HomeMy WebLinkAbout0955 IYANNOUGH ROAD/RTE 28 - Health -9551YANNOUGHRM
KABLOOM Z)
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DATE: TOWN OF BARNSTABLE PERMIT# U
DEPARTMENT OF PUBLIC WORKS
SEWER CONNECTION COMPLIANCE
INSTALLER: D TELEPHONE:
PROPERTY OWNER: r TELEPHONE:
PROPERTY LOCATION: /�J!J VILLAGE:
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Pipe Length:
ASSESSORS MAP PARCEL Pipe Diameter: 6 '�
The work been done in conformance with the Rules and Regulations of the Department of Public Works.
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Signature: I Date: Z
epartment of Pu lic Works
SEWER INSTALLATION SKETCH
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� HOBBSBWARRENTM THE COMMONWEALTH OF MASSACHUSETTS
FORM 30 C
_ BOARD OF HEALTH
CITY/TOWN
R
W �CJybillc 4ea id.s-t'o^
a 0 ro DEPARTMENT
Al
ADDRESS
TELEPHONE
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Address 955 _An0-u� Occupantrlla` _
Floor Apartm" t No. No.of Occupants t
No.of Habitable Rooms No.Sleeping Rooms _--
No. dwelling or rooming units_., No.Stories___��
Name and address of owner___ O' '�i-- aleVe
✓'�� `�J ' Z �Z
119 �p yi$g Or ve_ I Remarks Reg. Vio.
YARD Out Bld S63 M k1 S a
Gar UN Tge and Ru E Esh e Us,
Containers: Gn -AV- QV_ ,na,�{-
Drainage 1 he biall I L U Se to
Infestation Rats or other: n r
STRUCTURE EXT. Steps,Stairs, Porches: •Id, ^ ;n { �
Dual Egress:and Obst' �" '— oF * 1 d
❑ B ❑ F ❑ M Doors,Windows: f 41� ( a ,
Roof i
o� . 1'Ij lq
Gutters, Drains: d
Walls:
Foundation:
Chimney:
BASEMENT Gen.Sanitation:
Dampness:
Stairs:
Lighting:
STRUCTURE INT. Hall,Stairway: SSi e _G an e
Obst'n.: ®n. - S- rr r0,jA4
Hall, Floor,Wall,Ceiling: ` l4
Hall Lighting: -i'tie cIC (_QLCE oA 2® a?
Hall Windows: 0 3'75'' a Ji IAA I ' 10 5paie'sZo
HEATING Chimneys: , /- L's
Central ❑ Y ❑ N Equip. Repair 1
TYPE: Stacks, Flues,Vents: ems; ° NP
PLUMBING:. Supply Line:
❑ MS ❑ ST ❑ P Waste Line:
H.W.Tanks Safety and Vent(s)
ELECTRICAL Panels, Meters,Cir.:
❑ 110 ❑ 220 Fusing,Grnd.:
AMP: Gen.Cond. Distrib. Box:
Gen. Basement Wiring:
DWELLING UNIT
Ventil. L to Outlets Walls Ceils. Wind. Doors Floors Locks
Kitchen
Bathroom
Pantry
Den
Living Room
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.:
Stacks, Flues,Vents,Safeties:
Kitchen Facilities Sink
Stove
Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.:
Wash Basin,Shower or Tub:
Infestation Rats, Mice, Roaches or Other:
Egress Dual and Obst'n:
General Building Posted
Locks on Doors:
ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH
MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE
OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE
AUTHORIZED INSPECTOR.(See Over)
"THIS INSPECTION REPORT.,IS SIGNED AND CERTIFIED UNDER THE PAINS AND
PENALTIES OF PERJURY."
INSPECTOR m' e� TITLE rq(=(-4V" _OP� P '�
DATE _200 I'( ^� TIME l O ► i5 P.M.
r> f" �nC cat cwu.:ex do A.M.
THE NEXT SCHEDULED REINSPECTION�C7C' e 19 P.M..
410.750: Conditions Deemed to Endanger or Impair Health or Safety
The following conditions, when found to exist in residential premises, shali be deemed conditions which may endanger or
impair the heaith, or safety and well-being of a person or persons occupying the premises. This listing is composed of those
items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the
occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for
human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so
in every case and therefore is not included in this listing. Failure to include shall in no way be construed as`a determination that
other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local
health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to
include affect the legal obligation of the person to whom the order is issued to comply with such order.
(A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary
needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer.
(B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as
prohibited by 105 CMR 410.200(B)and 410.202.
(C) Shutoff and/or failure to restore electricity or gas.
(D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com-
mon area required by 105 CMR 410.254.
(E) Failure to provide a safe supply of water.
(F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR
410.150(A)(1)and 410.300.
(G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object,
including garbage or trash,which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452.
(H) Failure to comply with the security requirements of 105 CMR 410.480(D).
(1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar-
bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests
or otherwise contribute to accidents or to the creation or spread of disease.
(J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public
Health Regulations for Lead,.Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.)
(K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or
other dangers or impairment to health or safety.
(L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating,
gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352,
so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety.
(M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release
of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105
CMR 410.353.
(N) Failure to provide a smoke detector required by 105 CMR 410.482.
(0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or
knowledge of the owner of said condition or conditions:
(1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven
or any defect that renders either inoperable.
(2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any
defect which renders them inoperable.
(3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of
generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard.
(4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as
required by 105 CMR 410.503(A)and 410.503(B).
(5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550.
(P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0) shall be deemed to be a con-
dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner
to remedy said condition within the time so ordered by the Board of Health.
05/27/2004 10:42 15087789806 KABLOOM HYANNISH 25 PAGE 04
American Home &.fin vironmental
hZ
F.O. Box 1.069,Centerville,Massachusetts 02632
508-775-1500 866-524-0070 fax 508-775-1503
www.capecodhomeinspector.com e-mail americanhome.comeast.net(itcomcastnet
Kabloom
955 Rt 132
Hyannis
Mass, 02601 5-18-04
Dear Ms. Kelley,
The attached are results of mold testing at your business on 132 Hyannis, The levels combined
should not exceed 1000. The tear. storage room showtA acceptable levels of mold,however, any
person may have allergic reactions to any of the listed molds oil any level. The detached building
shows excessively high levels and the listed-molds and th-pir levels are attached. The"raw
scores" should never exceed a"2'.
Remediation.:
All pones and non pores surfaces should be cleaned and sanded taking care not to disturb or
darriage their finishes. All insulation rotted boards and contaminated surfaces that cannot be
cleaxled should be disposed of accordingly. Roof leaks should he repaired professionally and will
require buildup permits from licensed contractors. All.pores surfaces shall be trealed,with
appropriate ant:ifunga.cide and sealed . It:is recommended that the highly contaminated areas not.
be occupied until remediation by licensed professionals..
Douglas I', Williams Sr.
Certified Mold Inspector.
� _.__.
