Page _1_of _5 CLIENT INFORMANTION Name: Lansingburgh Central School District Date of Sampling: 10/18/2016 Address: 576 Fifth Ave Troy NY 12182 Samples Taken By: Tim LeVan Client Rep: Bob Schongar Samples Taken By: Craig Hansen SCHOOL/PROJECT INFORMATION BLDG NO./NAME: Lansingburgh HighSchool BLDG ADDRESS: 320 Seventh Ave Troy NY 12182 CONTACT NAME & NUMBERS: Bob Schongar 518-858-5580 (1) Yr. Built (2) Yr 1st Add: (3) Yr 2nd Add: (4) Yr 1st Mod: (5) Yr. 2nd Mod: 1965 2007 2014 2015 SAMPLE DATA Sample Description ID (ID must match container label) Lab Sample # Outlet Information BOCES Sample # Location Outlet Description Outlet Make & Model Construct. Date First Draw Time of Collection (24hr) Lead Copper 82 LHS-GF-SC-P-82 Pump room Service connection 2007 6:10 15.2 200 Remediati on 83 LHS-GF-KS1-P-83 Kitchen Sink Faucet 2015 X 4:52 0.97 101 84 LHS-GF-KS2-P-84 Kitchen Sink faucet 2015 X 4:52 3.2 216 85 LHS-GF-KS3-P-85 Kitchen Sink faucet 2015 X 4:53 1.8 120 86 LHS-GF-KS4-P-86 Kitchen Sink faucet 2015 X 4:53 1.4 76.3 87 LHS-GF-KS5-P-87 Kitchen Sink faucet 2015 X 4:53 0.35 69.8 88 LHS-GF-KS6-P-88 Kitchen Sink faucet 2015 X 4:53 0.27 84.2 89 LHS-GF-KS7-P-89 Kitchen Sink faucet 2015 X 4:56 1.5 125 90 LHS-GF-DW-P-90 Cafeteria Water fountain Elkay 2015 X 5:00 1.6 134 91 LHS-GF-CF-P-91 Cafeteria Sink faucet Delta 2015 X 5:00 6.2 273 92 LHS-GF-BF-P-92 Boys room Sink Faucet Chicago 1965 X 5:01 0.2 124 93 LHS-GF-BF-P-93 Girls room Sink faucet Chicago 1965 X 5:01 0.36 166 94 LHS-GF-CF-P-94 Auto shop Sink faucet Speakman 1965 X 5:05 4.2 52.5 95 LHS-GF-CF-P-95 Wood shop Sink faucet 1965 X 5:05 3.6 143 96 LHS-GF-DW-P-96 Corridor by locker rooms Water fountain Halsey Taylor 1965 X 5:07 29.9 54.4 Shut off 97 LHS-GF-BF-P-97 Girls PE coach office Sink faucet Kohler 2007 X 5:08 4.8 42
98 LHS-GF-GIM-P-98 Girls PE coach office Ice Machine Marvel Scientific 2007 X No result 99 LHS-GF-BF-P-99 Girls locker room Sink faucet Chicago 2007 X 5:08 4.2 79.3 100 LHS-GF-DW-P-100 Girls locker room Water fountain 2007 X 5:08 6.3 98.8 101 LHS-GF-BF-P-101 Boys PE coach office Sink faucet Kohler 2007 X 5:10 1.5 29.8 CHAIN OF CUSTODY Relinquished By: Received By: Time: Date: INSTRUCTIONS TO THE LABORATORY - Analize all samples for both lead and copper (Pb and Cu) Lab: Pace Analytical Contact: Comments: Provide Laboratory Data Report (LDR) and Chain of Custody
Page _2_of _5 CLIENT INFORMANTION Name: Lansingburgh Central School District Date of Sampling: 10/18/2016 Address: 576 Fifth Ave Troy Ny 12182 Samples Taken By: Tim LeVan Client Rep: Bob Schongar Samples Taken By: Craig Hansen SCHOOL/PROJECT INFORMATION BLDG NO./NAME: Lansingburgh High School BLDG ADDRESS: 320 Seventh Ave Troy NY 12182 CONTACT NAME & NUMBERS: Bob Schongar 518-858-5580 (1) Yr. Built (2) Yr 1st Add: (3) Yr 2nd Add: (4) Yr 1st Mod: (5) Yr. 2nd Mod: 1965 2007 2014 2015 SAMPLE DATA Sample Description ID (ID must match container label) Lab Sample # BOCES Sample # Location Outlet Description Outlet Information Outlet Make & Model Construct. Date First Draw Time of Collection (24hr) Lead Copper Remediaito n 102 LHS-GF-BIM-P-102 Boys PE coach office Ice Machine Marvel Scientific 