HomeMy WebLinkAboutSECTION 00 26 00 A - EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
300 State Street, Suite 201 | Rochester, NY 14614 | p 585-454-6110 | f 585-454-3066
www.labellapc.com
Pre-Demolition Asbestos-Containing
Materials Inspection
Location:
742 Cascadilla Street
Ithaca, New York 14850
Prepared for:
PG Carpenter Park, LLC
46 Prince Street
Suite 2003
Rochester, New York 14607
LaBella Project No. 2201041
March 2020
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
Table of Contents
Page No.
I. Project Description 1
II. Inspection Procedures 1
III. Inspection Limitations 1
IV. Inspection Results 2
V. Observations & Cautionary Statements 3
Asbestos Bulk Sample Summary Table T-1
Appendix A – Inspection Fact Sheet FS-1
Appendix B – Sample Location Drawings
Appendix C – Inspection Photos
Appendix D – Laboratory Analytical Reports
Appendix E – Asbestos Licenses and Certifications
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
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I. PROJECT DESCRIPTION
In accordance with current regulations, LaBella Associates, D.P.C. (LaBella) conducted a Pre-
Demolition Asbestos-Containing Materials (ACM) Inspection of the building located at 742 Cascadilla
Street, Ithaca, NY.
The objective was to identify suspect ACMs which may require abatement or removal prior to or
during demolition due to applicable regulations.
The areas inspected included the interior, exterior and roofing system of the single-story masonry
building that are expected to be impacted during this potential demolition project. Materials and
locations understood to be impacted by this project were determined from information provided by
PG Carpenter Park, LLC.
II. INSPECTION PROCEDURES
The following procedures were used to obtain the data for this Report:
A. Existing documentation was requested for review. No record drawings or documentation of
previously completed inspections were made available.
B. A visual inspection of the interior, exterior and roofing system of the building was conducted
to identify visible and accessible sources of suspect ACMs. Photographs captured during this
inspection are attached in Appendix C.
C. Bulk samples of accessible ACMs were collected and submitted for laboratory analysis.
D. Asbestos samples were submitted for laboratory analysis. Preliminary Polarized Light
Microscopy analyses of non-friable, organically bound (NOB) materials were performed by
LaBella Laboratories, a NYSDOH accredited laboratory, to determine the presence and
percentage of asbestos in each sample. Transmission electron microscopy analyses of NOB
materials, if necessary, were performed by AMA Laboratories.
E. Results of the laboratory analyses, field testing and the visual on-site inspection were
compiled and summarized.
III. INSPECTION LIMITATIONS
This inspection was conducted in accordance with generally accepted environmental engineering
practices for this region. Collection of bulk samples of suspect ACMs was limited to those materials
readily accessible using hand tools or hand-held power tools. Homogeneous materials were
identified and located based on visual observation from readily accessible points. The data derived
from representative samples of any given homogeneous material represent conditions that apply
only at that particular location. Inspection protocol and methodology requires that sample data be
used to draw conclusions about the entire homogeneous area, but such conclusions may not
necessarily apply to the general Site as a whole. No sub-surface investigations were performed to
determine the possible presence of regulated materials on or in the immediate vicinity of the Site.
No record drawings of the building were available for review as part of this investigation.
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LaBella makes no other warranty or representation, either expressed or implied, nor is one intended
to be included as part of its services, proposals, contracts or reports. No asbestos inspection can
wholly eliminate the uncertainty regarding the potential for undiscovered ACMs. The Work performed
by LaBella is intended to reduce, but not eliminate, uncertainty regarding the potential for ACMs at
the Site. This asbestos inspection report is not intended to be a bid document for an abatement
scope of work. This report is intended to satisfy the requirements of NYS Code Rule 56-5 for
asbestos inspections. Abatement project design can only be performed by a certified Project
Designer.
IV. INSPECTION RESULTS
Asbestos-Containing Materials (ACMs)
Based on laboratory analyses of bulk samples collected, the following material was determined to
contain greater than 1% asbestos. However, the following table does not include all of the materials
sampled during this inspection; for a full list of materials sampled see the Asbestos Bulk Sample
Summary Table immediately following this report.
Type of Material
Typical Location1
Estimated
Amount2
Friability
Condition
Black Wall Mastic Interior Block Wall of One Room* 33 SF Non-Friable Good
*See drawing for a detailed description of material location.
Black Wall Mastic
Black asbestos-containing mastic is located within one (1) room near the southwest exit door of the
building. The mastic is generally in good condition and covers an area of approximately 33 square
feet.