05/27/2004 10:42 15087789806 KABLOOM HYANNISH 25 PAGE 03
Page 2
May 25, 2004
and sealed. It is recommended that the highly contaminated areas not be occupied.
until remediation by licensed professionals.
I understand from,your attorney that you have hired a contractor to repair the roof,
however, my client has been told by the Town.that no permits have issued to conduct such.repair.
We have no information about you obtaining the services of licensed professionals to remove the
mold. It therefore appears that you will not:be able to rrepair the roof and remove the mold spore
growth by May 31, 2004. Notice is hereby given that my client and.The Power of Pink, Inc.
intend to terminate the Lease and to vacate the premises as of that date.
Very truly yours,
Patricia Lang Farnsworth
cc: client
Philip M. Boudreau,Esq. (by fax)
05/27/2004 10:42 15087789806 KABLOOM HVANNISH 25 PAGE 02
Direct Dial: 617-603-3732
E-Mail: TFarnswortb@Lawso.n-Weitzell.Com
May 25,2004
VIA CERTIFIED MAIL
RFTM RECEIPT REQUESTED
Timothy R. Luzietti
119 Pond View Drive
Centerville, MA 02632
RE: Lease by and.between Timothy R. Luz:ietti and KaBloom,Ltd.;
955 Route 132, Hyannis,MA
Dear Mr, Lunetti:
Ill connection with the roof:leaking and resulting mold growth,lny client has obtained a
mold testing report f-otn American Home &Environmental. That report has been sent to your.
attorney. Please note that the report stated:
The rear storage room showed acceptable levels of anold, however, any person
may have allergic reactions to any of the listed molds in any level. The detached
building shows excessively high levels.
All porous and non porous surfaces should.be cleaned and.sanded taking care not
to disturb or damage their finishes. All insulation rotted boards and contaminated
surfaces that cannot be cleaned should be disposed of accordingly. Roof leaks
should be repaired professionally and,will require building permits from licensed
contractors. All porous surfaces shall be treated with appropriate anti.fu.ngacide
05/27/2004 10:42 15087789806 KABLOOM HYANNISH 25 PAGE 10
PRO-LABISSPTM ETC. Mold Analysis Report
3300 Corporate Avenue..Bldg., 112 Qtrrert M11icroscapic Exam Matlon
Weston, Florlds 33331 Report Number: 051404-0321
Toll Free: 800-427-0550 Reeehred Date: 5/14/2004
Test Adft"- Reported Date: 5/14/2004
KA®LOOM-865 RT 1.32,HYANNIa,MA.oascll Chain ofCustodya 123596
Client-,
A1Tmicarl Hmne&&v1P0r1x entd
Box 1069
Envlrofrmenta'I Debris:
Centerville,M_A 02632
Phone: (508)775-1500
Fax; (508)775-1500
Email: amedoanhome,comcaAneQoornca Your Results
Pro-Lab Number. 051404-0321 Collection Locatlon: ACCESSORY BUII1 MNvG
Date Collected: 1/11/2004 Semple Submitted: Surab
The following hanger descriptions are peftent to the samples collmcted. General charactefaaHan of
mold is made with respect to their most common impact to human health. Many genara of molds
have species WTh verylrig characteristics,
Report Summary: Pm-Lab Number, 051404-0321 — Sample Submitted: Swab
The sample In this report Indicates the presence of mold spores Tor this spaDmle location onV.Ifte envirentrlantal
Proteellon Agency(EPA)recommends that arry Indoor mold growth be addressed and that 0 water or Imbrium sources be
The maid identified In this repoit Is otban associated with excess moisture and am be a problem In indoor amdronments.
Since mold requires water to grow,It is important to pravent.ammum prowerro in bundlrrga.Mw prewmis or tmbxl,water
damage,or nmstlt odors shoud be addressed immedletely.In ail Instances,onl►:ottruqs)of walermust he stopped end the atdsnt
of water damage iWarmined,:.Mold con grow on vlrtuallyany-organic subetanoe,as long as moisture and mygen are present.
When excessive moisture.accumtlltes In buildings or on building maw ats,maid growth vAn often*cow,paltieuhtlty ti the
moisture problem remains undiscovered or unaddressed.Buingng materiels,such as drywall are made of celMosa and era highly
absorbent,peAbct surfaces for mol$growth when wet_Moisture problem may include roof k tts,plumbing reels,landscaping or
gutreis that dlmct water Into or under the building,and unvented combustion uppllances such as gas sbovas-WOW demaged
building materials supporting maid growth should be cleaned or replaced as qI MRlyas possinlo In DK*rtD Grown a healthy
envlranmarlt.Speelnc methods of ammishtg and ramadlaling mold contamination should be based on the eu6ent of visible
contamination end the cause orthe damage.
FOR-MORE INFORMAMON REGARDING TKOLD CLEAN-UP,'PLEASE CAL-L'PRO-Liii,-AT 1.800-427-0500
The abeva Informetlen woo compiled by1'R04.A8M8M M Inc.frotaft @PA 9g8rld Gubfafe Mold.MolNMne,aedYourNoW and the NYC beet of
Heenh-Auldeilnes an Assessment sad 114medl48on oFFungl In Indoor,BlnreenmentV,at the ra+pmstief andfarthe exdNelve use ortho ollaM named op
We report.Thisdeayma+dla net si(oilermandetsmdarlautdbe used fsrlrriarouAloaaij%WMsaeor*Cimnfly*are are nDFadarelrvgulaflunstar
evaNeting peteMffiI.AsaRA efteolae4 toagal aentaminatron one ramadlellDn.Thfe InPonrlerhaM a eMduJectteehange�mornlniarmatton re®ardir-g fun(ml
conlaminaMe Beceales avalloblC Ibr mom rn}oilnaaan_+AaIE htlP9hwwapapoWlagbi-ddaar�r,Mn+1 or wwec+yo.gavlidmddahlMmValfalmoia,hlml.Thta
IMo as dwumarnwdwipndtetaaorrsurl VIY7ClMaamhleuelgrquTealUeefDr@lallat lDaof.nfbrealel,eampunearMayatatanonremeClalbrr>d11ts.
