84 WASHINGTON SQUARE EAST - ASBESTOS SMITH& WESSEL ASSOCIATES, INC.
HAZARDOUS BUILDING MATERIALS AND AIR QUALITY SPECIALISTS
INSPECTION REPORT FOR
Asbestos-Containing Building Mai 7) 0�;/
Full_-S-pychalski-Funeral Home
84 Washington Square East
Salem, Massachusetts
Prepared for:
Mr.Robert Griffin
Griffin Engineering
495 Cabot Street, Suite 202
Beverly, MA 01915
_7 Prepared by:
° Smith& Wessel Associates, Inc.
188 Greenville Street
Spencer, Massachusetts 01562
Project 17333
August 10,2017
`188 GREENVILLE STREET TELEPHONE:(978) 346-4800
SPENCER, MASSACHuSErrs01S62 FAX: (978) 346-7265
CONTENTS
Section Page
INTRODUCTION.........................................................................................................................................1
EXCLUSIONS.....................................................................................................................................................1
SCOPEOF WORK.......................................................................................................................................2
REGULATORYGUIDANCE......................................................................................................................3
FINDINGS.....................................................................................................................................................3
Table 1 •List of Materials Testing Positive forAsbestos...................................................................4
Table 2•List of Materials Testing Negative for Asbestos.................................................................4
CONCLUSIONS AND RECOMMENDATIONS......................................................................................5
COSTESTIMATES......................................................................................................................................6
Table 3•Estimated Costs for Removal of ACBM...............................................................................6
APPENDIX A: Certificates of Asbestos Bulk Sample Analysis(PLM&TEM)
APPENDIX B: Photographs
SHM&WAMU AWWMYE&1W. SWA 17333
8/10/17
INTRODUCTION
Griffin Engineering Group, LLC retained Smith& Wessel Associates, Inc. (SWA) to
conduct an inspection for asbestos-containing building materials (ACBM) for the Full-
Spychalski-Funeral Home building located at 84 Washington Square East in Salem,
Massachusetts. SWA inspected the building on August 3, 2017 for due diligence
purposes.
The purposes of the inspection were to evaluate the types, locations, and extent of suspect
ACBM and to provide appropriate recommendations for its abatement and or
management. SWA's inspection addressed both friable materials(materials that can be
easily crumbled, crushed, or pulverized by hand pressure)and non-friable suspect
materials. SWA identified several suspect materials at the site that were sampled and
analyzed for asbestos content. The following were identified as ACBM:
• 9-inch floor tile/mastic
• Pipe insulation
• Window glazing compound
Exclusions
Whiler SWA endeavored to conduct a thorough, comprehensive inspection, some
exclusions are warranted. Because our inspection addressed a limited number of areas, it
is possible that the locations that we inspected were not fully representative of materials
found in other areas. Our inspection included building areas only; no assessment of soil,
debris, or subterranean areas was conducted. Additional limitations may have impacted
our ability to inspect all locations such as poor lighting,height constraints, unusual
building features, occupancy,and stored materials that block access to suspect materials.
Stored goods, debris, and building materials that were removed and were either stored or
loose were not inspected,but if observed were assessed and quantified.
SWA did not conduct roof sampling of the roofs associated with the funeral home or
detached rear garage.
While SWA followed industry standards during the inspection,we do not warrant that all
suspect hazardous building materials were identified in or on the building and shall not
be held liable related to future abatement costs related to hazardous materials that are
either not discovered or not appropriately characterized. This is due in part to inherent
problems with every building inspection, such as, but not limited to: i
• Seemingly homogeneous materials that are not in fact homogeneous;
• Seemingly representative locations that are not in fact representative;
• Layered materials that are not uniformly present or are isolated;
sum►&W==Asammnx,ftc. SWA 17333
Page 1 8/10/17
f
l
• Materials that are present and accessible but were not considered to be hazardous, ;
r
• Materials that are present in an isolated and limited quantity; and
• Material that is present in locations that are unsafe or otherwise difficult to
access.
Client acknowledges that SWA's inspection is inherently limited and all hazardous
materials may only become apparent during the course of future renovation or
demolition. During the course of future renovation/demolition work, it is likely that
additional hazardous materials or materials suspected of being hazardous will be
identified. Such materials should be assumed to be hazardous unless appropriate
evaluation or sampling and analysis demonstrate otherwise. Contracts, specifications and
plans should advise contractors to conduct controlled demolition work and stop
immediately should any hazardous building materials be encountered during the course
of their work.
SCOPE OF WORK
SWA's Massachusetts certified Asbestos Inspectors,Ted Sherry(Cert. #AI-032572)and
Gary Buda(Cert. #AI-900501)performed the asbestos inspection of readily accessible
and observable areas throughout the interior and exterior of the buildings. SWA
inspected for the following types of suspect ACBM:
• Thermal system insulation(TSI), such as insulation on pipes, boilers,tanks and }
related equipment;
• Surfacing material, acoustical and decorative plasters, fireproofing and other sprayed
or trowel applications;and
• Miscellaneous materials, such as window caulking,wallboard, floor tile,adhesives,
and other building materials that are not TSI or surfacing materials.
To determine the asbestos content of suspect ACBM, SWA collected and analyzed
representative bulk samples by extracting a small but representative portion of suspect
material from the substrate. The samples, typically measuring one cubic centimeter, were
collected using a variety of methods. The extracted samples were then placed into
labeled, individual sealed plastic bags for transport to the laboratory.
EMSL Analytical, Inc. (EMSL)of Woburn, Massachusetts, a fully accredited asbestos
analytical laboratory,analyzed the bulk samples utilizing Polarized Light Microscopy
(PLiV in accordance with the requirements of 40 CFR Part 763, Subpart F, Appendix A
(see Appendix A of this report). Because PLM is not consistently reliable in detecting
asbestos in floor coverings and similar non-friable organically bound materials,when a
negative result is obtained by PLM (less than one percent asbestos),the laboratory was
instructed to analyze the sample by Transmission Electron Microscopy(TEM)to confirm
the results.