Non-Suspect / Non-Asbestos Materials
The following materials were found to be non-suspect or were inspected and were identified by
laboratory analysis as being non-ACM:
Roofing Materials
Exterior Stucco Finish
Foam Insulation
Drywall and Joint Compound
Adhesives
Caulks
Flooring Systems
CMU Blocks and Mortar
Wood Paneling
Lay-in Ceiling Tiles
Vinyl Coated Electric Wires
1 Typical Location may not be inclusive of all material locations present at the subject structure.
2 For general reference only: Estimated amounts of confirmed ACM listed above were obtained through field
observations made during site visits. Quantities are approximations and LaBella assumes no responsibility
if used for bidding.
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V. OBSERVATIONS AND CAUTIONARY STATEMENTS
Vermiculite
Vermiculite has been used as loose insulation in attics, walls, CMU block, and as a component of
plaster, fireproofing and other building materials. The NYS Department of Health considers
Vermiculite to be an asbestos-containing material, and that building materials containing more than
10% Vermiculite should be treated as asbestos-containing.
Vermiculite was not observed in spaces and materials inspected for this project. Inspecting for loose
fill Vermiculite was performed at several locations in both exterior and interior CMU block walls.
Cautionary measures should be taken during construction, renovation, and demolition to ensure that
proper steps are taken if Vermiculite is discovered in previously inaccessible locations. If Vermiculite
is discovered, work should be stopped immediately to address the issue and prevent the
uncontrolled release and distribution of an asbestos-containing material.
For contamination cleanup scenarios, the notifiable quantity is the square footage of potentially
contaminated surfaces. In addition, any cleanup scenario over a minor size (10 sq, ft), requires a
site-specific variance. The extent of contamination shall be determined by a certified inspector,
working with a project designer. These certified individuals shall use visual debris/contamination
identification and assessment, static (ambient) air sampling of the potentially contaminated area,
and adequate bulk sampling/analysis of the remaining debris/residue to define the limits of the
contamination that must be cleaned up. The extent of contamination assessment is to be
completed prior to submission of the variance petition, necessary for small and large size clean-up
projects.
Potentially Hidden/Inaccessible ACMs
As stated earlier, collection of bulk samples of suspect ACMs was limited to those materials readily
accessible. Destructive sampling techniques were used, but in a limited fashion, in order to
minimize damage to building components. Electrical systems were energized and were only visually
inspected.
Although this inspection was conducted in a manner consistent with recognized professional
practices, the potential does exist for additional ACMs to be inaccessible, hidden, and undiscovered
in the areas inspected.
J:\PG Carpenter Park LLC\2201041 - 742 Cascadilla St Pre Demo ACM\RBM Report.docx
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
Asbestos Bulk Sample
Summary Table
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
Asbestos Bulk Sample Summary Table
Pre-Demolition Asbestos-Containing Materials Inspection
742 Cascadilla St., Ithaca, New York 14850
Items in Bold are Confirmed ACM
T-1
LaBella Project 2201041
Sample #
Type of Material
Sample Location
Results %
Asbestos
1A Black Roofing Roof None Detected
1B Black Roofing Roof None Detected
2A White Caulk Between Window Frame and
Building Exterior None Detected
2B White Caulk Between Window Frame and
Building Exterior None Detected
3A White Stucco Exterior Finish None Detected
3B White Stucco Exterior Finish None Detected
3C White Stucco Exterior Finish None Detected
4A White Joint Compound Entry Room
Wall None Detected
4B White Joint Compound Shower Room Wall None Detected
5A Tan Drywall Entry Room
Wall None Detected
5B Tan Drywall Entry Room
Wall None Detected
6A White Drywall Shower Room Wall None Detected
6B White Drywall North Room Wall None Detected
7A White Ceiling Tile Entry Room Ceiling None Detected
7B White Ceiling Tile West Room Closet Ceiling None Detected
8A Black Mastic Tall Room 17% Chrysotile
8B Black Mastic Tall Room Not Analyzed
Positive Stop
9A Flakey Tan Glue Tall Room None Detected
9B Flakey Tan Glue Tall Room None Detected
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
Asbestos Bulk Sample Summary Table
Pre-Demolition Asbestos-Containing Materials Inspection