2007 X 5:10 0.29 1.7 103 LHS-GF-BF-P-103 Boys locker room Sink faucet Chicago 2007 X 5:12 5.2 141 104 LHS-GF-DW-P-104 Weight room Water fountain Elkay 2007 X 5:12 3.4 255 105 LHS-GF-HC-P-105 Outdoors of weight room Hose connection 2007 X 5:14 1.2 123 106 LHS-GF-KF-P-106 Outside concession stand Sink Faucet 2007 X 5:14 15.5 75.6 Shut off LHS-GF-DW1-P- ADA water 107 Gym lobby Elkay 2007 X 5:20 0.15 124 107 fountain LHS-GF-DW2-P- 108 Gym Lobby Water fountain Elkay 2007 X 5:20 0.14 129 108 109 LHS-GF-KF-P-109 Inside concession stand Sink faucet Moan 2007 X 5:21 2.5 192 110 LHS-GF-BF-P-110 Girls room Sink faucet Chicago 2007 X 5:22 0.2 183 111 LHS-GF-BF-P-111 Boys room Sink faucet Chicago 2007 X 5:22 0.64 182 112 LHS-GF-BF1-P-112 Girls room off gym Sink faucet 1 Chicago 2007 X 5:23 0.15 120 113 LHS-GF-BF2-P-113 Girls room off gym Sink faucet 2 Chicago 2007 X 5:23 0.22 139 114 LHS-GF-BF1-P-114 Boys room off gym Sink faucet 1 Chicago 2007 X 5:23 0.18 110 115 LHS-GF-BF2-P-115 Boys room off gym Sink faucet 2 Chicago 2007 X 5:23 0.26 124 116 LHS-GF-HC-P-116 Outdoors of boys room Hose connection 2007 X 5:19 0.53 89.8 117 LHS-GF-BF-P-117 Athletic director office Sink faucet Chicago 2007 X 5:24 4 581
118 LHS-GF-IM-P-118 Athletic director office Ice machine Manitowoc 2007 X 5:24 0.23 <1.0 119 LHS-GF-HC-P-119 Outdoors Northeast end of gym Hose connection 2007 5:25 8.5 340 120 LHS-01-BF-P-120 Music wing faculty ladies room Sink faucet 1 1965 X 5:30 8.7 125 121 LHS-01-BF-P-121 Music wing faculty ladies room Sink faucet 2 1965 5:30 5 84.5 122 LHS-01-BF-P-122 Music wing boys room Sink faucet 1 1965 X 5:32 11 157 All containers are pre-cleaned/pre-certified 250ml plastic bottles and will be preserved w/hno3@ ph by lab CHAIN OF CUSTODY Relinquished By: Received By: Time: Date: INSTRUCTIONS TO THE LABORATORY - Analize all samples for both lead and copper (Pb and Cu) Lab: Pace Analytical Contact: Comments: Provide Laboratory Data Report (LDR) and Chain of Custody
Page _3_of _5 CLIENT INFORMANTION Name: Lansingburgh Central School District Date of Sampling: 10/18/2016 Address: 576 Fifth Ave Troy Ny 12182 Samples Taken By: Tim LeVan Client Rep: Bob Schongar Samples Taken By: Craig Hansen SCHOOL/PROJECT INFORMATION BLDG NO./NAME: Lansingburgh High School BLDG ADDRESS: 320 Seventh Ave Troy NY 12182 CONTACT NAME & NUMBERS: Bob Schongar 518-858-5580 (1) Yr. Built (2) Yr 1st Add: (3) Yr 2nd Add: (4) Yr 1st Mod: (5) Yr. 2nd Mod: 1965 2007 2014 2015 SAMPLE DATA Sample Description ID (ID must match container label) Lab Sample # Outlet Information BOCES Sample # Location Outlet Description Outlet Make & Model Construct. Date First Draw Time of Collection (24hr) Lead Copper Remediati on 123 LHS-01-BF-P-123 Music wing boys room Sink faucet 2 Kohler 1965 X 5:32 9.7 77.1 124 LHS-01-BF1-P-124 Girls room near 156 Sink faucet 1 Chicago 1965 X 5:36 0.73 165 125 LHS-01-BF2-P-125 Girls room near 156 Sink faucet 2 Chicago 1965 X 5:36 0.31 82 126 LHS-01-BF1-P-126 Boys room near 156 Sink faucet 1 Chicago 1965 X 5:36 0.27 77.3 127 LHS-01-BF2-P-127 Boys room near 156 Sink faucet 2 Chicago 1965 X 5:36 0.17 113 128 LHS-01-DW-P-128 Corridor across from 