SMM&WM=Ass M7=,/Avc. SWA 17333
Page 2 8/10/17
For each homogeneous sampling group, the laboratory analyzed samples until a positive
result was obtained(i.e. greater than one percent asbestos) or until all samples were
analyzed. If one sample indicates an asbestos content greater than one percent, the entire
homogenous area must be considered to be an ACBM even if one or more samples in the
group indicates an asbestos content of less than one percent.
REGULATORY GUIDANCE
The United States Environmental Protection Agency(EPA),Occupational Health&
Safety Administration(OSHA), Massachusetts Department of Labor Standards(MA
DLS) and Massachusetts Department of Environmental Protection(MA DEP)are
responsible for regulating the release of asbestos into the environment and protecting
workers from exposure to airborne asbestos fibers.
OSHA and MA DLS are responsible for the health and safety of workers who may be
exposed in connection with their jobs including custodial activities, renovation work,and
asbestos abatement. These agencies specify requirements for the work practices and
engineering controls that must be utilized during asbestos abatement projects. They also
require that ACBM be repaired,removed, or otherwise appropriately abated before
maintenance, renovation, or demolition work disturbs them. Thermal system insulation,
surfacing materials, and floor tile installed before 1980 must be presumed to be ACBM
unless appropriate inspection and sampling analysis prove otherwise.
The EPA and MA DEP are responsible for developing and enforcing regulations
necessary to protect the general public from airborne contaminants that are known to be
hazardous to human health. They regulate ACBM associated with renovation,
demolition, and asbestos abatement projects via the National Emissions Standard for
Hazardous Air Pollutants(NESHAP)Title 40 CFR Part 61 regulation and MA DEP
Chapter 141-E Asbestos Management and Control. These regulations require that
buildings be inspected for ACBM prior to renovation/demolition projects. They stipulate
that all friable ACBM as well as non-friable ACBM that are in poor condition or will be
made friable by renovation or demolition activity be removed or otherwise appropriately
abated before they are disturbed.
FINDINGS
SWA identified the following friable and non-friable suspect ACBM:
• Attic insulation • Exhaust patch
• Stair tread mastic • Linoleum
Floor tile • Window glazing compound
• Floor tile mastic • Pipe insulation
• Plaster • Oakum pipe wrap
SNIM&WMM ASWMnW,INC. SWA 17333
Page 3 8/10/17
SWA collected a total of 44 representative bulk samples of the above materials to
determine asbestos content, of which 39 were analyzed using PLM. Five of the samples
did not require analysis as the first sample in the homogeneous sampling group tested
positive for asbestos(i.e. contain greater than one percent asbestos). In addition, four of
the samples were further analyzed using the TEM method.
SWA has listed in Table 1, the location and estimated quantity, by square foot(sf), linear
foot(If), or other appropriate unit,of each type of ACBM identified at the site.
Table 1 •fist of Materials Testing Positive for asbestos
Type of Material Location Quantity Sample No.
Gray pipe insulation and Throughout basement storage 90 if OlA
associated mudded fittinL_=s areas and bathroom
Gray pipe insulation and Assumed to be present behind 150 if 01A
associated mudded fittings fixed walls and ceilings in
buildin
Brown 9"x 9"floor tile and Basement waiting room, 600 sf 05A,06A
associated black mastic adhesive bathroom and adioinin� hall
Brown 9"x 9"floor tile and Floor 2 office closets,hall closet 45 sf 05A,06A
associated black mastic adhesive and front room closets
Green flooring(beneath newer Floor 2 morgue 300.sf 13A
green linoleum and plywood
oorin )(See note 11
Green 9"x 9"floor tile Floor 2 shower/clean up room 70 sf 14A
near morgue
Gray window glazing compound Funeral home garage 3 windows 19A
industrial metal e
GM window glazing compound Rear detached�ara�e 6 windows 21A
Note 1:If abated,it would be likely and more cost effective to just abate all flooring layers as asbestos.
In Table 2, SWA has listed all materials that tested negative for asbestos, including the
locations where these materials were observed and the corresponding bulk sample
reference number(s). The sample#'s marked in italics were further analyzed using the
TEM method.
Table 2•List of Materials Testing Negative for Asbestos
Type of Material Location Sample No.
Black oakum wr pipe insulation Basement near rear stairs and elevator 02A,02B
Gray/white cement plaster Throughout basement 03A,03B,03C
Gray exhaust patch Boiler room 04A
Skim sW==AwOmns,IBC. SWA 17333
Page 4 8/10/17
Table 2•List of Vaterlals Testing Negative for Asbestos
Type of Material Location Sample No.
Black mastic adhesive associated with Basement waiting room,bathroom 06B
brown 9"x 9"floor tile(treat as and adjoining hall
asbestos because sample 06A tested
positive by the TEM method)
Brown 12"x 12"floor tile/stair tread Throughout front basement stairs and 07A,07B,08A,08B
and associated brown mastic adhesive small adjoining hall
(beneath carpet)
White cement plaster Throughout floor 1,2 and the attic 09A,09B,09C,09A
(0021),09B 0022)
White linoleum newer Floor 1 rear foyer and bathroom 11A, 1113
Green linoleum(top I er Floor 2 morgue 12A, 12B
Black mastic adhesive associated with Floor 2 shower/clean up room near ISB
green 9"x 9"floor the See note 2 morgue
Black 9"x 9"floor file and associated Floor 2 ladies bathroom 16A, 16B,17A, 17B
black/tan mastic adhesive
White/yellow attic insulation Throughout attic 18A, 18B, 18C
Gray/tan window glazing compound Throughout funeral home 20A,20B
associated with wood sash windows
Note 2—The floor tile mastic adhesive were determined to contain less than 1%Chrysotile asbestos. The
MA DEP requires materials containing any level of asbestos to be disposed of in a landfill permitted to
accept asbestos containing waste.