1preta11or19rrnetdeMyliatepoglalsaaofel!AlliawaaRfiplghtaaapa+e6r®eualabaohenp?datailYttmawRHauiamiton'T leefterRiDwiab
reapanalbR tDr(ne use ma as ailo
ouch use or 4re�FM4A91S8P=1m 7a sot eaesee mel0o�d daesrrd!DmeeodLrvmn+Wlla+l fo'aa emgv11e1+maMelaaaneaaaS eefayar
heaHh ofa ptoperynvmm1111tlM samples ee1-tmli-a1rlDbondoryfinelnlyAb.the dlardla hara>aralellrleathe!duoto theeutpnaava nature arflingel
aaarynle anal%smalagro mtpamw.Ilsiersterysemppifwmna+ddoSharmaeveramsaaMmtotlrroowsllyyeamlmame"LP11104L lBaPTmlh.
reeervessMe Npidto plopedydlapoae t8esealnpias�rerthefseBrM¢ofermA eeaptes areeunhrtenifyroanpMteder.+d(ara rdaypaAod,vdRohavarpedad
_ fagreAler.PRWABJ9eVTNtRro.paraelpaaPlninoAal0.fi1MIPAT,prags�r�L®SD�aS�D
Plrge 2
05/27/2004 10:42 15087789806 KABLOOM HYANNISH 25 PAGE 09
PRO-LAB/SSPTM INC. Mold Analysis Report
3300 Corporate Avenue.,Mg., 112 Direct Microscopic Exam natlon
Weston, Florida.33331 Report Number 051404.0321
Toll Free:800-427-0650 Recetved Data: 5/14/2004
TedAddnw Reported Data: 5/14/2004
KABLOOM-955 RT 132.HYANNIS.MA 02801 Chain at Custody# 123595
Client;
Ammican Hoine&Bavironmwia1
Box 1069 IEnviranrnental Debris:
Centerville,MA 02632
Phone: (508)775-1500
Fax: (508)775-1500
Email: etneticenbomo.comoast.not®oomes Your Results
Pro-Lab Number: 05140+4-0.921 Coilectlan Lucelon: ACCESSORY BUII..DING
Dade Collected: 5/11/2004 sample Submitted: IL
The following fungal descriptions are pertinent to the samples collected. General cheracter/aation of
mold is made with respect to their most common Impact to human health, lilany genera of molds
have species With varying characterlstics.
Spore Name Description
Cladosparlum COMMONLY FOUND ON DEAD PLANTS,WOODV PLANTS,FOOD,STRAW,SOIL,PAINT
AND TEXTILES.COMMON CAUSE OF EXTRINSIC ASTHMA(1MMEDIATE-TYPE
HYPER8ENSITM1Y:TYPE 0.ACUTE SYMFTMAS INCLUDE EDEMAAND
Y E
Other Ascosporas ONE OF THE MAJOR CLASSES OFFUNQAL ORGANISMS.TM CLASS CONTAINS THE
'SAC FUNGI"AND YEASTS_
PenIc1111urwAsperdimts '1M GROUP OFSHDRESIS CONSIDERED COMIXNTO INDOOR ENMRQNMENTS.
COMMONLY FOUND IN SOIL,FOOD,CBLLULOS'E,MD ALSO COL'SVERED A COMMON
CONiiAMWA?4T OF FOOD.IT Is ALSO FOUND 1N FAINT AND COMPOST PILES,IT MAY
CAUSE I'9YPERSENSnTXY PNEUMONITIS AN13 ALLERGMALVEOUTIS IN
SUSCEPTIBLE iNDIMUALS.COMMON CAUSE:OF EXTRINSIC ASTHMA(IMMEDIATE-
TYPE H[YPER8FNVWnY TYPE 0.ACUTE SYMPTOMS 114MUDE EDWA AND
SRONCHI08PASMS;CHRONIC CASES MAY DEVELOP PULMONARY EMPHYSEMA.MANY
SPECIES PRODUCE MYCOT'OXM VYFJ09:M0,Y8E ASSOC1ATfD WITH D.ISEAEIE IN
HUMANS AND OTHER ANIMALS.M=,PRODUC TiON 18 DEPENDENT CN INE SPECIES
IRS
Smuts I myxomyoetes COMMONLY FOUND ON CEREALCROPS,ORAWES.WEEMS,OTHER FUNGI.AND ON
OTHER FLOWERINQ PLANTS,OCCASIONALLY FOUND INDOORS,NO REPORTS OF
HUMAN INPEGT40N. _
Ths Soave fnfarmettan ass complied 6y P.RoadIBIB9PTMlna}romlha sPA'Y.BtteE®atdsteJYltlat hGtldlur■,andYour3tama'ondNte tlYC Dept of
Maatlh"6ufdAflnsa en AsaseamsnrendRargsAlallon orFu��tpl1ln lrKfoorE(nvlronmenla',guns wquwt-q►er�farti��ralWeka taeerresartentnamsa.en
tnls rapoA_This daanmantte not a Is�s1 nlanddls antlallouidbs yes far hRarm4thnpd putpeaeeemFy.�:ansnlytha�e ers rea 4lsdarAl rsyidmNlonstar
eveluatlnppatanttaTl�sar�a4raotea4lungelawit�mtflAllanand.PolneAlRrbn.LAI9lM10rme1PanM�ut�Jaalta�AlOngeaMniar►'Inratn�lal{eg9refrl�fU�ti
aantmminerd�becomes avenohte.Ror+norelnrormellon,vteE IdfptNVwnvaP'SoavJfgghnnTde►IndsR.MeN at MnnA nya.gavfMm}✓ttONMmYalAhndd.tNnA.
aooumantue9asetgered.Esraarow.ourrsntQrinou�a�andusfi!guldathro.sorlhsMVditroneFrMvtM1 =pd0aanabslga�drenraAlenenan,e.
Inmeprd 9nM olnldd eneysOs aePaib'k o ttoleGrtAle WW%1n PW4rW6,lttn�Ae AWh be eAalI�po0d�algrllmstiMllWtnellea 7In tORdl�rout/
emportslhte fsrthe ass anddntsipn+hnlantlPllfsms rssewrnended cation tauTdeunsd,ttROdAB4BSFf>A��It®rw a�piea arhapld trlrrdtMMs sale
eWh ues ortT�+rpNtolMn.D.IU)•IABieaRlM Iho.•Ie riatmoM toaneta a�eda.anee,we�m 9easnnnaam,v90 tno siwtrenm.�tst sealaMas,.eryar
hasRh of a WapwM1Yrrmn antrthe eanplee seM to lhelrlaberstontieranaysM The C2ard1m.ftmbV="1ed that 0s to Ms sd@Me Pj*noluroat,favW1
mnatyelsandthemcld9eaaRlu.n�eeagt®avdroy9ompt®aartenddoehangswsr'tllt»Wistivstolhmapglnaayaa mablM6PROEABJtl�nle'lna
t¢aervoetl,eAprR,tepropeMd�p��allaemp9�aiibrthetestlnAoreyaksempisearoaWlle'Ienlyaor�ptelsdar asd�peeWd,ankAwsrp.rtee
Is greeWLPpxStAe retlP7lu!Tn4 peeHslpatm IntheAlflA 6NPAT pru@�sm.l�fo @T�mfO
PeDo 1
05/27/2004 10:42 15087789806 KABLOOM HYANNISH 25 PAGE 08
PRO-LAWSSP1'M INC. Mold Analysis Report
3300 Corporate Avenue., Bldg., 112 NON-VIABLE spore Trap
Weston, Florida 33331 Report Number. 051404.0319
Toll Free.,800427-0550 Reeelved Date: 5/14/2004
rot Reported Date: 5/14/2004
KABLOOM455 RT 132,HYANNIS,MA 02601
Client
American Horne&Env1Imllvnt81
Box 1069 EnvironmentKI Debris:
Centervil1l;NU 02632 Cei.luloso filxt~2
Phone: (508)775-1500
Fax: (508)775-1500
Email: arnatioanhome comonsetlst@comoa Your Results
ALTH EPPiCT6:Aathla mole growth In Indoor onvlronments rrmpl lead to odvans�a health el ae ►e presence of mod on
building nMtarlals,as Identified by the sampling result:,does not necessitatb diet people Wilt be esposad or axhlbit health affects.
