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32C-290 (5) Forbes Wheeler. BULK SAMPLE CHAIN OF CUSTODY SUPPLEMENT J I-�73'x' Project #: GOFF-13-A2356 IDate(s) Collected: 11/13/13 Facility: 140 WILLIAMS STREET, NORTHAMPTON, MA MATERIAL MATERIAL DESCRIPTION LOCATION SAMPLE ID 01 Paper Wall Material, Brown 1F Basement Stairwell 02A Sheetrock Wallboard, Original Construction iF Basement Stairwell 02B Sheetrock Wallboard, Original Construction iF Kitchen 02C Sheetrock Wallboard, Original Construction :Exterior Debris Pile,trash bags 03A Joint Compound with #02 Orig. Sheetrock 1F Kitchen 03B Joint Compound with #02 Orig.Sheetrock Exterior Debris Pile, trash bags 04A Plaster C&W, Surface Coat, White iF Kitchen 04B Plaster C&W, Surface Coat, White 1F Living Room 04C Plaster C&W, Surface Coat, White Exterior Debris Pile, trash bags 05A Plaster C&W, Basecoat, Gray 1F Kitchen 05B Plaster C&W, Basecoat, Gray 1F Living Room 05C Plaster C&W, Basecoat, Gray Exterior Debris Pile, trash bags 06 Loose Fill Wail Insulation, brown 1F Kitchen 07 Glue Daubs, Black, Cabinet Wall 1F Kitchen 08A Ceiling paint, white, non-textured 1F Living Room 08B Ceiling paint, white, non-textured Exterior Debris Pile 09A 9" Brown Floor Tile/Yellow Mastic IF Rear Bedroom Area 09B 9" Brown Floor Tile/Yellow Mastic 1F Rear Bedroom Area 10 Glue on Waferboard Wail Material (debris) iF Kitchen , 11 Cement Shingle Siding (Transite-like) Exterior Debris Pile 12 Roofing Shingie/Tar on roof vent Exterior Debris Pile 13A Asphaltic Felt, Siding, Black Exterior,South Side Wall 13B Asphaltic Felt,Siding, Black Exterior Debris Pile 14 Caulking white rubber, on wood debris Exterior Debris Pile 15 Window Glazing, Basement Window Exterior side basement, south XXX XXX XXX 25 SAMPLES SUBMITTED Q USE FIRST POSITIVE STOP METHOD between A, B samples of same material number Page: 1 of 1 ASBESTOS INSPECTOR:..f Stephen W. Niec Lic. No. AI072378 1 106 ,14,M4 CHAIN OF CUSTODY iirii N ' • o?New Edition court,Cary,NC 27511 CEi llab'C>t . ' ,.. f� L./3 75..2,: '`; Sr Tel:866.481-1412: Fax 919-481-1442 CiEi L alei:f:E3 t '{i! /41,# o- jD,... ,: . •'�1 :t{5�6: > CCIMPAN CONTACT 1NFOR[k ATIiON'.' Company: Forbes&Wheeler, Inc. Client#: 23687 Address: 650 Dwight Street,#1337 Job Contact: Stephen W. Niec Holyoke, MA 01041 Email: sniec @forbeswheeler.com Tel: 413-221-8233 Project Name: 140 Williams St., Northampton, MA 866-423-6355 Fax: Project ID#: DOFF-13-A2356 _P.0,#: A2356 =. TUR AtRtltitND 1 Ml1 195::-:',1,,:r ., YIE ` O1.. :; :#HF.". _ .NR,4.° Hit �2bAY, 3 104 . . �. Y. C PLM SULK 25 Samples EPA 600 0 lam'' 0 0 0 l� PLM POINT COUNT(400) EPA 600 0 0 0 0 0 l) PLM POINT COUNT(1000) EPA 500 0 0 0 0 0 0 PLM GRAVIMETRtc CPA coo 0 ED D 0 0 PLM GRAV w POINT COUNT EPA 600 0 0 0 0 0 PCM AIR NIOSH 7400 0 C 0 0 0 0 TEM AIR At4ERA 0 0 0 0 0 Cl TEM AIR EPA Level It 0 0 0 0 El 0 TEM AIR NIOSI 7402 123 0 0 0 0 0 TEM BULK CHATFIELD _ ❑ 0 0 0 0 TEM OUST WIPE ASTM D6460-05 , 0 0 0 0 0 E TEM OUST MICROVAC ASTM 05755-03 0 ❑ 0 0 0 0 r TEM QUALITATIVE CEI LABS ❑ 0 0 0 0 0 OTHER: E Cl 0 0 0 C] LEADPAIN • ~Ili ETHOt .:' ; , ,4t4.i' ',. .. ;S!~f><t",,,.- ,<. fr R«, .::',1DAY 3=iiki A..,,..5QJ4:Y ' LEAD PAINT EPA SW546 70008 0 0 0 LEAD c4.4IPE EPA SW846 70001 0 0 0 LEAD SOIL EPA SW846 70008 .,0 0 0 LEAD AIR NIOSH 7082 0 0 0 OTHER: 0. 0 0 REMARKS: . , I21 STOP AT 1S1 POSITIVE(between A and B...samples) f ' Accept Samples 0 Analyze All Samples ❑ Reject Samples Ftalirkt mss# 8y" - _ Date Time Racal t B :thrill S.W. Niec 11/13/13—17:55 Federal Express Drop box �3 . cA,e ( 1f/ 1. Q *Call to confirm RUSH analysis. Samples will be disposed of 30 days after analysis it„. VERSION CCOC,01 t2.1/2,LD Customer COC Page 1 at.4.".