CONCLUSIONS AND RECOMMENDATIONS
On the basis of our findings, SWA offers the following conclusions and
recommendations:
1. Friable and non-friable ACBM were identified at the site. ACBM that will be
impacted by renovation or demolition work must be removed, by qualified asbestos
abatement personnel, before they are disturbed. SWA recommends that this work be
conducted in accordance with a project design as prepared by a licensed Asbestos
Abatement Project Designer. This report is not intended for use as an abatement
design.
2. During the course of renovation or demolition work, it is possible that additional
suspect ACBM will be encountered. Contractors should be apprised to conduct any
such work in a controlled manner. If suspect materials that have not been sampled
are encountered,they should be assumed to contain asbestos, unless appropriate
sampling and analysis indicates otherwise.
SWIM eW"SELAsaoeums,Ime. SWA 17333
Page 5 8/10/17
3. If a full gut rehab is conducted, it would be prudent to conduct intrusive destructive
sampling for the purpose of identifying hidden suspect asbestos building materials.
In addition, if the roofs are impacted as part of the renovations,we would recommend
sampling.
COST ESTIMATES
In Table 3, SWA has provided estimates of abatement costs associated with all identified
ACBM in the inspected areas. These estimates are based on current industry standards
that may fluctuate rapidly based on a variety of factors: the prevailing economic climate,
seasonal differences, union labor considerations, scale of the abatement, occupancy of the
building,and so on. SWA recommends that qualified abatement contractors be solicited
to determine actual pricing involved. In addition to pricing for abatement, SWA has
considered anticipated industrial hygiene costs associated with abatement, including air
monitoring and oversight of the abatement.
Table 3•Estimated Costs fot Removal of:ACBNI
Type of Material QuantityNnit cost $ Total Cost
Gray pipe insulation and associated mudded fittings 90 If @ 30/lf 2,700.
Gray pipe insulation and associated mudded fittings 1501f @ 30/lf 4,500.
assumed
Brown 9"x 9"floor tile and associated black mastic 645 sf @ 5/sf 3,225.
adhesive
Green flooring(beneath newer green linoleum and 300 sf @ 10/sf 3,000.
dywood oorin abate all layers
Green 9"x 9"floor tile 70 sf',d, 4/sf 280.
Gray window glazing compound(industrial metal 3 windows @ 300/ea. 900.
type)
Graay window glazing compound 6 windows 250/ea. 1,500.
Total Abatement Cost $16,105.
Total Industrial H 'ene Fee 3,000.
Total Fee $19,105.
snnrr&*2mma Aswwnw,IMe. SWA 17333
Page 6 8/10/17
APPENDIX A
Certificates of Asbestos Bulk Sample Analysis
(PLM $ TEM)
Sw„aWAnga.lssocunw ftc. SWA 17333
8/10/17
EMSL Analytical, Inc. EMSL Order: 131703452
Customer ID: SMIT50B
5 Constitution Way,Unit A Woburn,MA 01801
Tel/Fax:(781)933-8411/(781)933-8412 Customer PO:
http:/hvw.EMSL.com/bostonlab@emsl.cwm Project ID:
w
Attention: Ted Sherry Phone: (978)994-3643
Smith &Wessel Associates, Inc. Fax: (978)346-7265
188 Greenville Street Received Date: 08/03/2017 1:49 PM
Spencer, MA 01562 Analysis Date: 08/07/2017
Collected Date:
Project: Full Spychalski Funeral Home,Salem, MA.#17333
Test Report:Asbestos Analysis of Bulk Materials via EPA 600IR-931176 Method using Polarized
Light Microscopy
Non-Asbestos Asbestos
Sample Description Appearance %Fibrous %Non-Fibrous %Type
01 A basement bathroom- Tan/White 40%Cellulose 35%Non-fibrous(Other) 25%Chrysotile
white+tan pipe Fibrous
131703452-0001 insulation Homogeneous
01B basement middle Positive Stop(Not Analyzed)
storage-white+tan
131703452-0002 pipe insulation
01 C basement front Positive Stop(Not Analyzed)
storage-white+tan
131703452-0003 pipe insulation _
02A basement at rear Black 100%Non-fibrous(Other) None Detected
stairs-black oakum Nan-Fibrous
131703452-0004 wrap Homogeneous
02B basement at rear Black 100%Non-fibrous(Other) None Detected
stairs-black oakum Non-Fibrous
131703452-0005 wrap Homogeneous
03A basement at stairs- GrayM/hite 100%Non-fibrous(Other) None Detected
white+grey cement Non-Fibrous 1
131703452-0006 plaster Homogeneous _
038 basement bathroom- Gray/White 100%Non-fibrous(Other) None Detected
white+grey cement Nan-Fibrous
131703452-0007 plaster Homogeneous
03C basement front Gray/White 100%Nan-fibrous(Other) None Detected
storage-white+grey Non-Fibrous
131703452-0008 cement plaster Homogeneous
04A basement boiler room Gray 100%Non-fibrous(Other) None Detected
-grey exhaust patch Non-Fibrous
131703452-0009 Homogeneous
05A basement bathroom- Brown 98%Non-fibrous(Other) 2%Chrysotile
brown 9"x9"floor file Nan-Fibrous
131703452.0010 Homogeneous
05B basement waiting Positive Stop(Not Analyzed)
area-brown 9"x9"
Y31703452-0011 floor file
06A bathroom-black Black 100%Non-fibrous(Other) None Detected
mastic Non-Fibrous
1317034.52-0012 Homogeneous
06B basement waiting Black 100%Non-fibrous(Other) None Detected
area-black mastic Nan-Fibrous
131703452-0013 Homogeneous _
07A basement rear stairs Brawn 100%Non-fibrous(Other) None Detected
on tread-brown Non-Fibrous
131703452-0014 12"x17'floortile Homogeneous
07B basement rear stairs Brown 100%Non-fibrous(Other) None Detected
on risers-brown Nan-Fibrous
131703452-0015 12"x12"floor file Homogeneous
08A basement rear stairs Brown 100%Non-fibrous(Other) None Detected
on tread-brown Non-Fibrous
13 1 7 03452-0 01 6 mastic Homogeneous
Initial report from:08/08/2017 11:18:33 _ -
ASB PLM 0008 0001-1.78 Printed:8/8/2017 11:18 AM Page 1 of 3
E EMSL Order: 131703452
MSL Analytical, Inc.