In order for humans to be exposed Indoors,fungal spores,fregmerdts,or metabollins must be released into the air and Inhaled,
physically conmetod(dermal exposure),or ingested.Whether or not symptom develop In people exposed to mold depends on the
nature of the fungal matar el(e.g„erllorganlc,toile,or Infeetious)�the amount orsAposurs,and the suseaplOMMy of exposed
persons.3useeptibility vevlas Wifh the genetic predlopot illon(a,g allergic reactions do trot always occur in all/MAWlduals),ago,
state of healthy and eoncutnint exposures.116rthess reasons,and becalm nteasurom f fa of exposaraere not standardized end
biological na tem of exposure to rvrold eve largely unknown,it Is;not poasiblais•deteradne"saW or ansafe'levels of axpasure
for people In general.lily most common symptovvs of;mold exposure are runny nose,-aye InAtallon,cough,congosnan,and
aggravation of sethme.Individuals with persistent health pmbkms thatappearft be reMedto mold orothor typos of akQuallty
contaminant exposufs st►ouldsee than phyatsiansfore WOW to prafessfonats Who amIrolned In oacupatlonal lanvtranmantal
medicine or related spoolaRles and are knowledgeable about bless types of exposums.Oechl"s aboutt rai"tM IndNMdualo from
n affected area must be leased an the results of such medical avoluallon.Since mold is netundly present In outdoor 8"Wronments
and We share-the same Or between the endears and she outdoam,tt is vmposatblo to allm1nsto all mold and their spores from the
Indoor onvirgrkmant.
The above Infonnailonwes aompliodbyPR13l.ARMW711111na.fromthaEPA"A8delauphtoNbKMo%1um aMYew Ho"W amthe IwfcDeptof
Hearth'Gulddhms=AawnmenerA RemedfafloaefFrmo In hldowilhvlremells',litre faqudatmf 4fidfor the evafolve IAa dtl►sollsrtt namad on
this raport MladoaamantmnctamgslmandulaandefwuldbeusedlarhdemnpamTpunwWo only.•DarmullyllwearenoFoAMteMuWansfor
evelusllnp po urdwheaah attests dfua®al ooragmlRdba end tamedlolfan efts frKar�nmtton is auAle�lo afia�a oo meta lfMormdpen►egardhp fu�l�ee1
oorlleminenle beaamaa wellenle farera�ellRotmetlarc vlell idIP9Avwaepa aovAeapnpl®filgsmne m uwwutM.rlyo aaWhtmVdohMOnVs11e)mdd.hMt rhfe
aaaumentaeaaee�leasott,Nowaunantywae hwueeyguWem+esfarele paelprehllen�•mtaraNastesompting,emTyeh,anti rernadrstloo.since
Ullarpre4ellafr dmdaandje>e n,poAe ressapnitplovwrR lepraglses,ftm%rm soon to ehergad at aty lima W"h9rs nose,Thsallanrla solely
MpnotlrAatar.9�nwee�Inlorygandfondtleseraomn�onaadaoUon�Ncenhes frR6tA®iBBFdNI'Ilea maRw no expManorimp fad'ampo vas veto
saefiueeph�hlprrattan,pRdfll>voapnalrwUr�wtaapbam,4c.engdoseselmal.se+fiMmtmammuerwoaneenvimnmendaaovnormsaearegar
nefllef edapopa[yaomenylheeompfee seritbfnosrl000fi610ertaraaet/eb.Thealentn nafabyrionlleatnat asemtnaavojedlwnoiura of lvneal
anelyiteaMthomoldynwfhproae mbmaloysamt�smnsMdoaMllgewarlpnaae�wesolha.ortyfnalyosmpsaametedetprtOaA8188pattmm
roeaneo•t,sA�HapropadydspmeedansemptosaAerthevea9naatsamh.aengae.®eavR7ote�avj�ra+npleeaewaAnraa4aypado�q,+aiA�awr.paJa>rd' ,
Ies�rFtvoa.aetaeat>Kona-:pansar�,e mtnaAnfa.tsrvATpr�e�a.am lcslatleo
Page 4
05/27/2004 10: 42 15087789806 KABLOOM HYANNISH 25 PAGE 07
PRO-LA.B/SSPTM INC.. Mold Analysis Report
3300 Corporate Avenue, Bldg., 112 NON-VIABLE Spore Trap
Weston, Florida 33331 Report Number: 051404-0319
Toll Free.800-427-0560 Received Daft: 5/1412004
TmtAdftn Reported Date: 5/14/2004
KABLOOM-085 RT 132,HYANNIS.MA 02001
C&Dt
BOX 1069 Elivilronrrlentol Debris.
Cdllulr�o fL1xn2
Centuville,MA 02632
Phone: (508)775-1500
Fax: (509)775-1500
Email: amotiewhoma.aomeaptnet@cMea. Your Results
Report Summary: Pro-Lob Number: 051404-0319 Sample Submitted: Aire-Coll
Elevated Mold Conditlon(s)Exists: Yen
If YES;One or more of the samples In this report Indicates the presence of elevated Indoor mold spores or colonies terthess
spacMc locations only.professional advice will he necessary to delarMna tale aponoprtate w-UG s toUlte to con c(the condlt
Indicated.
If NO:The samples In thls report do not indicate tha;prosancs of.siavated indoor tumid spares aF eolonlas Mr Rasa specific
locations only
If Inconclusive:No cdtrrpallson sample recalvad.
FOR MORE iNFORMATION REGARDING MOLD CLEANdJP,PLEASE CALL 'AT 14004t14M
The mold Identified in this report Is often associated with excess mAlsturo and can.be a prebi rn in indoor•alrvironmants at high
lavels.since meld requires water to grow,It Is Important to prevent moisture problems In buildh>gs.The presence of mold,water
damage,or musfr odors should be addressed irnmadlataly.in all Instances,any sourc*)or water oust be stopped and the etdart
of water damage determined:Mold can grow on vlrtuaIW any organic substance,as long as rTiolsbrra and oxygen are present
When exceesfve moisture accumulates In bulldIngS OF on building materials,mold grooith will aftn occur,parttculatiy K the
moisture problem ramalns undiscovered or uneddrassed.Mullding rrata lids,such as drywall are made of celfulose and are highly
absorbent,perfect suArcas for mold growth when wet Maisturo probialns stay gtoluda roof feats.phttttbing(salts,lattdsee.ging or
uttm that dlfect water:Into or under tits bulldlmg,arts unvented combustion apaglencessash as pesstaves.Wellardanlaged
buUding matarlats supporting mold grow1b should be cleaned or replaced as auftullras possible In order to ensure a lheaftby
environment,specific methods of assest iing and:remedlatIng(mold cotftaminstlon should be based on the elftntorvhtibte
contamination and the cause of the damage.
