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HomeMy WebLinkAboutB-2020-00064 Asbestos Report
ASBESTOS SURVEY
VACANT COMMERCIAL BUILDING
12166 NORTH MERIDIAN STREET
CARMEL, INDIANA
PROJECT NO .: 17IN0743
PREPARED FOR:
DORA HOSPITALITY, LLC
IN CARE OF:
MITCHELL DICK MCNELIS, LLC
INDIANAPOLIS, INDIANA
DECEMBER 22, 2017
Alt & Witzig Consulting Services
4105 West 99th Street Carmel, Indiana 46032
(317) 875-7000 Fax (317) 876-3705
December 22, 2017
Dora Hospitality, LLC
c/o Mitchell Dick McNelis, LLC
9247 North Meridian Street, Suite 350
Indianapolis, Indiana 46260-1803
Attn: Mr. Michael T. McNelis, Esq.
RE: Asbestos Survey
Vacant Commercial Building
12166 North Meridian Street
Carmel, Indiana 46032
Alt & Witzig Project No.:17IN0743
Dear Mr. McNelis:
This report presents the results of an asbestos survey performed on the vacant commercial
building, located at the above referenced location, in Carmel, Indiana. The commercial building
was observed to consist of a two-story structure containing approximately 10,140-square feet.
The purpose of this investigation was to locate and identify asbestos containing materials within
the existing structure so that asbestos removal work, if needed, may be performed prior to the
demolition.
If you have questions or comments regarding these matters, please contact us at your
convenience.
Sincerely,
ALT & WITZIG CONSULTING SERVICES
Clayton Heavin John C. Flannelly
Licensed Asbestos Inspector Senior Project Manager
Vacant Commercial Building; Alt & Witzig Consulting Services: 17IN0743 1
ASBESTOS SURVEY
A survey for asbestos containing building materials was performed on the vacant commercial
building located at the Site. The following is a brief description of inspected structure:
1. Vacant Commercial Building: This facility is comprised of a two-story commercial
building constructed slab-on-grade. The commercial building consisted of approximately
10,140-square feet and was constructed circa 1978. The interior of the building was
finished with concrete floors, concrete block, carpet, vinyl floor tile, ceramic tile, wooden
baseboards, vinyl cove base, acoustic ceiling tiles, drywall, fiberglass insulation and glass
windows. The exterior of the building was finished with glass windows and finished
concrete. The roof was finished with a rolled rubber roofing system. Non-asbestos
containing building materials observed within the building included: wood, glass, metal,
fiberglass and concrete. The structure was inspected and sampled on November 15,
2017.
The purpose of the asbestos survey on this structure was to locate and identify asbestos
containing materials so that asbestos removal work, if needed, can be performed prior to the
demolition. It is A&W’s understanding that the structure is set to be demolished; therefore,
roofing and resilient floor covering materials were inspected but not sampled for asbestos
content. These materials are considered Category I non-friable materials and can be disposed of
as general demolition debris. Presumed/assumed asbestos containing materials cannot be
shredded or otherwise made friable by sanding, grinding, sawing, cutting or abrading during
demolition, removal or recycling activities.
The number of samples collected from each homogenous area (HA) depends on the amount of
material present at the Site. It should be noted that additional suspect asbestos containing
materials (ACMs) may exist in either inaccessible or concealed spaces that can only be revealed
through destructive sampling or full demolition activities.
A description of suspect materials and sampling locations of samples collected from the vacant
commercial building located in Carmel, Indiana, are presented in Table 1. A description of
presumed/assumed asbestos containing materials located on or within the vacant commercial
building is presented in Table 2. Laboratory analytical results indicating percentages of asbestos
content and certifications of the building inspector are attached in Appendix A and B,
respectively.