v ` 5 Constitution Way,Unit Woburn,MA 01801 Customer ID: SMIT50B
t Customer PO:
Tel/Fax:(781)933-8411/(781)933-8412
7. http://www.EMSL.com/bostoniab@emsl.com Project ID:
Test Report:Asbestos Analysis of Bulk Materials via EPA 600IR-931116 Method using Polarized
Light Microscopy
Non-Asbestos Asbestos
Sample Description Appearance %Fibrous %Non-Fibrous %Type
08B basement rear stairs Brown 100%Non-fibrous(Other) None Detected
on risers-brown Non-Fibrous
131703452-0017 mastic Homogeneous
09A 1 at floor fire place White 5%Cellulose 93%Non-fibrous(Other) None Detected
room-white cement Non-Fibrous 2%Hair
131703452-0018 plaster Homogeneous
09B 1 st floor room w/side White 5%Cellulose 93%Non-fibrous(Other) None Detected
entrance under Non-Fibrous 2%Hair
131703452-0019 canopy-white Homogeneous
cement plaster
09C 1st floor rear coat White 5%Cellulose 93%Non-fibrous(Other) None Detected
closet-white cement Non-Fibrous 2%Hair
131703452-0020 plaster Homogeneous
09A 2nd floor showroom- White T 5%Cellulose 93%Non-fibrous(Other) None Detected
white cement plaster Non-Fibrous 2%Hair
131703452-0021 Homogeneous
09B 2nd floor closet-front White 5%Cellulose 93%Non-fibrous(Other) None Detected
room-white cement Non-Fibrous 2%Hair
131703452-0022 plaster Homogeneous
10A 1 at floor rear elevator Red 20%Cellulose 80%Non-fibrous(Other) None Detected
-black+red linoleum Nan-Fibrous
131703452.0023 Homogeneous
10B 1 st floor rear elevator Red 20%Cellulose 80%Non-fibrous(Other) None Detected
-black+red linoleum Non-Fibrous
131703452-0024 Homogeneous
1 at floor rear White 100%Non-fibrous(Other) None Detected
bathroom-white Non-Fibrous
131703452-0025 linoleum Homogeneous
11 B 1 st floor rear entrance White 100%Non-fibrous(Other) None Detected
foyer-white linoleum Non-Fibrous
131703452-0026 _ Homogeneous
12A 2nd floor morgue- White/Green 10%Synthetic 90%Non-fibrous(Other) None Detected
green linoleum Non-Fibrous
131703452-0027 Homogeneous
12B 2nd floor morgue- White/Green 10%Synthetic 90%Nan-fibrous(Other) None Detected
green linoleum Non-Fibrous
131703452-0028 Homogeneous
13A 2nd floor morgue- Green 98%Non-fibrous(Other) 2%Chrysotile
green buried flooring Non-Fibrous
131703452-0029 material Homogeneous
14A 2nd floor shower Green 96%Non-fibrous(Other) 4%Chrysotile
room @ morgue- Non-Fibrous
131703452-0030 green+beige 9"x9" Homogeneous
_ floor file
15BT 2nd floor shower Brown 100%Non-fibrous(Other) None Detected
room @ morgue- Non-Fibrous
131703452-0031 black mastic Homogeneous
16A 2nd floor ladies' Black 100%Non-fibrous(Other) None Detected
bathroom-black Non-Fibrous
131703452-0032 9"x9"floor the Homogeneous
16B 2nd floor ladies' Black 100%Non-fibrous(Other) None Detected y
bathroom-black Non-Fibrous
131703452-0033 9"x9"floor file Homogeneous
17A 2nd floor ladies' Brown 100%Non-fibrous(Other) None Detected
bathroom-black+ Non-Fibrous
131703452.0034 tan mastic Homogeneous
Initial report from:08/08/2017 11:18:33
ASB_PLM 0008_0001-1.78 Printed:8/8/2017 11:18 AM Page 2 of 3
l EMSL Analytical, Inc. EMSL Order: 131703452
Customer ID: SMIT50B
' 5 Constitution Way,Unit A Woburn,MA 01801
Customer PO:
Tel/Fax:(781)933-8411/(781)933-8412
w http://www.EMSL.com/bostonlab@emsl.com Project ID:
Test Report:Asbestos Analysis of Bulk Materials via EPA 600IR-931116 Method using Polarized
Light Microscopy
Non-Asbestos Asbestos
Sample Description Appearance %Fibrous _ %Non-Fibrous %Type
17B 2nd floor ladies' Brown 100%Non-fibrous(Other) None Detected
bathroom-black+ Non-Fibrous
131703452-0035 tan mastic Homogeneous
18A 3rd floor attic-white Yellow 70%Synthetic 10%Non-fibrous(Other) None Detected
roof insulation Fibrous 20%Min.Wool
13 1 7034 52-0 03 6 Homogeneous
188 3rd floor attic-white Yellow 70%Synthetic 10%Non-fibrous(Other) None Detected
roof insulation Fibrous 20%Min.Wool
131703452-0037 Homogeneous -�
18C 3rd floor attic-white Yellow 70%Synthetic 10%Nan-fibrous(Other) None Detected
roof insulation Fibrous 20%Min.Wool
131703452-0038 Homogeneous
19A attached garage- Gray 98%Non-fibrous(Other) 2%Chrysotile
grey window glazing Non-Fibrous
131703452-0039 Homogeneous
19B attached garage- Positive Stop(Not Analyzed)
grey window glazing
131703452-0040
20A exterior-window Gray/Tan 100%Non-fibrous(Other) None Detected
under canopy-tan Non-Fibrous
131703452-0041 window glazing Homogeneous
20B exterior-front near Gray/Tan 100%Non-fibrous(Other) None Detected
door-tan window Non-Fibrous
131703452-0042 glazing Homogeneous
21A rear garage-grey Gray 98%Non-fibrous(Other) 2%Chrysotile
window glazing Non-Fibrous
1317013452-0043 Homogeneous
21 B rear garage-grey Positive Stop(Not Analyzed)
window glazing
131703452-0044
Analyst(s)
Richard Bergman(39) Steve Grise,Laboratory Manager