152 Water fountain Haley Taylor 1965 X 5:37 15.6 37.9 Shut off 129 LHS-01-CF1-P-129 150 Sink faucet 1 1965 X 5:38 17 111 Shut off 130 LHS-01-CF2-P-130 150 Sink faucet 2 1965 X 5:38 1.7 253 131 LHS-01-CF1-P-131 147 Sink faucet 1 T&S 1965 X 5:38 0.54 224 132 LHS-01-CF2-P-132 147 Sink faucet 2 1965 X 5:38 0.28 237 133 LHS-01-CF3-P-133 147 Sink faucet 3 T&S 1965 X 5:39 1.5 720 134 LHS-01-DW-P-134 Corridor across from 147 Water fountain Elkay 1965 X 5:40 <0.10 170 135 LHS-01-CF1-P-135 148 Sink faucet 1 Chicago 1965 X 5:41 1.8 187 136 LHS-01-CF2-P-136 148 Sink faucet 2 Chicago 1965 X 5:41 1.3 212 137 LHS-01-CF3-P-137 148 Sink faucet 3 Chicago 1965 X 5:41 3.4 167 138 LHS-01-BF1-P-138 Boys room Sink faucet 1 1965 X 5:41 0.51 75.8 139 LHS-01-BF2-P-139 Boys room Sink faucet 2 1965 X 5:41 6.1 59.1
140 LHS-01-BF1-P-140 Girls room Sink faucet 1 1965 X 5:42 0.87 73.4 141 LHS-01-BF2-P-141 Girls room Sink faucet 2 1965 X 5:42 4.2 68.1 142 LHS-01-BF3-P-142 Girls room Sink faucet 3 1965 X 5:42 2.2 89.7 143 LHS-01-BF4-P-143 Girls room Sink faucet 4 1965 X 5:42 2.1 71.2 All containers are pre-cleaned/pre-certified 250ml plastic bottles and will be preserved w/hno3@ ph by lab CHAIN OF CUSTODY Relinquished By: Received By: Time: Date: INSTRUCTIONS TO THE LABORATORY - Analize all samples for both lead and copper (Pb and Cu) Lab: Pace Analytical Contact: Comments: Provide Laboratory Data Report (LDR) and Chain of Custody
Page _4_of _5_ CLIENT INFORMANTION Name: Lansingburgh Central School District Date of Sampling: 10/18/2016 Address: 576 Fifth Ave Troy Ny 12182 Samples Taken By: Tim LeVan Client Rep: Bob Schongar Samples Taken By: Craig Hansen SCHOOL/PROJECT INFORMATION BLDG NO./NAME: Lansingburgh High School BLDG ADDRESS: 320 Seventh Ave Troy NY 12182 CONTACT NAME & NUMBERS: Bob Schongar 518-858-5580 (1) Yr. Built (2) Yr 1st Add: (3) Yr 2nd Add: (4) Yr 1st Mod: (5) Yr. 2nd Mod: 1965 2007 2014 2015 SAMPLE DATA Sample Description ID (ID must match container label) Lab Sample # BOCES Sample # Location Outlet Description Outlet Information Outlet Make & Model Construct. Date First Draw Time of Collection (24hr) Lead Copper Remediaiton 144 LHS-01-CF-P-144 146 Sink faucet Chicago 1965 X 5:44 2.2 109 145 LHS-01-CF-P-145 144 Sink faucet Chicago 1965 X 5:44 1.6 138 146 LHS-01-CF1-P-146 142 Sink faucet 1 Chicago 1965 X 5:45 8 164 147 LHS-01-CF2-P-147 142 Sink faucet 2 Chicago 1965 X 5:45 0.89 174 148 LHS-01-CF3-P-148 142 Sink faucet 3 Chicago 1965 X 5:45 0.83 161 149 LHS-01-DW-P-149 Corridor outside 142 Water fountain Halsey Taylor 1965 X 5:46 26 85.4 Shut off 150 LHS-01-CF1-P-150 140 Sink faucet 1 Chicago 1965 X 5:48 1.7 140 151 LHS-01-CF2-P-151 140 Sink faucet 2 Chicago 1965 X 5:48 0.96 256 152 LHS-01-CF3-P-152 140 Sink faucet 3 Chicago 1965 X 5:48 0.97 199 153 LHS-01-HC-P-153 Courtyard media center side Hose connection 1965 X 5:49 46.2 699 Capped off 154 LHS-01-HC-P-154 Outside southeast corner of Cafeteria Hose connection 1965 X 5:04 29.6 202 Shut off/capped 155 LHS-01-BF-P-155 Media center Sink faucet Chicago X 5:51 0.32 200 156 LHS-01-SF-P-156 Media center office Sink faucet X 5:51 0.37 297 157 LHS-01-DW-P-157 158 LHS-02-DW-P-158 Corridor across from 1st floor media center Corridor across from 2nd floor media center Water fountain Elkay X 5:52 0.15 556 Water fountain Elkay X 5:54 0.14 633
159 LHS-02-BF-P-159 Media center 2nd floor Sink faucet Chicago X 5:54 0.42 244 160 LHS-02-BF1-P-160 Boys room across from 248 Sink faucet 1 1965 X 5:55 1.4 75.4 161 LHS-02-BF2-P-161 Boys room across from 248 Sink faucet 2 1965 X 5:55 1.3 97.2 162 LHS-02-BF3-P-162 Boys room across from 248 Sink faucet 3 1965 X 5:55 1.9 92.3 163 LHS-02-BF-P-163 Faculty men s room Sink faucet 1965 X 5:57 1.6 100 All containers are pre-cleaned/pre-certified 250ml plastic bottles and will be preserved w/hno3@ ph by lab CHAIN OF CUSTODY Relinquished By: Received By: Time: Date: INSTRUCTIONS TO THE LABORATORY - Analize all samples for both lead and copper (Pb and Cu) Lab: Pace Analytical Contact: Comments: Provide Laboratory Data Report (LDR) and Chain of Custody
Page _5_of _5 CLIENT INFORMANTION Name: Lansingburgh Central School District Date of Sampling: 10/18/2016 Address: 576 Fifth Ave Troy Ny 12182 Samples Taken By: Tim LeVan Client Rep: Bob Schongar Samples Taken By: Craig Hansen SCHOOL/PROJECT INFORMATION BLDG NO./NAME: Lansingburgh High School BLDG ADDRESS: 320 Seventh Ave Troy NY 12182 CONTACT NAME & NUMBERS: Bob Schongar 518-858-5580 (1) Yr. Built (2) Yr 1st Add: (3) Yr 2nd Add: (4) Yr 1st Mod: (5) Yr. 2nd Mod: 1965 2007 2014 2015 SAMPLE DATA Sample Description ID (ID must match container label) Lab Sample # BOCES Sample # Location Outlet Description Outlet Information Outlet Make & Model Construct. Date First Draw Time of Collection (24hr) Lead Copper 164 LHS-02-BF-P-164 Faculty women s room Sink faucet 1965 X 5:57 0.98 167 Remediati on 165 LHS-02-CF-P-165 245 Faculty room Sink faucet Delta 1965 X 5:58 3.3 69.7 166 LHS-02-DW-P-166 Corridor outside 242 Water fountain Halsey Taylor 1965 X 5:58 20.8 63.3 Shut off 167 LHS-02-DW-P-167 Corridor outside 250 Water fountain Elkay 1965 X 5:59 2.8 118 168 LHS-02-DW-P-168 Corridor outside 251 Water fountain Halsey Taylor 1965 X 5:59 33.5 94.2 Shut off 169 LHS-02-CF1-P-169 260 Sink faucet 1 Kohler 1965 X 6:00 0.43 112 170 LHS-02-CF2-P-170 260 Sink faucet 2 Kohler 1965 X 6:00 0.46 119 171 LHS-02-BF-P-171 Boys room across from 260 Sink faucet Chicago 1965 X 6:01 0.32 287 172 LHS-02-BF-P-172 aculty across from 260 Sink faucet Chicago 1965 X 6:01 0.29 247 173 LHS-02-BF1-P-173 Girls room next to stairwell Sink faucet 1 2007 X 6:02 0.65 51.6 174 LHS-02-BF1-P-174 Girls room next to stairwell Sink faucet 2 2007 X 6:02 3 63.9 175 LHS-02-BF1-P-175 Girls room next to stairwell Sink faucet 3 2007 X 6:02 1.8 84.9 89A LHS-GF-KS8-P-89A Kithchen Kitchen Steam X 4:57 2.3 47.1 89B LHS-GF-KS9-P-89B Kitchen Kitchen Steam X 4:57 1.8 66 123A LHS-01-DW-P-123A Corridor near 185 X 5:34 0.52 66.4
All containers are pre-cleaned/pre-certified 250ml plastic bottles and will be preserved w/hno3@ ph by lab CHAIN OF CUSTODY Relinquished By: Received By: Time: Date: INSTRUCTIONS TO THE LABORATORY - Analize all samples for both lead and copper (Pb and Cu) Lab: Pace Analytical Contact: Comments: Provide Laboratory Data Report (LDR) and Chain of Custody