TABLE 1
Vacant Commercial Building
12166 North Meridian Street
Carmel, Indiana
Bulk Sample Listing
Sample # Sample Location Description Asbestos
Containing
1A
1B
1C
Garage Area
Garage Area
1st Floor Northeast Room
3” Cream VCB & Tan Mastic
3” Cream VCB & Tan Mastic
3” Cream VCB & Tan Mastic
No
No
No
2A
2B
2C
1st Floor Northeast Room
1st Floor Northeast Room
1st Floor Northeast Room
3” Tan VCB & Tan Mastic
3” Tan VCB & Tan Mastic
3” Tan VCB & Tan Mastic
No
No
No
Vacant Commercial Building; Alt & Witzig Consulting Services: 17IN0743 2
TABLE 1
Vacant Commercial Building
12166 North Meridian Street
Carmel, Indiana
Bulk Sample Listing
Sample # Sample Location Description Asbestos
Containing
3A
3B
3C
Garage Storage Room
Garage Storage Room
Garage Storage Room
4’ x 2’ Crater & Pinhole Pattern ACT
4’ x 2’ Crater & Pinhole Pattern ACT
4’ x 2’ Crater & Pinhole Pattern ACT
No
No
No
4A
4B
4C
South Stairwell
South Stairwell
South Stairwell
3” Maroon VCB & White Mastic
3” Maroon VCB & White Mastic
3” Maroon VCB & White Mastic
No
No
No
5A
5B
5C
2nd Floor Lobby
2nd Floor Offices
2nd Floor Offices
3” Gray VCB & Tan Mastic
3” Gray VCB & Tan Mastic
3” Gray VCB & Tan Mastic
No
No
No
6A
6B
6C
1st Floor Hallway
2nd Floor Offices
2nd Floor Offices
3” Teal VCB & Gray Mastic
3” Teal VCB & Gray Mastic
3” Teal VCB & Gray Mastic
No
No
No
7A
7B
7C
7D
7E
Garage West Wall
1st Floor Office North Wall
1st Floor Hallway East Wall
2nd Floor Lobby South Wall
2nd Floor Office North Wall
Drywall
Drywall
Drywall
Drywall
Drywall
No
No
No
No
No
8A
8B
8C
2nd Floor Lobby
2nd Floor Lobby
2nd Floor Lobby
4’ x 2’ Bird Track Pattern ACT
4’ x 2’ Bird Track Pattern ACT
4’ x 2’ Bird Track Pattern ACT
No
No
No
9A
9B
9C
9D
9E
1st Floor Hallway
1st Floor Office
Garage Storage
2nd Floor Offices
2nd Floor Offices
4’ x 2’ Gouge & Pinhole Pattern ACT
4’ x 2’ Gouge & Pinhole Pattern ACT
4’ x 2’ Gouge & Pinhole Pattern ACT
4’ x 2’ Gouge & Pinhole Pattern ACT
4’ x 2’ Gouge & Pinhole Pattern ACT
No
No
No
No
No
10A
10B
10C
2nd Floor Offices
2nd Floor Offices
2nd Floor Offices
4’ x 2’ Multi-Pinhole Pattern ACT
4’ x 2’ Multi-Pinhole Pattern ACT
4’ x 2’ Multi-Pinhole Pattern ACT
No
No
No
11A
11B
11C
2nd Floor Offices
2nd Floor Offices
2nd Floor Offices
4’ x 2’ Worm Track & Pinhole Pattern ACT
4’ x 2’ Worm Track & Pinhole Pattern ACT
4’ x 2’ Worm Track & Pinhole Pattern ACT
No
No
No
TABLE 1 KEY
ACT = Acoustic Ceiling Tile; VCB = Vinyl Cove Base
Vacant Commercial Building; Alt & Witzig Consulting Services: 17IN0743 3
CONCLUSIONS
The following is a list of presumed/assumed asbestos containing materials (ACMs) located
within the vacant commercial building:
TABLE 2
Vacant Commercial Building
12166 North Meridian Street
Carmel, Indiana
Presumed/Assumed ACMs
Description Location Amount Friable Asbestos Containing
12” x 12” Vinyl Floor Tiles &
Associated Mastic
1st Floor Hallway and
Office Areas ~5,000 SF No Yes*
Rolled Rubber Roofing System Building Roof ~10,140 SF No Yes**
TABLE 2 KEY
* = Resilient flooring materials are presumed to contain asbestos by the Occupational Safety and Health
Administration (OSHA) and assumed to contain asbestos by the Environmental Protection Agency (EPA), and may
be disposed as general construction debris.
** = Roofing materials are assumed to contain asbestos by the EPA and may be disposed of as general construction
debris.