*` CEI LABS LEGEND: Non-Anth = Non-Asbestiform Anthophylite Non-Trem = Non-Asbestiform Tremolite Calc Carb= Calcium Carbonate METHOD: EPA 600/R93/ 116 and EPA 600/M4-82/020 The detection limit for the method is <1% by visual estimation and 0.25% by 400 point counts or 0.1% by 1,000 point counts. Due to the limitations of the EPA 600 Method, nonfriable organically bound materials (NOBs) such as vinyl floor tiles can be difficult to analyze via polarizing light microscopy (PLM). EPA recommends that all NOBs analyzed by PLM, and found not to contain asbestos, be further analyzed by Transmission Electron Microscopy (TEM). Please note that PLM analysis of dust and soil samples for asbestos is not covered under NVLAP accreditation. This report may not be reproduced, except in full, without written approval by CEI LABS. CEI LABS makes no warranty representation regarding the accuracy of client submitted information in preparing and presenting analytical results. This report may not be used by the client to claim product endorsement by NVLAP or any other agency of the U. S. Government. 1A„,0,,,,,A.„...jj, .1,-,,,ale ANALYST: I /4 ._ ....APPROVED BY: 1644- "c".4) Susannah Small Tianbao Bai, Ph.D. Laboratory Director NVIA NVLAP Lab Code 101768.0 CEI Labs,107 New Edition Court,Cary,NC 27511,Phone:(866)481-1412 Page 5 of 5 ` ASBESTOS BULK ANALYSIS C 'q '' B y: POLARIZING LIGHT MICROSCOPY Client: Forbes&Wheeler, Inc. CEI Lab Code: A13-13758 650 Dwight Street#1337 Date Received: 11-14-13 Holyoke, MA 01041-1337 Date Analyzed: 11-14-13 Date Reported: 11-14-13 Project: 140 Williams St., Northampton, MA; GOFF-13-A2356 ASBESTOS BULK PLM, EPA 600 METHOD Client ID' Lab Lab NON ASBESTOS COMPONENTS ASBESTOS Description . Attributes -- Fibrous Non-Fibrous %, 12 Tar Homogeneous 90% Tar 10%Chrysotile Layer 1 Black Al 596426 Fibrous Bound Layer 2 Roof Shingle Heterogeneous 25% Fiberglass 50% Tar None Detected A1596426 Green,Black 25% Gravel Fibrous Bound 13A Asphaltic Felt Homogeneous 80% Cellulose 20% Tar None Detected A1596427 Black Fibrous Bound 13B Asphaltic Felt Homogeneous 80% Cellulose 20% Tar None Detected A1596428 Black Fibrous Bound 14 Caulking Heterogeneous 5% Cellulose 90% Caulk None Detected A1596429 White 5% Paint Fibrous Bound 15 Window Glazing Heterogeneous 70% Binder 2%Chrysotile A1596430 BIue,White 23% Calc Carb Fibrous 5% Paint Bound Page 4 of 5 r aartem ASBESTOS BULK ANALYSIS cEirt By POLARIZING LIGHT MICROSCOPY LADS Client: Forbes&Wheeler, Inc. CEI Lab Code: A13-13758 650 Dwight Street#1337 Date Received: 11-14-13 Holyoke, MA 01041-1337 Date Analyzed: 11-14-13 Date Reported: 11-14-13 Project: 140 Williams St., Northampton, MA; GOFF-13-A2356 ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS'. Lab ID Description. Attributes Fibrous Non-Fibrous °A, 08A Ceiling Paint Heterogeneous 25% Binder None Detected A1596420 White 25% Calc Carb Non-fibrous 50% Paint Bound 08B Ceiling Paint Heterogeneous 25% Binder None Detected A1596421 Pink 25% Calc Carb Non-fibrous 50% Paint Bound 09A Floor Tile Homogeneous 100% Binder None Detected A1596422A Brown Non-fibrous Bound A1596422B Mastic Homogeneous 3% Cellulose 95% Mastic 2%Chrysotile Yellow Fibrous Bound 09B Floor Tile Homogeneous 100% Binder None Detected A1596423A Brown Non-fibrous Bound A1596423B Sample Not Analyzed per COC 10 Glue On Waferboard Heterogeneous 90% Mastic None Detected A1596424 Brown 5% Paint