The dilate ntW I allaf was compiled byPRO4.4811s61+TU[ne.fromthe]SPA"Aadef Ouldeto Mold.Malatum,endWurName'andow NYC Deptof
Health'OuMeltnea.cn Axsasemantanditamadlellan of Pungl lnlad°ar f nviranmanW,gt the raquiR6of and fortba axahlsha use eftha allent named an
this report.Thre document Is not a legal mandate and should be used for Irflormattonst purpoaee onbx Cfaremty Imam era no Fkaeno regulaflafator
avelumting palanUsf health emeafe cf Iartpl sardaminaffen and ramadMilan,Me frNumelloa In cue vet td atuynga as mart Wannatldn regarding fungal
aentaminaMa becomes evallabTe.For more Information:Well Iktp9Moww.epa.gwgWmoidafindsx,Mauarwww.fWmgov mVftPM"I%nfmoldhhMTNie
daoumant wee dtpiglra 1e tofowaunarsiyknewn IrsttsslryguldalleaaRf Ntslldrfprahsiort dmromDMi�eefripeng,arte6fsN,t31d raltte0�n ahps
Intetpratetlan.of mold anal O reports]saeolenlateworkfn prggran,SmWas auahao nolke.<msoae meddy
rayponviblersrtesues.and lMarpretallanaFg1sss•reeommefld1dWitongtdde11nee.PR04ABMWMVier al0wruvespeeseeranp adumnarlaeeasto
suah use or lntmp eadi a pno-iAsmorTm ins.to not aura to malls and deme.nat make q datermrbaaan as sour4mus,sef war
health of a ple"ftm onty.iha samples vent to their(ebarmaly for analysis,no Mart in herobynaTalied IPA due Who sulieW aroursof IUngel
anslyats 4"d.ft mclidamoth pmeass,labarealysarnIgnsananddeahengeaver6md.reblNa,oThe0110mAysampMQrnsteAsTPR01lf8I8SQTwIna.
resalvaethe armmhaempfaaamagff lerVcompeteQardR"IFaay�lod,sMeafraver.par7aa
Is groefer.PR03Ag IaaPf9ll,Ilia Petlloflelbe ttlheAlWt tafPATprogram,Lab W all•'��o
Pate 3
05/27/2004 10: 42 15087789806 KABLOOM HYANNISH 25 PAGE 06
PRO-LAB/SSPTM INC. Mold Analysis Report
3300 Corporate Avenue,Bldg., 112 NON-VIABLE Spore Trap
Weston, Florida 33331 Report Number: 051404-0319
Toll Free:800-427-0550 Received Date: 5/1.412004
T®St Add►1aas: Reported Date: 5/14/2004
KABLOOM455 RT 132,HYANNIS,MA 02501
Client:
A.nimican.Home&Envirolmt Ud
Box 1069 Envilronmentat Debris;
Centerville,MA 02632 Cellulose fitwr2
Phone: (508)775-1500
Fax: (508)775-1500
Email: arnericariltome.comoa&net®oomea Your Result
The folloMdng lirngal descrlpt ons are pertinent to.the samples colic . Ganarai characterization of
mold is made with respeot to their most common impact to human health, Many genera of molds have
spectres with varlring characterlstres.
S ore Name Desori tlon _
Botrytls IT rS PARASITIC ON PLANTS.VEGETABLES,AND ISOFr FRUITS BUT MAY ALSO SE
FOUND IN SOIL.NO TO=OR INVASIVE DISEASES HAVE BEEN DOCUMENTED TO
DATE. _
Cladosporlurn COMMONLY FOUND ON DEAD PLANTS,VVOOt3 f PLANTS,FOOD,STRAW,SOIL,PAINT
AND TE)aILES.COMMON CAUSE OF EXTRINSIC ASTHMA(IMMEDIATE-TYPE
HYPF.RSENSITMIY:TYPE Q.ACUTE SYMPTOWS INCLUDE EDEMA AND
MNCHKWASM8:CHRONIC CASES MAY 13T UJOPPLIMONARYEMPHYBEMA_
Hypham PIECES OF FUNGAL ORGANISMS THAT CANNOT EE IDENTIFIED AS TO V*%T 004US
THEY ARE FROM.THEY ARE INDICATIVE OF AC'MrE GROWTH IN THE SAMPLING
VACINTTY.
Other AAcaspores CHE OF THE MAJOR CLASSES OF FUNG&ORGANISMS.THIS CLASS CON:TAKS THE
°SAC FUNGI"AND YEASTS_
Other 8asidlospores ONE OF THE MAJOR CLASSES OF FUNGAL ORGANOMS.THIS CLASS CONTAINS THE
MUSHROOMS,SHELF FUNGI,PUFFBALI.8,AND A VARIETYOF OTHER FUNGI.
PenWillurnFAmper®iRms THIS GROUP OF SPORES IS CONSIDERED COMM OR T'O•INDOOR ENVIRONMENTS.
COMMONLY FOUND IN SOIL,FOOD,CELLULOSE,iWD ALSO CONSIDERED ACOMMON
CONTAMINANT OF FOW.IT IS ALSO FOUND IN PAINT AND COMF=PILES.IT MAY
CAUSE HYPERSENSM\ATYPNEUMONfnS AND AiiI.EROICAt-VECN MS IN
SUSCFP/IBI.f INDIIVIDUALS.COMMON CAUSE CIF EXTRINSIC ASTIiNA(I MEOtAT'E-
TYPE HYPERSEN3rIlUryT`r TYPE 0-ACUTE SYMPTOMS INCLUDE EDEMAAND
BRONCHIOSPASMB;CHRONIC CASES MAY OBELOP PULMONARY EMPHYSEMA.MANY
SPECIES PRODUCE M)MOTOXINS,VVHICIi MAYBE ASSOCIATED WRHCISEASE BI
HUMANS AND OTHER HER ANIMALS.TOXIC PRCDUC7K)N 18 DEPENDENT ON THE SPEC158
OR A STRAIN WITHIN A SPECIES AN,ON THE fOOD SOURCE FOR THE FUNGUS.
smuts I myxamyootas COMMONLY POUND ON CEREAL CROPS,GRASSES,WEEDS,OTHER FUNGk AND ON
OTHER FLOWERING PLANTS.OCCASIONALLY FOUND INDCONS.I'qG REPORTS OF
HU MAN INFECTION.
7haofiova6lronnarrorlwgaoomplhdby1�R01J1�f89Pfi�t.(na f1o111t11a. A"ABrt■P IQetoMoTq,hHWWrv,endlrnurName"andtAaNVCO�taf
Hse1M"outdalkt■e on Aae■aemanl and Aan■Qlatlnn otFurgl fi MAour L°ntrtranmeMs^,At tAe legweetafanA/alPe aaaklMvs ues stills stunt namaden
this ropers Threda,olnnenl la net a1e�1 meMete en0 anovld ne uaadto►Mformalianal:purposoe snip,tUrrerdpr tloeroare ro Rodatal tegulalloa■for
vomina p ftwor Men effects artungal oommimWon and ram■dMian.TMa Infa mmp0an Is sue jaetloetange os mare kr owdoon MPRUd9fUnyat
verdedltaente baodmaa ovallabie.t*or Mora hAamatlon:vlek Mtalhuww.epaArnrllegnneld9nrtdexMrN arwwwrgayovlhlnN'tlalNton�Wlmold.Mml.TMe
dooumeM wOf deel�leabRaitaw aurrardtytndwnf lnBuaRppWdblllse,fer 111o111drprrlettara of mist@fei�npling,o•nayata,and nlnadWion-lime
IM■rpMeltM d makt 4nr�1■la t■pede k a yrknElRowvR In,progrmm,R.m�.aswah Afetttenpetl.atnnytinl.WOlaar:ntla■a�D■allxRtesala y
reopgns101a tarthn om and Inbrpmb0kn d-1hm reaommanded negonglffiatlnea PRO,IAaiABPi#Atlta.nlat®+teaplpnae drinQAl■d.wadeuilrowte
avaNuraarlM rWatatlon.PR1YLAtarA>BMlnabnot.dlretofiake and
de■a:Irotmikepda0arm1na9onaoeotNaanvhoiaa■nmlrmo�aipas,a9Polycr
Makrletepra�■Ryrromenlytnoaemplaaaam7asnaireaearatarymranayelalTaerraatAar■racy,nwneatnataastotneeaDJeoWena4lroaftargel
an�etdandthe•rndd9ranNrt proeeaq,Ieboretalpeamppa aen and.aa efianBa avaHAna.raAftlMna+the av(pinolAroampfeQ.mefedal.PR�IJf91lBPdlHne.
raeeras■the eriOfftoAropefy ddlspo.s oV•ek simples el6eHRetmrtlnp'af aaall eamplaaarm•agIRMaMlycal+plel�otdrnra 7'At4rpedaQ rAlotleVarpmrmd
tagtaekrrPR6LJ 51WP1TAlnapsftr laarn1ftAWAE§VIPAT.pogretn.LnblDBi MO
Pago 2
05/27/2004 10:42 15087789806 KABLOOM HYANNISH 25 PAGE 05
PRO-LA.B/SSPTM INC. Mold Analysis Report
$300 Corporate Avenue,Bldg., 112 NON-VIABLE Spore Trap
Weston, Florida 33331 Report Number: 051404-0319
Toll Free:800-427-0550 Received Date: 5/14/2004
Tit Reported Date; 5/14/2004
KABLOOM.955 RT 132.WANNIS,MA 02801
Client:
Americm Home&Environmental
Box 1069 Etivironmental Debris:
Cdhilose fiber-2
Centerville,MA 02632
Phone: (508)775-1500
Fax: (508)775-1500
Email: amerioatihome.00mcastnot@coinaa Our Results.
Pro-Lab Number: 051,404-0319 051.404-0320
Date Col(eated; 5/11/2004 5/ll/2004
Collection Location: )ACCFSsoPY wmDwo n13TWE,�
Sample Submitted: Ai -O-Cell Ait-0-Cell
Volume(L); 150 1.50
Chain of CustodyfF 1.23595 123597
8erlal0: 6077362 6077360
Results Results
Spot®Identification Raw Score res/me) _Raw Score S orea/tn")
Bo its 0 0 3 80
Cladosiwium 113 7 1&
Rvy-twaa 0 0 1 27
Other Awns ores l 7 747
Other Bas ios 27 2 53
1'ci111um/ 18107 _ 16 1 427 __j
3mut9/rn a 3_ 4
Toml Spores(Spores/me): 19387 1521
Analysis Data: 5/14/2004 Analysis Dada: 5/14/2004
AnalystlD: 5 AnalysVD: 5
'rho abOvslMormetion Was compiled EyPR01AIMPTNllno.tromtheEPA ABriefGuldetoMol9,Mufaturo,andVou►Home"endtheNYCDeptaf
Hoollb„Gnfdellnes on Asseerlment and Romedfellon of Fung)In Ir4w RrolrnnmenW,at the reoluest of and for the eirafusive use of the ollent named on
this rsporL This dacumartla not legal mandate and should be used fo►Wermatlonaf purposes only.Currently there am no Federal tegutallonsfor
walualing potairlW haahh olfeafa of fungar contamination and ronwdtellan.This Information h eulljeatto chenpe as more information ropardirm ftmyal
conlamlnamsbe comes avellabie.For more Mformallan:vhNhtWffw i►.ape.pev/ledlmoldonndex.MinlarwworryogavfitmildahlMmuallelmold.Mml.This
document was designed to fofloW currsnefy Rnown mduelbyquWallIm forthe ftlterprNagon of mferablsl,semplhng,sn"Is,and romaahUon,alma
Into"a11m1 of maid enayels mpofM to a solaMHlawaill:to prerese,It may as such Do ananAggaDd it any"0 wflhout Adler.The client is solely
responsible forthe no and Inialprataflan of thew mamitronded soaon guldeimss.PRO-iAGAISPTIML makes no cypyaea or Implied warm miss as to
auoh use orhrtarpretarron.PROIJIS APTMtnc,totrotQUiDWmegaanddunnotmakead@ermwaftlanastotheanvlranntoneelsoundness,aatayor
hea"of a propettyfrorn onythe sempha sent LDtItaR tamrdt"tar enayals.The Cgsi%fa hereby nolg(ool that Cue to rho subjac0ve nolure or tunpai
anelyelsenathemoldgwvAhprocesgamon0=yssmploemnendde mahAetPR04ARMPTMInn
' rossrvestASNdIMIoArapeMdlapasoofaQanrnplaseRert71s1ee11h0efauoAeesfpl�emsurlMra+ayamnpfetedar ra'f'd'Qyrpetfot{wAOhswrpslfod
is greaw..PR04A-ar5SNilfb fro.perflalpom-in OmAINA®MPATpr4Ww,Lob iD 011=0
Pagel
05/27/2004 10: 42 15087789806 KABLOOM HYANNISH 25 PAGE 15
PRO-LAB/SSPTM INC. Mold Analysis Report
3300 Corporate Avenue,Bldg., 112 NON-VIABLE Spore Trap
Weston, Florida 33331 Report Number: 051.404-0318
Toll Free:SM 427-0550 Received Date; 5/14/2004
TOO At1)abws: Reported Data: 5/14/2004
KABLOOM-955 RT 132.HYANNIS,MA 02801
Client-,
American Home&Environmental
Box 1069 Environmental Debris;
S.her`3
Centerville,MA 02632 Callutloae
Phone: (508)775-1500
Fax: (508)775-1500
Email: ameticarltome.aomcoat.net(a wnca Your Results
H M 1! :Active yrowtlt In Indoor environments may lead to adverse Ihea14A sffauds.The presence of maiml on
building materials,as idantiRod by the sampling results,does not necessitate that people will be eatposad or exhibit health afbets.