SF = Square Feet
None of the materials sampled during the course of this investigation were determined to contain
asbestos.
As previously stated, it is A&W’s understanding that the structure is set for demolition, and the
roofing and resilient flooring materials were not sampled. These materials are considered
Category I non-friable materials and can be disposed of as general demolition debris.
Presumed/assumed asbestos containing materials cannot be shredded or otherwise made friable
by sanding, grinding, sawing, cutting or abrading during demolition, removal or recycling
activities.
The scope of work for this inspection was intended to determine whether building materials on
or in the vacant commercial building contained asbestos so that they could be removed prior to
the demolition. The screening was intended to provide a representative sampling of suspect
asbestos materials observed at the Site. This document is not intended to serve as a bid
specification for abatement contractors and the actual square footage of building materials
present may vary.
Destruction/demolition should be performed in compliance with the State and local regulations
pertaining to asbestos containing materials. If at any time other suspect materials besides those
that have been analyzed become exposed, renovation or demolition activities should be halted
and those materials analyzed for asbestos content.
APPENDIX A
Laboratory Results and Chain-Of-Custody
EMSL Analytical, Inc.
6340 CastlePlace Dr. Indianapolis, IN 46250
Tel/Fax: (317) 803-2997 / (317) 803-3047
http://www.EMSL.com / indianapolislab@emsl.com
161721748EMSL Order:
Customer ID:ALTW50
Customer PO:
Project ID:
Attention:Phone:Clayton Heavin (317) 875-7000
Fax:Alt & Witzig Engineering, Inc.(317) 876-3705
Received Date:4105 West 99 th St.11/15/2017 1:11 PM
Analysis Date:Carmel, IN 46032 11/20/2017
Collected Date:11/15/2017
Project:17IN0743
Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized
Light Microscopy
Sample Description Appearance % Fibrous % Non-Fibrous
Non-Asbestos Asbestos
% Type
1A-Cove Base
161721748-0001
None DetectedNon-fibrous (Other)100%Beige
Non-Fibrous
Homogeneous
Garage / 1st Floor NE
Room - 3" Cream
VCB & Tan Mastic
1A-Mastic
161721748-0001A
None DetectedNon-fibrous (Other)100%Tan
Non-Fibrous
Homogeneous
Garage / 1st Floor NE
Room - 3" Cream
VCB & Tan Mastic
1B-Cove Base
161721748-0002
None DetectedNon-fibrous (Other)100%Beige
Non-Fibrous
Homogeneous
Garage / 1st Floor NE
Room - 3" Cream
VCB & Tan Mastic
1B-Mastic
161721748-0002A
None DetectedNon-fibrous (Other)100%Tan
Non-Fibrous
Homogeneous
Garage / 1st Floor NE
Room - 3" Cream
VCB & Tan Mastic
1C-Cove Base
161721748-0003
None DetectedNon-fibrous (Other)100%Beige
Non-Fibrous
Homogeneous
Garage / 1st Floor NE
Room - 3" Cream
VCB & Tan Mastic
1C-Mastic
161721748-0003A
None DetectedNon-fibrous (Other)100%Tan
Non-Fibrous
Homogeneous
Garage / 1st Floor NE
Room - 3" Cream
VCB & Tan Mastic
2A-Cove Base
161721748-0004
None DetectedNon-fibrous (Other)100%Tan
Non-Fibrous
Homogeneous
1st Floor NE Room -
3" Tan VCB & Tan
Mastic
2A-Mastic
161721748-0004A