742 Cascadilla St., Ithaca, New York 14850
Items in Bold are Confirmed ACM
T-2
LaBella Project 2201041
Sample #
Type of Material
Sample Location
Results %
Asbestos
10A Yellow Mastic Under Floor Tile in
Shower Room None Detected
10B Yellow Mastic Under Floor Tile in
Shower Room None Detected
11A White Floor Leveler Under Mastic in
Shower Room None Detected
11B White Floor Leveler Under Mastic in
Shower Room None Detected
12A Gray 12” x 12”
Floor Tile Shower Room None Detected
12B Gray 12” x 12”
Floor Tile Shower Room None Detected
13A Tan Adhesive Vinyl Base-cove in
Shower Room None Detected
13B Tan Adhesive Vinyl Base-cove in
Rest Room None Detected
14A Tan 12” x 12”
Floor Tile Rest Room None Detected
14B Tan 12” x 12”
Floor Tile Employee Rest Room None Detected
15A Green Foam Adhesive Behind Foam Insulation on
Entry Room Wall None Detected
15B Green Foam Adhesive Behind Foam Insulation on
SW Room Wall None Detected
16A Brown Paneling Adhesive Entry Room Wall None Detected
16B Brown Paneling Adhesive Entry Room Wall None Detected
17A Tan Foam Adhesive Exterior Front Wall None Detected
17B Tan Foam Adhesive Exterior Back Wall None Detected
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
Appendix A
Inspection Fact Sheet
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
FS-1
Pre-Demolition Asbestos Building Materials Inspection
LaBella Project 2201041
Inspection Fact Sheet
Name and Address of Building/Structure
Cayuga Medical Center
742 Cascadilla Street
Ithaca, New York 14850
Name and Address of Building/Structure Owner
Cayuga Medical Center
Name and Address of Owner’s Agent
PG Carpenter Park, LLC
46 Prince Street, Suite 2003
Rochester, New York 14607
Name of the Firm & Person Conducting the Inspection
LaBella Associates, D.P.C.
Douglas Stamp (NYSDOL Cert. #89-07587)
Date(s) the Inspection Was Conducted
March 3 & 9, 2020
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
Appendix B
Sample Location Drawings
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
PG Carpenter Park LLC
742 Cascadilla Street, Ithaca, New York 14850
Job No. 22001041
ACM Sample Location Drawing (ROOF)
1A
1B
2B
2A
N
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
PG Carpenter Park LLC
742 Cascadilla Street, Ithaca, New York 14850
Job No. 22001041
ACM Sample Location Drawing-Building Exterior
3A
3B
4A 4B
4C
4D
4E
N
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
N
PG Carpenter Park LLC
742 Cascadilla Street, Ithaca, New York 14850
Job No. 22001041
ACM Sample Location Drawing-Building ExteriorInterior
8A
8B
4A
5A
15A
5B
16A
15B
4B
6A
7A
6B7B
9A
9B
10A
11A
11B
12A
10B
12B
13A
13B
14A
14B
16B
17B
17A
Sample Numbers in RED BOLD ITALIC
are Confirmed ACM
Tall Room
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
Appendix C
Inspection Photos
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
ACM Black Mastic
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
Appendix D
Laboratory Analytical
Report
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
Appendix E
Licenses and Certifications
SECTION 003126A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORTSECTION 00 26 00 A – EXISTING HAZARDOUS MATERIAL INFORMATION REPORT
New York State – Department of Labor
Division of Safety and Health
License and Certificate Unit
State Campus, Building 12
Albany, NY 12240
ASBESTOS HANDLING LICENSE
LaBella Associates, D.P.C.
Suite 201
300 State Street
Rochester, NY 14614
FILE NUMBER: 99-1172
LICENSE NUMBER: 29278
LICENSE CLASS: RESTRICTED
DATE OF ISSUE: 02/06/2020
EXPIRATION DATE: 02/28/2021
Duly Authorized Representative – Greg Senecal:
This license has been issued in accordance with applicable provisions of Article 30 of the Labor Law of New York State and of the New York State Codes, Rules and Regulations (12 NYCRR Part 56). It is subject to suspension or revocation for a (1) serious violation of state, federal or local laws with regard to the conduct of an asbestos project, or (2) demonstrated lack of responsibility in the conduct of any job involving asbestos or asbestos material.
This license is valid only for the contractor named above and this license or a photocopy must be prominently displayed at the asbestos project worksite. This license verifies that all persons employed by the licensee on an asbestos project in New York State have been issued an Asbestos Certificate, appropriate for the type of work they perform, by the New York State Department of Labor.
Eileen M. Franko, Director
SH 432 (8/12) For the Commissioner of Labor
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MATERIAL INFORMATION REPORT