Non-fibrous 5% Non-Fibrous Bound Debris 11 Cement Shingle Siding Heterogeneous 45% Binder 15%Chrysotile A1596425 Off-white,Grey 35% Silicates Fibrous 5% Paint Bound Page 3 of 5 ASBESTOS BULK ANALYSIS cEi . By POLARIZING LIGHT MICROSCOPY LABS Client: Forbes &Wheeler, Inc. CEI Lab Code: A13-13758 650 Dwight Street#1337 Date Received: 11-14-13 Holyoke, MA 01041-1337 Date Analyzed: 11-14-13 Date Reported: 11-14-13 Project: 140 Williams St., Northampton, MA; GOFF-13-A2356 ASBESTOS BULK PLM, EPA 600 METHOD Client ID Lab Lab NON ASBESTOS,COMPONENTS ASBESTOS Lab ID 1 Description Attributes •. Fibrous Non-Fibrous >% ,. . 04B Plaster Surface Coat Heterogeneous 60% Binder None Detected A1596413 Brown,White 25% Calc Carb Non-fibrous 15% Paint Loosely Bound 04C Plaster Surface Coat Heterogeneous 60% Binder None Detected A1596414 Brown,White 25% Calc Garb Non-fibrous 15% Paint Loosely Bound 05A Plaster Base Coat Homogeneous <1% Hair 75% Silicates None Detected A1596415 Grey <1% Cellulose 25% Binder Fibrous Bound 05B Plaster Base Coat Homogeneous <1% Hair 75% Silicates None Detected A1596416 Grey <1% Cellulose 25% Binder Fibrous Bound 05C Plaster Base Coat Homogeneous <1% Hair 75% Silicates None Detected A1596417 Grey <1% Cellulose 25% Binder Fibrous Bound 06 Wall Insulation Homogeneous 95% Cellulose 5% Binder None Detected A1596418 Brown Fibrous Loosely Bound 07 Glue Daubs Homogeneous 100% Binder None Detected A1596419 Black Non-fibrous Tightly Bound Page 2 of 5 F C ASBESTOS BULK ANALYSIS B By: POLARIZING LIGHT MICROSCOPY LABS Client: Forbes &Wheeler, Inc. CEI Lab Code: A13-13758 650 Dwight Street#1337 Date Received: 11-14-13 Holyoke, MA 01041-1337 Date Analyzed: 11-14-13 Date Reported: 11-14-13 Project: 140 Williams St., Northampton, MA; GOFF-13-A2356 ASBESTOS BULK PLM, EPA 600 METHOD LClient ID Lab Lab NON-ASBESTOS COMPONENTS ASBESTOS Lab ID Description Attributes Fibrous Non-Fibrous % . 01 Paper Wall Material Heterogeneous 85% Cellulose 10% Binder None Detected A1596406 White,Brown 5% Paint Fibrous Loosely Bound 02A Sheetrock Wallboard Heterogeneous 15% Cellulose 80% Gypsum None Detected A1596407 Off-white,Brown <1% Fiberglass 5% Silicates Fibrous Loosely Bound 02B Sheetrock Wallboard Heterogeneous 15% Cellulose 80% Gypsum None Detected A1596408 Off-white,Brown <1% Fiberglass 5% Silicates Fibrous Loosely Bound 02C Sheetrock Wallboard Heterogeneous 15% Cellulose 80% Gypsum None Detected A1596409 Off-white,Brown <1% Fiberglass 5% Silicates • Fibrous Loosely Bound 03A Joint Compound Heterogeneous 70% Calc Carb None Detected A1596410 White,Green 25% Binder Non-fibrous 5% Paint Loosely Bound 03B Joint Compound Heterogeneous 70% Calc Carb None Detected A1596411 White,Green 25% Binder Non-fibrous 5% Paint Loosely Bound 04A Plaster Surface Coat Heterogeneous 60% Binder None Detected A1596412 Brown,White 25% Calc Carb Non-fibrous 15% Paint Loosely Bound Page 1 of 5 Asbestos Report Summary LABS By: POLARIZING LIGHT MICROSCOPY PROJECT: 140 Williams St., Northampton, MA; GOFF CEI LAB CODE: A13-13758 -13-A2356 METHOD: EPA 600/R93/ 116 and EPA 600/M4-82/020 ASBESTOS Client ID Layer Lab.ID Color: Sample Description; % 01 A1596406 White,Brown Paper Wall Material None Detected 02A A1596407 Off-white,Brown Sheetrock Wallboard None Detected 02B A1596408 Off-white,Brown Sheetrock Wallboard None Detected 02C A1596409 Off-white,Brown Sheetrock Wallboard None Detected 03A A1596410 White,Green Joint Compound None Detected 03B A1596411 White,Green Joint Compound None Detected 04A A1596412 Brown,White Plaster Surface Coat