None DetectedNon-fibrous (Other)100%Tan
Non-Fibrous
Homogeneous
1st Floor NE Room -
3" Tan VCB & Tan
Mastic
2B-Cove Base
161721748-0005
None DetectedNon-fibrous (Other)100%Tan
Non-Fibrous
Homogeneous
1st Floor NE Room -
3" Tan VCB & Tan
Mastic
2B-Mastic
161721748-0005A
None DetectedNon-fibrous (Other)100%Tan
Non-Fibrous
Homogeneous
1st Floor NE Room -
3" Tan VCB & Tan
Mastic
2C-Cove Base
161721748-0006
None DetectedNon-fibrous (Other)100%Tan
Non-Fibrous
Homogeneous
1st Floor NE Room -
3" Tan VCB & Tan
Mastic
2C-Mastic
161721748-0006A
None DetectedNon-fibrous (Other)100%Tan
Non-Fibrous
Homogeneous
1st Floor NE Room -
3" Tan VCB & Tan
Mastic
3A
161721748-0007
None DetectedPerlite
Non-fibrous (Other)
30%
5%
Cellulose
Min. Wool
25%
40%
Gray/White
Fibrous
Homogeneous
Garage Storage
Room - 4'x2' Crater &
Pinhole CT
3B
161721748-0008
None DetectedPerlite
Non-fibrous (Other)
30%
5%
Cellulose
Min. Wool
25%
40%
Gray/White
Fibrous
Homogeneous
Garage Storage
Room - 4'x2' Crater &
Pinhole CT
3C
161721748-0009
None DetectedPerlite
Non-fibrous (Other)
30%
5%
Cellulose
Min. Wool
25%
40%
Gray/White
Fibrous
Homogeneous
Garage Storage
Room - 4'x2' Crater &
Pinhole CT
4A-Cove Base
161721748-0010
None DetectedNon-fibrous (Other)100%Red
Non-Fibrous
Homogeneous
South Stairwell - 3"
Maroon VCB & White
Mastic
Initial report from: 11/20/2017 13:00:36
Page 1 of 4ASB_PLM_0008_0001 - 1.78 Printed: 11/20/2017 1:00 PM
EMSL Analytical, Inc.
6340 CastlePlace Dr. Indianapolis, IN 46250
Tel/Fax: (317) 803-2997 / (317) 803-3047
http://www.EMSL.com / indianapolislab@emsl.com
161721748EMSL Order:
Customer ID:ALTW50
Customer PO:
Project ID:
Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized
Light Microscopy
Sample Description Appearance % Fibrous % Non-Fibrous
Non-Asbestos Asbestos
% Type
4A-Mastic
161721748-0010A
None DetectedNon-fibrous (Other)100%White
Non-Fibrous
Homogeneous
South Stairwell - 3"
Maroon VCB & White
Mastic
4B-Cove Base
161721748-0011
None DetectedNon-fibrous (Other)100%Red
Non-Fibrous
Homogeneous
South Stairwell - 3"
Maroon VCB & White
Mastic
4B-Mastic
161721748-0011A
None DetectedNon-fibrous (Other)100%White
Non-Fibrous
Homogeneous
South Stairwell - 3"
Maroon VCB & White
Mastic
4C-Cove Base
161721748-0012
None DetectedNon-fibrous (Other)100%Red
Non-Fibrous
Homogeneous
South Stairwell - 3"
Maroon VCB & White
Mastic
4C-Mastic
161721748-0012A
None DetectedNon-fibrous (Other)100%White
Non-Fibrous
Homogeneous
South Stairwell - 3"
Maroon VCB & White
Mastic
5A-Cove Base
161721748-0013
None DetectedNon-fibrous (Other)100%Gray
Non-Fibrous
Homogeneous
2nd Floor Lobby /
Offices - 3" Gray VCB
&Tan Mastic
5A-Mastic
161721748-0013A
None DetectedNon-fibrous (Other)100%Tan
Non-Fibrous
Homogeneous
2nd Floor Lobby /
Offices - 3" Gray VCB
&Tan Mastic
5B-Cove Base
161721748-0014
None DetectedNon-fibrous (Other)100%Gray
Non-Fibrous
Homogeneous
2nd Floor Lobby /
Offices - 3" Gray VCB
&Tan Mastic
5B-Mastic
161721748-0014A
None DetectedNon-fibrous (Other)100%Tan
Non-Fibrous
Homogeneous
2nd Floor Lobby /
Offices - 3" Gray VCB
&Tan Mastic
5C-Cove Base
161721748-0015
None DetectedNon-fibrous (Other)100%Gray
Non-Fibrous
Homogeneous