or OtherApproved 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 thetederal 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 EMSLAnalytical,Inc.Woburn,MA NVLAP Lab Code 101147-0,CT PH-0315,MA AA000108,RI AAL-107T3,VT AL998919,Maine Bulk Asbestos BA039
Initial report from:08/08/2017 11:18:33
ASB PLM 0008 0001-1.78 Printed:0/8/2017 11:18 AM Page 3 of 3
MS
EMSL Analytical, Inc. Custom rIDr: SMIT50B 2
5 Constitution Way,Unit Woburn,MA 01801 Customer PO:
y
Tel/Fax:(781)933-8411/(781)933-8412 Project ID:
• fff. http:/Mww.EMSL.com/bostonlab@emsl.com
Attention: Ted Sherry Phone: (978)994-3643
Smith &Wessel Associates, Inc. Fax: (978)346-7265
188 Greenville Street Received Date: 08/03/2017 1:49 PM
Spencer, MA 01562 Analysis Date: 08/10/2017
Collected Date:
Project: Full Spychalski Funeral Home,Salem, MA.#17333
Test Report: Asbestos Analysis of Non-Friable Organically Bound Materials by TEM via
EPA/600/R-93/116 Section 2.5.5.1
Sample ID Description Appearance %Matrix Material %Non-Asbestos Fibers Asbestos Types
06A bathroom-black mastic Black 97.7 None 2.3%Chrysotile
131703452-0012 Fibrous
Homogeneous
08A basement rear stairs on Brown 100 None No Asbestos Detected
131703452-0016 tread-brown mastic Fibrous
Homogeneous
158 2nd floor shower room @ Brown/Gray 99.8 None 0.17%Chrysotile
131703452-0031 morgue-black mastic Fibrous
Homogeneous
17A 2nd floor ladies'bathroom- Brown 100 None No Asbestos Detected
131703452-0034 black+tan mastic Fibrous
Homogeneous
Analyst(s)
Steve Grise(4) Steve Grise, Laboratory Manager
or other approved signatory
This laboratory is not responsible for%asbestos in total sample when the residue only is submitted for analysis.The above report relates only to the items tested.This report may not be reproduced,
except in full,without written approval by EMSL Analytical,Inc.Samples received in good condition unless otherwise noted.Unless requested by the client,building materials manufactured with
multiple layers(i.e.linoleum,wallboard,eta)are reported as a single sample.
rples analyzed by EMSL Analytical,Inc.Woburn,MA
Initial report from:08/10/2017 17:44:27
Printed 8/10/2017 5:44:34PM Page 1 of 1
APPENDIX B '
Photographs
Smim&WmanAswmrw�lire. SWA 17333 '
8/10/17
Photographs - 84 Washington Square East, Salem, MA
Asbestos pipe insulation in basement Asbestos pipe run in basement
•- r
Asbestos brown floor the in basement Floor the under carpet in basement
=y .. - - .. ��_ +�`r- _phi•
14,
• .•'- ^- 'K r. rim: ti��. .+..r..
V.1r_•may.. '• `[,t I- ,.ar j
•4 'rw 'it.�:w� �` ' ate_ �' '}�
Floor 1 open areas Floor 2 morgue floor(buried asbestos floor)
Photographs - 84 Washington Square East, Salem, MA
J
4 �4e
Floor 2 asbestos floor the in shower room Asbestos brown floor the in floor 2 closet
Floor 2 casket display room Asbestos windows at garage
µ:
�~
�r
Front view of funeral home Asbestos window at detached garage
Nikolaus Kennedy
From: Bob Griffin
ant: Monday, August 27, 2018 7:34 AM
no: Nikolaus Kennedy
Subject: Re: O'Donnell -Asbestos Documentation
I have a report that identifies the hot and not hot. Will send separately.
Bob G
Griffm Engineering Group, LLC
495 Cabot St, Suite 202
Beverly, MA 01915
978-927-5111
On Aug 27, 2018, at 7:18 AM,Nikolaus Kennedy<nkenned rc riffm.com>wrote:
Thanks Bob-
This will have to be submitted with our disposal report so it is helpful.
It doesn't mention the 12x12 tiles in the second floor ceiling(rooms on either side of the hall)facing
Washington St. Surprised these were not hot but good to know either way.
Nik
Nikolaus Kennedy
Project Manager
<image001.jpg>
49 Central Street
Peabody, MA 01960
P 978-977-3339
C 781-771-1506
From: Bob Griffin [mailto:bgriffin griffineng.com]
Sent: Friday, August 24, 2018 3:25 PM
To: Nikolaus Kennedy
Subject: O'Donnell - Asbestos Documentation
Nik: I think this is what you are looking for. Let me know if you need additional
information. Bob g.
Your message is ready to be sent with the following file or link attachments:
S&SAbatement-Report-Scan 1184-ClearanceLetter
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certain types of file attachments. Check your e-mail security settings to determine how
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1
Robert H. Griffin, PE
Griffin Engineering Group,LLC
495 Cabot Street, 2nd Floor
Beverly, MA 01915
978-927-5111/5103 (fax)
bgriin(a&jffineM com
2
Nikolaus Kennedy
From: Bob Griffin
' Pt: Monday, August 27, 2018 8:13 AM
.o: Nikolaus Kennedy
Subject: Re:O'Donnell -Asbestos Documentation
Attachments: Asbestos Inspection Report 17333, 84 Washington Sq, Salem MA.pdf
Here is the assessment report. I don't think the ceiling tiles were tested. Please review and let me know what
you think. Thanks. Bob G.