In enter for humans to be exposed indoors,fungal spores,tAametrts,or metabolites must be released into the air end Inholad,
physically contacted(derma exposuro),or Ingosled.Whether or not symptoms d'svalop In people exposed to mold depends on the
nature of tho itingol matatiat(aa.,allergenic,toxic,or irductbns),the amount of exposure,and the suscaptlhillfy of exposed
pdrsons.8osceptibiRbt vane:with the goiraltie predisposition(e_g.,aftoc roacuons do not atureys occur in ills!individuals),age,
state of health,end concurrentexposuros.For those reasons,and because nrssuraltlarlta of exposure ars:not atandardind and
biological markers of exposure to mold arm Isrisaiy.,anknown,R Is not possible to deloer"Ons"safe"or'"anaefa"Iavefs of axposur s
r people in generals.The most common symptoms of mold exposure are runny nolra,eye Irritation,cough,congestion,and
aggravation of asthma.individuals with petslotonthoelth problems tilat appear W bill rotated to mold or other types of airquallty
contaminant exposure should soo their physicians for a mien ll to proPossianais aAl'c era tninad In aacupatlonolfonvlronmsafal
medleltro or rotated specialRas and an knawledgeebte about these Srpes of exposures.Oschlent about removing individuals from
an allhcted eras must bo based on the results of such medical evaluation.since lucid is naturally present In outdoor environments
and wa ahem the sema sir bsevmen the Indoors and the outdoors,R Is IMil ossibto to affminate sit mold and Moir spores Rom the
-I"claoir a ronma,t
The above Infbrreationwei eamplaa oyna4 AMopTu Ina from theEPA"AgrW OuidetoMdle,Moletwe,endYour Homo"and the NYC Dept of
Haelth^arddeahse on AaeaeementanQ Resfedlatlon of Rungs ln.lneaor EtMlatnne�",91 tfle lequeataf end ror ate agaluarye use of theellent named Qn
I fle fepaR,Me deeument it nata%gal nrendela errs 64tetae lb aeee fa MFarnf®lendl potpwee ony.CurreMytberoere no Federal regulations tar
evefudMgpatordh)aeannarreeEaoffun9elaaatamtnatlon and mmodlanonTMehoop,allonbeagpecttoahenge:tsmoreInrbfmanonreDardingfunyal
aofaenananle beaesuee otnvsbk.Parrrfara blWmalbn:Nap hap;eMww.epe.>aovllegletddW ndecldmil orwwrKrpp,OpyJrsmvdohiidmlfegelmold.Mml.liHa
Aaotaserrttwoa deett(rfee to IelhsweUmed�rtmapm rrdaahyguRWRlt�Ier11M haerprlfelon of microbial sampling anatye@,end nmeelason,Shoe
I nppretAkn ofinatde"Volls%peds,ls aasNartMbweR In prolpsae,itmgtae soh be ahengsdatenytanewtlhatR nenoe The arlant 1e safety
eaepanelgafor6rotiroendlrNrrpratavenWlMraueaommsrtaedaallensuldevfroe t?AO�AtU9apTMlna,mltkeenes:preesorintplledwarrardlsosolo
soh Wrom hnerpretsrtan.PR04ABfa9Prer'Ina.le naeabp ae Taband Qeee cot trelm aeebrmbwaon.oe ae tna arwlwnTente(eaurW mace,sanrry or
been"Ora prapery from aMllyls samples sent to IfteeIr Nbolakyfor analysts IM CItaA to MrabyeatBledthat due to the subjective nature or fungal
�e�rwalr�le�hlleet�elAldpRpoeas�o�tall�ye �rlRo���n�avorfllnefefalMlotbeot�AnslAleampleelmelbRelPlrOaJf9�a9P�M:TnF
lsafsnterPR?thB/Se I tainM& tATrr awnPGsaiwauNleOifflMoompMeemaltbra'rdaJPer vtharavarpnaea
� tmrnalp4aalnlheAlHR�IIPATprvpant Lab Nllfa9ma
Pogo 4
05/27/2004 10:42 15087789806 KABLOOM HYANNISH 25 PAGE 14
PRO-LAB/SSPTJM INC. Mold Analysis Report
3300 Corporate Avenue,Bldg., 112 NON VIABLE Spore Trap
Weston, Florida 33331 Report Number: 051404-0319
Toll Free:80"27-0550 Reoelved.Date: 5/14/2004
Reported Date: 5/14/2004
KABLOOM-9B5 RT 132.HYANNIS,MA 02601
,A11L@I can t3om&Em drmiir1enW
Box 1069 Envll►onmental Debris:
Centerville,MA 02632 C;eliulose fiber-3
Phone: (508)775-1500
Fax: (508)775-1500
Email: americanhnmc.comean.ne @comoa Your Results
Report Summaq• Pro-Lab Number: 051404-031.8 SampleBu'bmltted: Air0-Cell
Elevated Mold Conditlon(s)Exists: No
If YE8,One or more of the samples In this report Indicates the presence of elevated Indoor mold spares or calories for these
specific locations oriy.Professional advice will be necessary to date Ift as appmprlata actions to take to carract tha condit
Indleated.
If NO:The samples In this report do not Indicate the presence of ofavalod Indoor mold sporas or eolorrtss lbr these specific
locations any
If Inconclusive.No compsrkara sample received.
FOR MORE INFORMATION REGARDING MOLD CLEAN-UP,PLEASE CALL PRO4_A8-AT 1-200-42T4550
The mold Identified to this report Is oRan esseclatad with excess nlelsture and can be it problem In Indoor environments at blob
levels.Since mold roqulros evader to grow,It Is Important to prevent moisture problems In buildings.The presence of mold,water
darttags,or mtaly odors should be addressed Immediately.In an Instances,any sousce(a0 or water must be slapped and the extent
of water damage determined.Mold can prow on virtually airy organic substance,as fang as moisture and onygsn ere praeant
When excesslve mareturs accumulates In buildings or on building nptorMls,mold growth will often occur.palaeularty If the
moisture problem remains undiscovered or unodd►ossed.auRding materials,sash no drywall are made of cellulose and are highly
absorbent,perleet suttfacas far mold growth when wet,Moisture problems may INatluda root lealles.plumbing lea1ax.landscaping or
gutters that.dile t water limo or under the building,and unvented oernburacit appliances wnh.as pas st mrse.Waaer damaged
building materiels supporting mold,growth should be Manned or replaced.ate gene ldy aq,ipossUft in Warta ensure s hasithy
environment.Spsa$lo methods of assessing and ismadlatlnp mold contandnatlane$horrid be based en the smtent drvhdble
contamination and the cause of the damage.