None Detected 04B A1596413 Brown,White Plaster Surface Coat None Detected 04C A1596414 Brown,White Plaster Surface Coat None Detected 05A A1596415 Grey Plaster Base Coat None Detected 05B A1596416 Grey Plaster Base Coat None Detected 05C A1596417 Grey Plaster Base Coat None Detected 06 A1596418 Brown Wall Insulation None Detected 07 A1596419 Black Glue Daubs None Detected 08A A1596420 White Ceiling Paint None Detected 08B A1596421 Pink Ceiling Paint None Detected 09A A1596422A Brown Floor Tile None Detected A1596422B Yellow Mastic Chrysotile 2% 09B A1596423A Brown Floor Tile None Detected Al596423B Sample Not Analyzed per COC 10 A1596424 Brown Glue On Waferboard None Detected 11 A1596425 Off-white,Grey Cement Shingle Siding Chrysotile 15% 12 Layer 1 A1596426 Black Tar Chrysotile 10% Layer 2 A1596426 Green,Black Roof Shingle None Detected 13A A1596427 Black Asphaltic Felt None Detected 13B A1596428 Black Asphaltic Felt None Detected 14 A1596429 White Caulking None Detected 15 A1596430 BIue,White Window Glazing Chrysotile 2% Page 1 of 1 cEiLABS ASBESTOS LABORATORY REPORT Prepared for Forbes & Wheeler, Inc. PROJECT: 140 Williams St., Northampton, MA; GOFF-13- A2356 CEI LAB CODE: A13-13758 DATE ANALYZED: 11/14/13 DATE REPORTED: 11/14/13 TOTAL SAMPLES ANALYZED: 25 # SAMPLES >1% ASBESTOS: 4 TEL: 866-481 -1412 www.ceilabs.com Limited Asbestos Inspection Report 140 Williams Street,Northampton,MA 01060 Project No.: GOFF-13-A2356 November 14,2013 THE COMMONWEALTH OF MASSACHUSETTS A ExEc�E OFFICE OE LABOR AND WORKFORCE Q ELOP ENT DEPARTMENT OF LABOR STANDARDS Currently Certified Asbestos Analytical Labs AS OF 12312013 Tars List Is Ordered by Town and C0177pany Name Licenses Number: Company: Services Offered: AAi-JLC 158 E . 1.:.•3 21313 CE LABS, INC. CLASS A CERTIFICATE 212-431-1413 107 NEW E MON COURT CLASS D CERTIFICATE CARY,NC 27511 Commonwealth of Massachusetts Department of Labor Standards HeaThor E Brae&name Asbestos Management Planner STEPHEN W.NEC Et?,Date 06/07113 Eup.Cate 06/22114 AP073456 M worofCO.N.ES. 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ULnUWUrl WrnV) 1-, Lnr-, mr-, tn a 0. a) C) R m` m a E r, Q N N N m U Q m o o o Q m 0 r = a Z o a I I I o 0 0 o I I I o 0 r, d W m o Li O Y N Limited Asbestos Inspection Report 140 Williams Street,Northampton,MA 01060 Project No.:GOFF-13-A2356 November 14,2013 Signature of Consultants&Disclaimer This document and all its contents are considered proprietary information, and have been prepared for the exclusive use of Forbes & Wheeler personnel and authorized representatives of Mr. Greg Goff. It has been developed under private expense, and the contents are not to be disclosed to third parties without prior written consent of Forbes & Wheeler. Photocopying of this document by parties other than those designated by Forbes &Wheeler's officers or duly authorized representatives of Mr. Greg Goff, or use of this document for purposes other than it is intended, is strictly prohibited. FORBES 8J WHEELER / l Stephen W.Niec,Project Manager Industrial Hygienist Asbestos Inspector MADLS Lic.