Robert H. Griffin, PE
Griffin Engineering Group,LLC
495 Cabot Street, 2nd Floor
Beverly, AM 01915
978-927-5111 /5103 (9ax)
b,gri tn@,&i ineng.com
From: Nikolaus Kennedy <nkennedy@rcRriffm.com>
To: Bob Griffin<bgriffin@griffineng com>
Sent: 8/27/2018 7:33 AM
Subject: RE: O'Donnell -Asbestos Documentation
'junks Bob-
This will have to be submitted with our disposal report so it is helpful.
It doesn't mention the 12x12 tiles in the second floor ceiling (rooms on either side of the hall)facing Washington
St. Surprised these were not hot but good to know either way.
Nik
Nikolaus Kennedy
Project Manager
1000V
R.C. GiuPIFIN,imc.
49 Central Street
Peabody, MA 01960
P 978-977-3339
C 78f-779-1506
From: Bob Griffin [mailto:bgriffin griffineng.coml ~
t: Friday, August 24, 2018 3:25 PM
o: Nikolaus Kennedy
Subject: O'Donnell -Asbestos Documentation
1
Nik: I think this is what you are looking for. Let me know if you need additional information. Bob g.
Your message is ready to be sent with the following file or link attachments:
S&SAbatement-Report-Scan 1184-ClearanceLetter
Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of
file attachments. Check your e-mail security settings to determine how attachments are handled.
Robert H. Griffin, PE
Griffin Engineering Group,LLC
495 Cabot Street, 2nd Floor
Beverly, MA 01915
978-927-5111 /5103 (fax)
b,utyLin@g?:ifineL7g.com
2
ts&
S ABATEMENT L.L.C.
ASBBSTQs REl►lOYAL & EliCAPSLLARON CONTRACTORS
3 Baluster Street, Wakefield, MA 01880
(781) 245-4455 Fax (781) 246-4907
Griffin Engineering Group LLC
495 Cabot St
Suite 202
Beverly,Ma.01915
Bob Griffin
978-927-5111
REF:O'Donnell Funeral Home
84 Washington Square East
Salem,MA.01970
INVOICE
• S&S Abatement LLC removed and disposed 120 linear feet of asbestos pipe insulation
throughout basement
• Removed and disposed of approx.645 square feet of asbestos floor tiles and associated
mastic from second floor bathroom and basement
• Removed and disposed of approx.300 square feet of asbestos flooring from second floor
(second layer beneath green floor)
• Removed and disposed of approx. 70 square feet of asbestos tiles and associated mastic
from second floor bathroom
• Removed and disposed of approx.900 linear feet of asbestos window glazing from 9
windows from garage and detached garage
• Final inspection performed by a licensed independent laboratory
• S&S notified state and local agencies
• S&S paid necessary fees and permits
All material is guaranteed to be as specified,and the above work performed in accordance with the
drawings and specifications provided for the above work and was completed in a substantial workmanlike
manner for the agreed sum of_
Fourteen Thousand Thir -Five Dollars($14,035.00)
This is a Partial_ 'ull invoice due and payable by:March 21 2018
Month Day Year
In accordance with our_Agreement ::�<oposal dated:Februar❑ 27 2018
Month Day Year
CONTRACTOR INVOICE
D �
.&Wade
S ABATEMENT L.L.C.
3 BALLISTER STREET,WAKEFIELD,MA.01880
781-245-4455
S SLLCAB ATEMENT@AOL.COM
MARCH 19-21,2018
TO WHOM IT MAY CONCERN,
S&S ABATEMENT PERFORMED AN ASBESTOS ABATEMENT PROJECT AT 84 WASHINGTON
SQUARE EAST,SALEM,MA AND REMOVED AND DISPOSED OF ASBESTOS MATERIALS
IDENTIFIED BY SMITH&WESSEL ASSOCIATES,INC,SPENCER,MA_AS FOLLOWS:
APPROX.120 LINEAR FEET OF ASBESTOS PIPE INSULATION THROUGHOUT BASEMENT,
APPROX.645 SQUARE FEET OF ASBESTOS FLOOR TILES AND ASSOCIATED MASTIC FROM
SECOND FLOOR BATHROOM AND IN BASEMENT,APPROX.300 SQUARE FEET OF ASBESTOS
FLOORING FROM SECOND FLOOR,APPROX.70 SQUARE FEET OF ASBESTOS TILES AND
ASSOCIATED MASTIC IN SECOND FLOOR BATHROOM,AND APPROX.900 LINEAR FEET OF
ASBESTOS WINDOW GLAZING USING ALL THE REQUIRED METHODS OF ALL STATE AND
GOVERNMENT AGENCIES.
ANY QUESTIONS PLEASE CALL
781-245-4455
THA YOU, +•-�
S & S ABATEMENT LLC
Massachusetts Department of Environmental Protection
oDEP 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: SSLLC
Transaction ID: 996088
Document: AQ 04-Asbestos Removal Notification Form ANF-001
Size of File: 236.22K
Status of Transaction: In Process
Date and Time Created: 2/2712018:1:25:41 PM
Note: This file only includes forms that were part of your
transaction as of the date and time indicated above. If you need
a more current copy of your transaction, return to eDEP and
select to "Download a Copy"from the Current Submittals page.
Massachusetts Department of Environmental Protection
-. BWP AQ 04(ANF-001)PreForm
Asbestos Notification Form
r�
This is a revision to an existing form.
Project ID for existing form to be revised:
f` 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:
I— This job does not require the use of an asbestos contractor licensed by the MA Department of Labor Standards
because(please check one box below):
f— This job involves breaking,shearing or slicing of non-friable asbestos-containing material only(e.g.cement
shingles/panels,cement pipe,asphalt roofing or siding,vinyl floor tiles,etc)in a manner that does not generate
asbestos dust or render the material friable,as allowed by the Department of Labor Standards(DLS)at 453 CUR
6.13(2)(a)5.All work must be done in compliance with the applicable regulations at 310 CMR 7.15;or
I— This job involves work on asbestos containing material that is classified by the Department of Labor Standards
(DLS)as a`Small-Scale Asbestos Project,'an`Asbestos-Associated Project',or an`Asbestos Response Action'
by qualified`in-house'personnel as allowed by the Department of Labor Standards(DLS)at 453 CMR 6.00,and
will be performed in accordance with all the requirements of 453 CMR 6.13(1)(a),453 CMR 6.13(2)(a)1.and 3.,
and 453 CMR 6.14(1)(a),as applicable.All work must be done in compliance with the applicable regulations at
310 CMR 7.15.
W None of the above conditions apply,generate a new form.
Revised:11/13/2013 Page I of I
Massachusetts Department of Environmental Protection --
• BWP AQ 04 (ANF-001) 1100281890
Asbestos Project#
Asbestos Notification Form l— Project Revision
Project Cancellation
A. Asbestos Abatement Description
1.Facility Location:
O'DONNELL FUNERAL HOME 84 WASHINGTON SQUARE EAST
Instructions 1.All a.Name of Facility b.Street Address
sections of this form SALtTA MA 01970 9789275111
must be completed in
order to comply with c.City/Town d.State e.Zip Code f.Telephone
MassDEP notification BOB COORDINATOR
requirements of 310
CMR 7.15 and g.Facility Contact Person Name h.Facility Contact Person Tide
Department of Labor Worksite Location: BASQNENT,BATHROOMS,GARAGE
Standards(DLS)
notification i.Building Name,Wing,Floor,Room,eta
requirements of 453 2. Is the facility occupied? I—a.Yes WF b-No
CMR 6.12
3. Is this a fee exempt notification(city,town,district, municipal housing authority, state facility,or
owner-occupied residential property of four units or less)?f a.Yes W b.No
MassDEP Use Only
4.Blanket Permit Project Approval,if applicable:
Date Received -
Approval ID#
5.Non-Traditional Asbestos Abatement Work Practice Approval,
2.Submit Original if applicable: Approval ID#
FOFm To:
Commonwealth of
Massachusetts 6.Asbestos Contractor:
P.O.Box 4062
Boston,MA 02211 S&S ABATEMENT LLC 3 BALLISTER ST
a.Name b.Address
WAXERELD MA 01880 781245"55
c.City/Town State e.Zip Code f.Telephone d.
A0000549 h-Contract Type.570 1.Written I`2.Verbal
g.DLS License#
7 PAULT.SCOTT AS007475
a.Name of Contractor's On-Site Supervisor/Foreman b.DLS Certification#
8. PATRICKEIIEENRILEY AM060297
a.Name of Project Monitor b.DLS Certification#
9 ENVIROSAFEENGINEERING AA000131
a.Name of Asbestos Analytical Lab b.US Certification#
10.
3/19/2018 3121/2018
a.Project Start Date(MM/DD/YYYY) b.End Date(MM/DD/YYYY)
7-5 0-0
c.Work Hours-Monday Through Friday d.Work Hours-Saturday&Sunday
11.What type of project is this?
f a.Demolition I o b.Renovation I— c.Repair r— d.Other-Please Specify:
Revised:11/13/2013 Page 1 of 4
�,1
Massachusetts Department of Environmental Protection i 100281890 j
-' BWP AQ 04 (ANF-001) I —
Asbestos Notification Form Asbestos Project it
r Project Revision
r Project Cancellation
A.Asbestos Abatement Description:(cont.)
12.Abatement procedures(check all that apply):
r a.Glove Bag l` b.Encapsulation l° c.Enclosure f— d.Disposal Only f— e.Cleanup
l✓ f Full Containment 1— g.Other-Please Specify:
13,Job is being conducted: lv a.Indoors F b.Outdoors
14 a.Total amount of each type of asbestos Containing materials(ACM)to be removed,enclosed,or
encapsulated:
120 1915
1.Linear Feet(Lin.Ft) 2.Square Feet(Sq.Ft)
b.Boiler,Breaching,Duct, c.Transite Pipe
Tank Surface Coatings 1.Lin.Ft z Sq.Ft 1.Lin.Ft 2.Sq.Ft
d.Pipe Insulation 120 e.Transite Shingles
1.Lin.Ft 2.Sq.Ft 1_Lin.Ft 2.Sq.Ft
f Spray-On Fireproofing g.Transite Panels
1.Lin.Ft 2.Sq.Ft 1_Lin.Ft 2.Sq_Ft
h.Cloths,Woven Fabrics i.Other-Please Specify:
1-Lin.Ft 2.Sq.Ft
j.Insulating Cement -n ES MASTIC,GLAZING 1915
1.Lin.Ft 2.Sq.Ft 1.Lin.Ft 2.Sq.Ft
15. Describe the decontamination system(s)to be used:
WASH STATION,CHANGE ROOM,STAGED DECON
16.Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)
(g);
2 LAYER 6 MIL BLACK ASBESTOS BURIAL BAGS LABELLED
17.For Emergency Asbestos Operations,the MassDEP and DLS officials who evaluated the emergency:
a.Name of MassDEP Official b.Title of MassDEP Official
c.Date of Authorization(MM/DD/YYYY) d.Waiver#
e.Name of DLS Official f.Trtle of DLS Official
g.Date of Authorization(MM/DD/YYYY) h.Waiver#
18.Do prevailing wage rates as per M.G.L.c.149,§26,27 or 27A—F apply to this r a.Yes `F b.No
project?
