Address f Expiration Date ..° Signature Telephone 9. Registered Home°Improvement'Contractor-",)`,.._.. ,,, „¢._.. .. Not Applicable ❑ .4SSoctQ-X4A T6KJc\d ha LZrgS6A- , Sv`� t 6CLS(Oct Company Name Registration Number 352 Ac%baNti 51ift. r , 5 tNN 4'4A. 1AA o%t o 5 8 I%Ct I Zo 15 Address Expiration Date Telephone(&-13)732-3 L SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L,c.152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No...... ❑ 11. ' Home Owner`'Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official, on a form acceptable to the Building Official,that he/she shall.be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: 1 Not Applicable ❑ Name of License Holder: _ t — _ {�Z cvkA CS"OwZ.3$Z License Number 3 A, bom cw%os 1013112015 Addrgss Expiration Date �`°� �. ,z �Ki3�732.31�9 Signature Telephone 9. Registered Home Imorovement Contractor , s.irs` - ! ;� Not Applicable ❑ s t . T-Y% 11e99bg Compariv Name Registration Number 35 two 01�OS Al Addres f Expiration Date r ,, / Telephone(N13�Z32-3�"19 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L,c.152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No...... ❑ 1L -Home Ownert'Exeiri`ption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official, on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature ' Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Frontage Setbacks Front Rear Building Height Open Space Footage % (Lot area minus bldg&paved of Parking Spaces (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? �� \� NO \�� DONTKNO v�� Y[5 �_�� IF YES, date issued:. | ---'---------' IF YES: Was the permit recorded at the Registry ofDeeds? NO K ] DONTKNOYY YES�° ---C�---) i-- ---' --- — 1 |FYE5' � enter Book Page ' and/or Document#| . �� _ �� B. Does the site contain a brook. body nf water orwetlands? NO �_� DONT KNOW C) YES � IF YES, has a permit been or need tube obtained from the Conservation Commission? [------------ Needs to be obtained 0 Obtained x�� ' Date Issued: C. Do any signs exist un the property? YES v�� NO IF YES, describe size, type and location: .--------. -----'- '-- ----- ----'-------- -- D. Are there any proposed changes to or additions of signs intended for the pnuperty? YES 0 NO IF YES, describe size, type and locution: i E. Will the construction activity disturb(clearing, gradingexcavation, or filling)over 1 acre oriait part nfo common plan that will disturb over 1 acre? YES K � NO (��) �� IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors D Accessory Bldg. ❑ Demolition New Signs [0] Decks [M Siding[0] Other[0] Brief Description of Proposed Work: Aeft' "Artery% O'F 4%.t V%*ArQ Q' "Atim zAVV0kQ#' -CAA-& 4aR 4IF Alteration of existing bedroom Yes_>g!:�_No Adding new bedroom Yes h' No Attached Narrative Renovating unfinished basement Yes ok'� No Plans Attached Roll -Sheet sa. If Newhouse and or addition to existing housing,complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, C-AV as Owner of the subject property hereby aut ize or%ca, ► %uI%A0& wVISAACS-"tft,-[- to act on y ehalf, i all ma s lative to work a rized by this building permit application. ignature of O ner Date 1 &V&M&J ��rvu%& , as @vu e uthorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the sins and penalties of perjury. lbols i ` 3 y S3o4- t 10%Q, Print Na 1AAA1 ' - Signature of G+w+er/Agent Date NO., _I je City of Northa mpton Building Department ` 212 Main Street Room 100 orthampton, MA 01060 t�o Setsphe� 3-587-1240 Fax 413-587-1272 lec'n.: r � � APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office foq DOVI A"dwwe Map Lot Unit' Na' aW� Oh �1` OIO(op Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: to S TI 1"rwa S-Ilirr+ee. 1,,�c mAgA oyn,NoA otobo Name( rin Current MarA Address: (vt3)ST 5-169'1 Telephone Signature 2.2 Authorized ent: z 3SZ A t*Ml%4 StMCk s ottoS Name r' t) Current Mailing Addre s: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number b This Section For Official Use Only Building Permit Number: Date Issued: Signature: - Building Commissioner/Inspector of Buildings Date 69 DAY AVE BP-2016-0202 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25A- 129 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: demolition BUILDING PERMIT Permit# BP-2016-0202 Project# JS-2015-001712 Est. Cost: $11800.00 Fee: $105.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ASSOCIATED BUILDING WRECKERS INC 063282 Lot Size(sq. ft.): 18992.16 Owner: FINN JOAN B&KIM F GOGGINS& K MALYNOSKI &M F GRYGORCEWICZ Zoning: URB(100)/ Applicant: ASSOCIATED BUILDING WRECKERS INC AT. 69 DAY AVE Applicant Address: Phone: Insurance: 352 ALBANY ST (413) 732-3179 Workers Compensation SPRINGFIELDMA01105 ISSUED ON.811912015 0:00:00 TO PERFORM THE FOLLOWING WORK.DEMO S F H & GARAGE 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: FeeType: Date Paid: Amount: Building 8/19/2015 0:00:00 $105.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner