Notification ID : 2020-04078-B

Submission Date : 5/3/2021

General Information
Revision -
Type of Notification* Revised
Notification
Previous Notification # 2020-04078

This electronic form is not acceptable for projects in Philadelphia and Allegheny Counties. Please
see: Link to Asbestos Information (Philadelphia) or Link to Asbestos Information (Allegheny
County).

"Lehigh -
Project Location* Allentown
City"

Will alternative methods to any of the applicable regulations be used?* No

Type of Operation (check all that apply) * Demolition
Was there a previous abatement?* No

Facility Information
Job # (optional) 20201
Facility Name* Allentown State Hospital - 01

Street Address #1* 1600 Hanover ave

Street Address #2
City* Allentown

PA
Zip code* 18109
Present Use Type* None/Empty

Present Use Description* Vacant

Prior Use Type* Hospital

Prior Use Description* Mental Hospital

Will the facility be occupied during the abatement activity? No

Facility size in square feet 90696

Number of floors 4
Approximate Age in Years 49

Facility Owner
Owner Name* Department of General Services

Street Address* 18th and Herr Street

City* Harrisburg
State* PA
Zip code* 17125

Contact* Andrew Bannar

Telephone No. (between 8:00 and 4:30)* (610)-844-6276

Waste Transporters Information

Transporter Street Zip
Waste Transporters City State Contact Telephone
Information
Name Address Code

Waste Disposal Site

Landfill Disposal Street Zip
Waste Disposal City State Contact Telephone
Site Name Type Address Code

Air Monitoring Firm(s)

Company Name/Individual

Street Address

City

State PA

Zip code
Contact

Telephone No

Is the Final clearance firm different than above?

Unexpected Asbestos Findings

In the event that unexpected asbestos is found or previously nonfriable asbestos material becomes crumbled,
pulverized, or reduced to powder, I agree to contact the air quality program in the appropriate regional office.
Link to Regional Office Contact Information.

I agree true

Owner/Operator Agreement
I hereby certify that an individual trained in the provisions of 40 CFR Part 61 subpart M (if applicable) will be
on-site during the demolition or renovation and evidence that the required training has been accomplished by
this person will be available for inspection during all working hours, and certify that all work will be done in
accordance with all applicable federal, state, and local agency rules and regulations.

I agree true

I hereby certify that the foregoing statements and the information contained in this notification form are true. This
certification is made subject to the penalties set forth in 18 PA C.S 4904 relating to unsworn falsification to
authorities.

I agree true
Demo Contractor/Schedule Info
Contractor Information
Is the demolition contractor the same as the Greenport user?* No
Company Name Neuber Environmental Services, Inc.

Street Address 1100 Grosser Rd.

City Gilbertsville

State PA

Zip code 19525

Contact Chris D'Orazio

Telephone No. (between 8:00 and 4:30) (610)-933-4332

Email address Chris@neuberenv.com

Operation Schedule
Start Date* 01/11/2021

Completion Date* 06/30/2021

Daily hours of operation 07:00 AM

to 06:00 PM

Days of the week* Monday Tuesday Wednesday Thursday Friday Saturday

Description of planned
Mechanical demolition of
demolition or renovation
structure to 4' below grade
work
Comments

Facility Inspection
Building Dominick DeFazio
Inspector

Certification
040641
#

Building
Inspector Cocciardi and Associates, Inc.
Company

Date of 08/27/2018
Inspection*

Is any
material
assumed to No
be
asbestos?

Procedure,
including
analytical
method, if
appropriate,
appropriate,
PLM / TEM
used to
detect the
presence of
asbestos
material

Is any type
of asbestos Yes
present?

Location of
Type of Material Material Amount Type of Final
Material Units
ACM Type Description of ACM Abatement Clearance
(room/floor/area)

PCM
FRI LF
(Friable Pipe Throughout 3110 (Linear REM (Phase
Insulation building (Removal) contrast
ACM) ft)
microscopy)

NF1 (Cat PCM

LF
I Throughout REM (Phase
Other gaskets 600 (Linear
nonfriable building (Removal) contrast
ft)
ACM) microscopy)

NF1 (Cat SF PCM

I tar vapor REM (Phase
Other foundation walls 7200 (Square
nonfriable barrier ft) (Removal) contrast
ACM) microscopy)

NF1 (Cat PCM

SF
I air handling unit REM (Phase
Siding 1200 (Square
nonfriable roof (Removal) contrast
ft)
ACM) microscopy)

NF1 (Cat PCM

Roofing SF
I of any Throughout 22900 (Square REM (Phase
nonfriable building (Removal) contrast
Type ft)
ACM) microscopy)

PCM
FRI SF
(Friable Other fire proofing Throughout 78580 (Square REM (Phase
ACM Type* building (Removal) contrast
ACM) ft)
microscopy)

NF1 (Cat Floor SF PCM

I Throughout REM (Phase
Tile and 56356 (Square
nonfriable building (Removal) contrast
Mastic ft)
ACM) microscopy)

NF1 (Cat LF PCM

I ductwork Throughout REM (Phase
Other 2000 (Linear
nonfriable sealant building ft) (Removal) contrast
ACM) microscopy)

NF1 (Cat PCM

SF
I Throughout REM (Phase
Other Sink mastic 46 (Square
nonfriable building (Removal) contrast
ft)
ACM) microscopy)

NF1 (Cat PCM

SF
I Other fire door Throughout 210 (Square REM (Phase
nonfriable building (Removal) contrast
ft)
ACM) microscopy)

NF1 (Cat PCM

LF
I window Throughout REM (Phase
Other 155 (Linear
nonfriable glazing building (Removal) contrast
ft)
ACM) microscopy)
 NF1 (Cat SF PCM
I Throughout REM (Phase
Mastic 1023 (Square
nonfriable building ft) (Removal) contrast
ACM) microscopy)

Is this
project
Yes
regulated by
NESHAP?

Submitter : Pasalano, Santino

1100 Grosser Rd., Gilbertsville, PA, 19525
santino@neuberenv.com
7325819007