#AI072378 Enclosures: Asbestos-Containing Materials Inventory Asbestos Laboratory Report/Chain of Custody Licenses&Accreditation MIMES WHEELER 4 Limited Asbestos Inspection Report 140 Williams Street,Northampton,MA 01060 Project No.:GOFF-13-A2356 November 14,2013 Regulatory Requirements& Recommendations A. In accordance with the Massachusetts Department of Public Health, State Sanitary Code,Chapter II regulations(105 CMR 410.353), every building owner must maintain(and correct) all asbestos material that may allow the release of asbestos dust, or friable materials, in good repair, and free from any defects, including but not limited to holes, cracks, tears or any looseness. Any work to correct the damage must be performed in accordance with all other Massachusetts regulations applicable to asbestos. Therefore, based on the damaged conditions of the identified ACM's, the building owner must correct the damage in accordance with all other Federal and State regulations applicable to asbestos. B. In accordance with EPA NESHAPS regulations (40 CFR Part 61), building owners must remove most types of ACM's from a facility(or area of a facility)before any activity begins that would break up, dislodge, or similarly disturb the material. Asbestos removal is considered as a "response action" which must be conducted by an accredited (licensed) asbestos abatement contractor. Additionally, in accordance with the OSHA regulations (29 CFR Part 1926.1101 and 1910.1001), all potential contractors bidding on work must first be informed of the results of this inspection. C. In accordance with the Massachusetts Department of Environmental Protection (MADEP) regulations (301 CMR 7.00, 9.00), each owner or operator must comply with certain procedures to prevent visible or particulate emissions to the ambient air space. Such procedures include, but are not limited to, the removal of any asbestos-containing material (both friable and non-friable) from a facility or facility component prior to demolition/renovation operations if such operations will cause asbestos emissions, or will render the asbestos-containing material friable, or will prevent access to the asbestos-containing material for subsequent containment and removal. FORBEr '\V1iEET.ER 3 Limited Asbestos Inspection Report 140 Williams Street,Northampton,MA 01060 Project No.: GOFF-13-A2356 November 14,2013 As requested by the client, the scope of work did NOT include inspection or testing of other potential hazardous building materials, such as Lead Paint, Miscellaneous and Universal Hazardous Building Materials and White Goods, Household/Light Commercial Universal and Hazardous Wastes, above- ground or underground fuel oil storage tanks, PCB's in Caulk and Joint Sealants, paints and coatings potentially containing RCRA 8 metals, Mold/Fungi, Radioactive Sources (such as exit signs, smoke detectors, and Radon), Urea-formaldehyde Foam Insulation (UFFI), or Pigeon & Bat Waste, or oil and hazardous material releases or threats of releases (310 CMR 30.000 or 40.0000). The inspection was limited to building materials recently subject to disturbance by recent renovation activities, and only those materials reported to the Asbestos Inspector by the Owner/Client that are subject to renovation disturbance [sheetrock,joint compound walls (excluding the ceiling), plaster walls, 9" floor tiles/mastic in the rear room, exterior renovation debris pile, and exterior siding materials. Labeling and signage for identified or presumed asbestos-containing materials was not included in the scope of work. Areas behind or inside permanent walls, columns, ceilings and floors were not inspected. All areas that were unsafe to enter, including areas that were structurally unsound or in danger of imminent collapse, were be inspected. The following common inaccessible areas were not inspected or sampled as part of the scope of work: Wall and floor utility chases (unknown to exist); Pipe Tunnels (unknown to exist); Crawlspaces, Air plenums above permanent ceilings, including above or behind plaster or concrete, etc.; Below-ground or below-grade (buried areas; parking lot, driveway, slab or foundation damproofing, etc.); fire doors. Additional areas and materials not inspected or sampled include the following: • 1F Porch (all wood construction). Suspect exterior window glazing on two (2) wood window sashes not subject to planned renovations per Owner; • Newly installed sheetrock wallboard, flooring sheets, and joint compound throughout the 1St and 2nd floors. Owner to obtain Safety Data Sheets (SDSs) from the renovation contractor. Materials purportedly purchased at Home Depot; • Suspect linoleum flooring/adhesive and 12"floor tiles/mastic in the 1st floor kitchen; • New aluminum replacement windows throughout; • Potential adhesives on wood paneling in 1'floor living room; • 1St floor Rear Bathroom(gutted with all new construction materials); • 1st floor Main Bathroom(gutted with all new construction materials); • 2°d floor throughout(gutted with all new construction materials); • Non-suspect wafer board material in exterior debris pile. Note that the PLM/DS Method can fail to detect asbestos fibers present in vinyl floor tiles because the fibers used in vinyl tiles were typically "small", present in relatively low concentrations, and hard to extract from the vinyl matrix. For this reason, Forbes & Wheeler recommends that when the standard PLM/DS method fails to detect asbestos in vinyl tiles, the sample be further analyzed by destroying the interfering matrix materials and isolating any asbestos fibers that may be present. The components remaining are then recommended to be analyzed by Transmission Electron Microscopy(TEM). FpRBES 2 Asbestos 650 Dwight Street, #1337 Ff O RBE �j Lead Paint Holyoke, MA 01041 �-' � ✓ AIHA Mold/Fungi &II-HEELER MEMBER EH&S Training T; 413-221-8233 Indoor Air Quality F. 866-423-6355 Industrial Hygiene www.forbeswheeler.corn "Discreet,Diplomatic, &Deft" November 14, 2013 Mr. Greg Goff 140 Williams Street Northampton,MA 01060 RE: Limited Asbestos Inspection Report SITE: 140 WILLIAMS STREET, NORTHAMPTON, MA 01060 Project No.: GOFF-13-A2356 Dear Mr. Goff: At your request, on November 13, 2013, Forbes & Wheeler, Inc. conducted a limited asbestos inspection, including bulk material sampling and analysis, of portions the above-referenced facility and debris. The purpose of the inspection was to sample building materials recently subject to disturbance by recent renovation activities, and only those materials reported to the Asbestos Inspector by the Owner/Client that are subject to renovation disturbance [sheetrock, joint compound walls (excluding the ceiling), plaster walls, 9" floor tiles/mastic in the rear room, exterior renovation debris pile, and exterior siding materials. The work was performed as a result of potential enforcement activity from the Massachusetts DEP. Regulated asbestos-containing materials (ACM's) that were identified are to be properly cleaned, removed, and disposed of, as required by applicable Federal and State regulations. As required by Federal and State regulations, sampling was performed by an EPA-accredited and State- certified asbestos inspector. Sampling was done in a manner to prevent airborne fiber release and were placed in appropriately labeled containers that were sealed and submitted to an independent laboratory for petrography analysis using the EPA-endorsed Polarized Light Microscopy with Dispersion Staining (PLM/DS)method, using an improved method for analysis (EPA Method 600/R-93/116: "Method for the Determination of Asbestos in Bulk Building Materials"). The percentage of asbestos present in each sample was determined by the visual area estimation technique. Summary of Findings Please refer to the attachments, including the Asbestos-Containing Materials Inventory and laboratory report and chain of custody for a complete listing, description, locations, and quantities of each identified individual type of ACM and Non-ACM encountered, sampled, and analyzed. Limitations&Exceptions of Inspection Inaccessible areas behind or beneath the surface of the debris pile were not inspected. No heavy equipment was used to uncover any inaccessible materials that may be suspect of asbestos. Therefore, it is possible that not all building materials or debris were sampled. '4 t Jam. F a P BE S 650 Dwight Street, #1337 Invoice No. GOFF-A2356 WHEELER Holyoke, MA 01041 (413) 221-8233 'INVOICE Customer (Contact: Mr.Greg Goff Misc Name: Mr.Greg Goff Date 11/15/2013 Address: 140 Williams Street Order No. A2356 C/S/Z: Northampton, MA 01060 Rep SN Phone: 413-652-1643 Fax: FOB 11/14/2013 Qty Description Unit Price II TOTAL LIMITED ASBESTOS INSPECTION SERVICES 140 WILLIAMS STREET,NORTHAMPTON, MA P.O.Number: SIGNED AGREEMENT 1 Asbestos Inspection $ 520.00 $ 520.00 27 Asbestos Bulk Samples,each, 12-Hour Turnaround $ 18.00 $ 486.00 s' 144 G,� titi jst?. ACCOUNT/INVOICE BREAKDOWN Original P.O.Amount $1,060.00 Change Orders: $0.00 P.O.Amount After Change Orders: $1,060.00 Invoiced to date: $0.00 P.O.Balance Remaining BEFORE this invoice: $1,060.00 credits $54.00 this invoice: $1,006.00 P.O.Balance Remaining after this invoice: $0.00 SubTotal $ 1,006.00 Shipping $ - Payment I Check Tax Rate(s) 0.00% $ - 0.00% $ - Comments NET DUE COD FOR REPORT TOTAL $ 1,006.00 Name CC# Office Use Only Expires Please make check payable to Forbes&Wheeler, Inc. and remit with copy of this invoice to: 650 Dwight Street, #1337, Holyoke, MA 01041 Terms are net due 15 days or subject to interest at 1.5%per month on unpaid balance. Federal/Employer I.D.#::04-3504807 Thank you! --ak.C/C 3ac ,..... c7,2 ?0 (0,10(e 20 Lys ,27 F O R BE S 650 Dwight Street, #1337 Invoice No. GOFF-A2356-1 &II-HEELER Holyoke, MA 01041 (413)221-8233 `INVOICE Customer (Contact: Mr.Greg Goff Misc I Name: Mr.Greg Goff Date 11/16/2013 Address: 140 Williams Street Order No. A2356-1 C/S/Z: Northampton, MA 01060 Rep SN Phone: 413-652-1643 Fax: FOB 11/16/2013 Qty Description Unit Price TOTAL ASBESTOS ABATEMENT INSPECTION SERVICES 140 WILLIAMS STREET,NORTHAMPTON, MA P.O.Number: VERBAL 1 Asbestos Removal/Cleanup Post-Inspection $ 375.00 $ 375.00 - Weekend Rate Inspection of asbestos abatement cleanup project. Contractor:Compass Restoration Services, LLC /\' date. 11/16/13 / ,14/...:A �� % G,\V_C\S \eC‘°C4C,`'`‘' qfro„.....e., ACCOUNT/INVOICE BREAKDOWN Original P.O.Amount $1,060.00 Change Orders: $375.00 P.O.Amount After Change Orders: $1,435.00 Invoiced to date: $1,060.00 P.O.Balance Remaining BEFORE this invoice: $375.00 credits $54.00 this invoice: $375.00 P.O.Balance Remaining after this invoice: -$54.00 SubTotal $ 375.00 Shipping $ Payment I Check Tax Rate(s) 0.00% $ /0.00% $ (---- Comments NET DUE COD DAY OF WORK TOTAL $ 375.00 Name CC# Office Use Only Expires Please make check payable to Forbes&Wheeler, Inc. and remit with copy of this invoice to: 650 Dwight Street, #1337, Holyoke, MA 01041 Terms are net due 15 days or subject to interest at 1.5%per month on unpaid balance. Federal/Employer L D.#::04-3504807 Thank you!