2nd Floor Lobby /
Offices - 3" Gray VCB
&Tan Mastic
5C-Mastic
161721748-0015A
None DetectedNon-fibrous (Other)100%Tan
Non-Fibrous
Homogeneous
2nd Floor Lobby /
Offices - 3" Gray VCB
&Tan Mastic
6A-Cove Base
161721748-0016
None DetectedNon-fibrous (Other)100%Blue/Green
Non-Fibrous
Homogeneous
1st Floor Hall / 2nd
Floor Office - 3" Teal
VCB & Gray Mastic
6A-Mastic
161721748-0016A
None DetectedNon-fibrous (Other)100%Gray
Non-Fibrous
Homogeneous
1st Floor Hall / 2nd
Floor Office - 3" Teal
VCB & Gray Mastic
6B-Cove Base
161721748-0017
None DetectedNon-fibrous (Other)100%Blue/Green
Non-Fibrous
Homogeneous
1st Floor Hall / 2nd
Floor Office - 3" Teal
VCB & Gray Mastic
6B-Mastic
161721748-0017A
None DetectedNon-fibrous (Other)100%Gray
Non-Fibrous
Homogeneous
1st Floor Hall / 2nd
Floor Office - 3" Teal
VCB & Gray Mastic
6C-Cove Base
161721748-0018
None DetectedNon-fibrous (Other)100%Blue/Green
Non-Fibrous
Homogeneous
1st Floor Hall / 2nd
Floor Office - 3" Teal
VCB & Gray Mastic
6C-Mastic
161721748-0018A
None DetectedNon-fibrous (Other)100%Gray
Non-Fibrous
Homogeneous
1st Floor Hall / 2nd
Floor Office - 3" Teal
VCB & Gray Mastic
7A
161721748-0019
None DetectedNon-fibrous (Other)85%Cellulose
Glass
10%
5%
Brown/White
Non-Fibrous
Homogeneous
Garage, 1st Floor
Office, Hall, 2nd Floor
Lobby - Drywall
7B
161721748-0020
None DetectedNon-fibrous (Other)85%Cellulose
Glass
10%
5%
Brown/White
Non-Fibrous
Homogeneous
Garage, 1st Floor
Office, Hall, 2nd Floor
Lobby - Drywall
Initial report from: 11/20/2017 13:00:36
Page 2 of 4ASB_PLM_0008_0001 - 1.78 Printed: 11/20/2017 1:00 PM
EMSL Analytical, Inc.
6340 CastlePlace Dr. Indianapolis, IN 46250
Tel/Fax: (317) 803-2997 / (317) 803-3047
http://www.EMSL.com / indianapolislab@emsl.com
161721748EMSL Order:
Customer ID:ALTW50
Customer PO:
Project ID:
Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized
Light Microscopy
Sample Description Appearance % Fibrous % Non-Fibrous
Non-Asbestos Asbestos
% Type
7C
161721748-0021
None DetectedNon-fibrous (Other)85%Cellulose
Glass
10%
5%
Brown/White
Non-Fibrous
Homogeneous
Garage, 1st Floor
Office, Hall, 2nd Floor
Lobby - Drywall
7D
161721748-0022
None DetectedNon-fibrous (Other)85%Cellulose
Glass
10%
5%
Brown/White
Non-Fibrous
Homogeneous
Garage, 1st Floor
Office, Hall, 2nd Floor
Lobby - Drywall
7E
161721748-0023
None DetectedNon-fibrous (Other)85%Cellulose
Glass
10%
5%
Brown/White
Non-Fibrous
Homogeneous
Garage, 1st Floor
Office, Hall, 2nd Floor
Lobby - Drywall
8A
161721748-0024
None DetectedPerlite
Non-fibrous (Other)
25%
5%
Cellulose
Min. Wool
30%
40%
Gray/White
Fibrous
Homogeneous
2nd Floor Lobby -
4'x2' Bird Track CT
8B
161721748-0025
None DetectedPerlite
Non-fibrous (Other)
25%
5%
Cellulose
Min. Wool
30%
40%
Gray/White
Fibrous
Homogeneous
2nd Floor Lobby -
4'x2' Bird Track CT
8C
161721748-0026
None DetectedPerlite
Non-fibrous (Other)
25%
5%
Cellulose
Min. Wool
30%
40%
Gray/White
Fibrous
Homogeneous
2nd Floor Lobby -
4'x2' Bird Track CT
9A
161721748-0027
None DetectedPerlite
Non-fibrous (Other)
40%
5%
Cellulose
Min. Wool
35%
20%
Gray/White
Fibrous
Homogeneous
1st Floor Hall, Office,
Garage, 2nd Floor -