Revised:11/I3/2013 Page 2 of 4
Massachusetts Department of Environmental Protection
BWP AQ 04 (ANF-001) 100281890_
Asbestos Project#
;t� Asbestos Notification Form ]' Project Revision
I— Project Cancellation
B.Facility Description
1.Current or prior use of facility: FUNERALHOME
2.Is the facility owner-occupied residential with 4 units or less?f a.Yes fw b.No
O'DONNELL FUNERAL HOME 84 WASHINGTON SQUARE EAST
3_
a Facility Owner Name b.Address
SALEM MA 01970 9789275111
a City/rown d.State e.Zip Code f.Telephone
4.SAME SAME
a.Name of Facility Owner's On-Site Manager b.Address
SAME MA 00000 0000000000
G City/Town d_State e.Tap Code f.Telephone
NONE NONE
5.a.Name of General Contractor b.Address
NONE MA 00000 0000000000
a City/Town d.State e.Zip Code f_Telephone
AM
g.Contractor's Workers Compensation Insurer
AWC4007007989 2/1/2019
h.Policy# i.Expiration Date(MM/ODNYYY)
00
6. What is the size of this facility? o0
a.Square Feet b.#of Floors
C. Asbestos Transportation & Disposal
1.Transporter of asbestos-containing waste material from site of generation:
W a.Directly to Landfill or 1— b.To Temporary Storage Location/Transfer Station
REDTECHNOLOGIES,INC 10 NORTHWDOD DR
c.Name of Transporter d.Address
Note:Temporary
storage of Asbestos 13LOOMRELD CT 06002 8602182428
containing waste e.City/Town f.State g.Zip Code h.Tele rte
material is only
allowed at the place
of business of a DLS 2.If a temporary storage location/transfer station is used,list name of transporter of asbestos containing
licensed Asbestos contractor or a transfer P g waste material from �'Y storage temporary a location/transfer station to final disposal site:
station that is
permitted by
MassDEP and a.Name of Transporter b.Address
operated in
compliance with Solid
Waste Regulations 310 CMR 19.000 C.Cityfrown d_State e.Zip Code f.Telephone
Revised: (1/13/2013 Page 3 of 4
i
Massachusetts Department of Environmental Protection 100281890
BWP AQ 04 (ANF-001) Asbestos Project#
' Asbestos Notification Form
r- Project Revision
r- Project Cancellation
C.Asbestos Transportation&Disposal:(coat.)
3.Name and address of temporary storage location/transfer station for the asbestos containing waste
material:
a.Temporary Storage Location Name b.Address
c.Cayfrown d.State e.Zip Code f.Telephone
4.Name and location of final disposal site(asbestos landfill):
MNERVA ENTERPRISES INC N/A
a.Final Disposal Site Name b.Final Disposal Site Owner Name
9000 MINERVA RD
c.Address
WAYNESBURG OH 44688 OOOOOOOD00
d.Cityfrown e.State f.Zip Code g.Telephone
A Certification
PAULSCOTT PAULSCOTT
"I certify that I have personally 1.Name 2.Authorized Signature
examined the foregoing and am OWNER 2/27/2018
familiar with the information 3.Positionffiffe 4.Date(MM/DD/YYYY)
Note:Contractor must contained in this document and
sign this form for DLS all attachments and that,based 7812454455 _ S&SABATEMENT LLC
notification purposes on my inquiry of those 5.Telephone 6.Representing
individuals immediately 3BALLISTERST WAIEFIELD
responsible for obtaining the 7.Address 8.Cityfrown
information,1 believe that the MA 01880
information is true,accurate,and
complete.I am aware that there 9.State 10.Zip Code
are significant penalties for
submitting false information,
including possible fines and
imprisonment.The undersigned
hereby states that I have read the
Commonwealth of
Massachusetts regulations
governing asbestos abatement
(453 CMR 6.00 promulgated by
the Department of Labor
Standards and 310 CMR 7.15
promulgated by the Department
of Environmental Protection),
and that I am aware that this
permit application or notification
shall not be deemed valid
unless payment of the
applicable fee is made."
Revised: 11/13/2013 Page 4 of 4
Envirv-Sate Engineering
203 Prospect Street
Brockton,MA 02301
(67 7)623-6678
March 25,2018
S&S Abatement
3 Ballister Road
Wakefield,MA 01880
RE: Clearance, 84 Washington Square East, Salem,MA
On March 20, 2018,Richard Alomar, Massachusetts licensed asbestos abatement project
monitor AM900524,conducted a final visual inspection and collected a clearance air
sample in the work area following asbestos abatement.
The samples were analyzed by Enviro-Safe Engineering,Brockton,MA,Massachusetts
licensed analytical laboratory AA000131. The sample was analyzed using NIOSH
method 7400 for Phase Contrast Microscopy(PCM).PCM is a quantitative method of
analysis that yields the relative fiber concentration in the air at the time the sample was
collected.
The samples in question are below 0.010 fibers per cubic centimeter(f/cc),the maximum
concentration allowed by the US environmental Protection Agency and the
Massachusetts Department of Labor Standards(DLS).
See enclosed results. If you have any questions or require additional information,please
feel free to contact me at(617)623-6678.
Sincerely,
Patricia E.Riley G
President
Asbestos Air Sampling and Analysis Form
Client: S&S Abatement Job Number: SO477
Site Address 84 Washington Square East Date: 03/20/2019
Salem,MA Filter size: 25mm
Sample Sample Pump Time Sample Flow rate Volume Total Net Fibers perr]
number description number on/time . time (liters (liters) fibers/fields fibers/fields cubic
Off (minutes) per centimeter
minute)
SO477A Final clearance 1 I 1:00- 80 15 1200 51100 51100 <0.004
basement 12:20
SO477B Final clearance 2 11:02- 1 80 15 1200 8/100 8/100 <0.004
2°d fl.bathroom 12:22
SO477C Final clearance 3 11:04- 80 15 1200 6/100 6/100 <0.004
morgue 12:24
SO477D Final clearance 4 11:006- 80 15 1200 4/100 4/100 <0.004
closet area 1 12:26
SO477E Final clearance 5 11:07- 80 15 1200 7/100 7/100 <0.004
closet area 2 12:27
SO477F Final clearance 6 I 1:08- 80 f15
T120O7/100
5/100 <0.004
closet area 3 12:28
SO477G Final clearance 7 11:09- 80 7/100 <0.004
closet area 4 12:29
SO477Hn/a 0/100
SO4771 Blank n/a 0/100 0/100 -
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