4'x2' Gouge & Pinhole
CT
9B
161721748-0028
None DetectedPerlite
Non-fibrous (Other)
40%
5%
Cellulose
Min. Wool
35%
20%
Gray/White
Fibrous
Homogeneous
1st Floor Hall, Office,
Garage, 2nd Floor -
4'x2' Gouge & Pinhole
CT
9C
161721748-0029
None DetectedPerlite
Non-fibrous (Other)
40%
5%
Cellulose
Min. Wool
35%
20%
Gray/White
Fibrous
Homogeneous
1st Floor Hall, Office,
Garage, 2nd Floor -
4'x2' Gouge & Pinhole
CT
9D
161721748-0030
None DetectedPerlite
Non-fibrous (Other)
40%
5%
Cellulose
Min. Wool
35%
20%
Gray/White
Fibrous
Homogeneous
1st Floor Hall, Office,
Garage, 2nd Floor -
4'x2' Gouge & Pinhole
CT
9E
161721748-0031
None DetectedPerlite
Non-fibrous (Other)
40%
5%
Cellulose
Min. Wool
35%
20%
Gray/White
Fibrous
Homogeneous
1st Floor Hall, Office,
Garage, 2nd Floor -
4'x2' Gouge & Pinhole
CT
10A
161721748-0032
None DetectedPerlite
Non-fibrous (Other)
20%
5%
Cellulose
Min. Wool
40%
35%
Gray/White
Fibrous
Homogeneous
2nd Floor Office -
4'x2' Multi-Pinhole CT
10B
161721748-0033
None DetectedPerlite
Non-fibrous (Other)
20%
5%
Cellulose
Min. Wool
40%
35%
Gray/White
Fibrous
Homogeneous
2nd Floor Office -
4'x2' Multi-Pinhole CT
10C
161721748-0034
None DetectedPerlite
Non-fibrous (Other)
20%
5%
Cellulose
Min. Wool
40%
35%
Gray/White
Fibrous
Homogeneous
2nd Floor Office -
4'x2' Multi-Pinhole CT
11A
161721748-0035
None DetectedPerlite
Non-fibrous (Other)
35%
5%
Cellulose
Min. Wool
45%
15%
Gray/White
Fibrous
Homogeneous
2nd Floor Office -
4'x2' Worm Track &
Pinhole CT
11B
161721748-0036
None DetectedPerlite
Non-fibrous (Other)
35%
5%
Cellulose
Min. Wool
45%
15%
Gray/White
Fibrous
Homogeneous
2nd Floor Office -
4'x2' Worm Track &
Pinhole CT
11C
161721748-0037
None DetectedPerlite
Non-fibrous (Other)
35%
5%
Cellulose
Min. Wool
45%
15%
Gray/White
Fibrous
Homogeneous
2nd Floor Office -
4'x2' Worm Track &
Pinhole CT
Initial report from: 11/20/2017 13:00:36
Page 3 of 4ASB_PLM_0008_0001 - 1.78 Printed: 11/20/2017 1:00 PM
EMSL Analytical, Inc.
6340 CastlePlace Dr. Indianapolis, IN 46250
Tel/Fax: (317) 803-2997 / (317) 803-3047
http://www.EMSL.com / indianapolislab@emsl.com
161721748EMSL Order:
Customer ID:ALTW50
Customer PO:
Project ID:
Analyst(s)
Matthew Conley (52)Richard Harding, Laboratory Manager
or Other Approved Signatory
EMSL maintains liability limited to cost of analysis . This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no
responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim
product certification, approval, or endorsement by NVLAP, NIST or any agency of the federal government . Non-friable organically bound materials present a problem matrix and therefore EMSL
recommends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless
requested by the client, building materials manufactured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1%
Samples analyzed by EMSL Analytical, Inc. Salem, NH
Initial report from: 11/20/2017 13:00:36
Page 4 of 4ASB_PLM_0008_0001 - 1.78 Printed: 11/20/2017 1:00 PM
OrderID: 161721748
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OrderID: 161721748
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APPENDIX B
Inspector Certification