e above friformatIonwas eorhplted by PR ele>dpTM Ina front the EPA"A Ildef 6addelo Noi4 Molnjure,and your home"and the NYC Dept of
Hearth`QuldeilneeanAeaaseementendRetnedlatienoff njilInindoorBnvlrotrmeW,attherequestofandfertho exclusive treeorthe agent mnrodon
this report This doomment to note leggy mendnto end should be used for Informational purposes onoy.exa nntWhom era no Pedaral rsgulatbne for
evglualing potential heft slkota m6jnrpal aafntamin011on and ramedlation.This lnfamrelfon Is euBJeol to ohatnge as more Intonnellon fogerding fungal
emdaminerM eeoemee e�raitohfa for moan MrareenoR VIeR ietlxtMnsnarepagovneghnaidNndecMml orwww nyagwltRmIIdehmtmllavelmald.letter,Tbla
afoeumsntwasajeelyawdfofanawounaMlyanoemtrMaasaytwlaelarsfarlrlsrhlerpra0alondantaropietselnpb>rq aareyah6eradrsmedl6Uon.alms
lyderprdAtlur ofmale en�rada mpereelse mkMekwedrer,progr®y R mrype euem.bsatrenpedetetbrlNneaNlftoadr+diem Tlreolletat Be eetsb
reepoarolbjeterlhe arasend Arasrntetaltenalllaees rwomaasarded 4ettan grgdalinee.PAOdAateal►tt11lhec arelaasrto e�rasa or irgpibew®rerdlse®t0
aueh Use etMtetpntetton.'PRO46,118 PIVIMabrmeo6NM.etelmendda.s.notvnnk adetermlrareotraocowanvaeesrenssieearrdrrees,eahyror
health of s property tram army me amsprss sent se then teeermary rer fanet{rnii The MGM as narebynolekd 411e2 onto the someotarerodum urnmuo
enatyate and the.moldgrow1h prmoao,labondoy sap"can and doehangoover time aim"as get aaginaatresmpbaraslsrlsl 9l8apTlitpro
roaenreelhedgldtiepropefly tspsseafaresemplmaePbrrnstaaNngotsueheempksaroeuflfolmrrN'mmPdedo►dfl►e7deygeno4sa+ktrevsrteaAod
� b lrtoafar.PROi.}tB l tIBP7ti6lrn pallofpetes rp911sAQ4A 1�ATproprgna.LobfD tleeg90
Flags 3
05/27/2004 10:42 15087789806 KABLOOM HYANNISH 25 PAGE 13
PRO-L.AB/SSPTM INC. Mold Analysis :Report
3300 Corporate Avenue,Bldg., 112 NON-VIABLE Spore Trap
Weston, Florida 33331 Report Number: 051404-0318
Toll Free:800-+4127-0550 Received Data- 5/14/2004
TestAddlm- Reported Date: 5/14/2004
KABLOOM-853 RT 132.HYANNIS,MA 02601
Clien B
Amecicen Home&ET mimmen al.
Box 1069 Environmentpl Debris:
Centervilley MA 02632 Cellulose fibea3
Phone: (50&)775-1500
Fax: (5011)775-1500
Email: wneriicanhomc_comcast.noQaamea. Your Results
he following fungal deacdptions are pertinent to the samples collected eneral charao rzetion of
mold Is made with rasped to their most common Impaa to human health. Many genera of molds have
spec/es**h varying cha►actel iOds.
Spore Name Description _
80trAls IT IS PARASITIC ON PLANTS,VEGETABLES,AND SOFT FRUITS BUT MAY ALSO:BE
FOUND IN SOR.NO 7=10 OR INVAISIVE DISEASES HAVE BEEN DOCUMENTED TO
DATE.
Cladespoflum COMMONLY FOUND ON DEAD PLANTS,WOODY PLANTS,FOOD,STRAW,SOIL,PAINT
AND TEXI'LES.COMMON CAUSE OF EXTRINSIC ASTHMA QMMEDIATFTYPE
HYPERSENSITIVITY-TYPE Q.ACUTE SYMPTOMS INCLUDE EDEMAAND
BRONCHIOSFASMS;CHRONIC CASES MAY DEdF10P PULMONATi;Y EMPHYSEMfA.
Hyphao PIEC%OF FUNGAL ORGANISMS TKAT CANNOT BE DENT)FIMAS TO WHAT GENUS
THEY ARE FROM.THEY ARE INDICATIVE OF ACTIVE GROWTH IN THE SAMPLING
VACINITY.
Other Ascospores ONE OF THE MAJOR CLASSES OF FUNGAL ORGA"MS.THIS CLASS CONTAINS THE
"SAC FUNGI"AND YEASTS.
Other Sesldlospares ONE OF THE MAJOR CIASBES OF FUNGAL ORGAMfSMS.THIS CLASS CONTAINS THE
MUSHROOMS,SHELF FUNGI,'PU►FFL3MAS.ANDAVARIETY01F OTH,ER FUNGI.
PonlaRgumlAsporglitus THIS GROUPOF SPORES 18CONSIDEREDCOMMON TO.INDOORENVIRONMEN-M.
COMMONLY FOUND IN SOIL.,FOOD,CELLiALASF,AWD ALSO CONSIDERED A COMMON
CONTAMINANT OF FOOD.IT IS ALSO RXXD IN PAINT AND COMPOST PILES.IT MAY
CAUSE WKRSENSITIVITY PNEUMONITIS AND ALLERGIC ALVEOUTIS IN
SUSCEPTIBLE INDIVIDUALS.COMMON CAUSE OF EXTRINSIC ASTHMA CMMLEDIAT&
TYPE HYPERSENSITIVIM TYPE 0.ACUTE SYMPTOMS INCLUDE EDEMA AND
BRONCHI08PASMS;CHRONIC CASES MAY DEVELOP PULMONARY,EMPHYSEMA.MANY
SPECIES F+RWUCE MYCOTIOXINS,WF41CN MAY SE ABBOCIATED V%TIH INSEAM IN
HUMAN8 AND OTHER ANIMAi SL TOOK PRODUCTION ISDEFUNDENT ON IM SPECIES
OR A STRAIN WITHIN A SIMMES AN,ON THE FOOD?SOURCE FOR THE FUNGUS.
smuts/nyxorFrivetes COMMONLY FOUND ON CEREAL CROPS.GRASSM W1=EM OTHER FUNGI,AND ON
OTHER FLOVVERING PANTS,OCCASSMALLY IROUND INDOORS.NO'REPORT'S OF
HUMAN INFECTION.
71oabovarnrormat(amraeoaM0100byP1t0LAH6WWIftnnmgePPA-A 8(ki M."wd,WNW^aMYour Name ord"MweD*
Nadfb^OaYa.lhrge anAsaseemantseodtlarnedlgdall ofPtmpl rn IIN(ear HnvRonlallrlle°,etthe ragcnioled andfel da ag�h+aNa sea OtlMfYlteeR aemea M
111110 nWIL Thhl daeamdnt Is not a 1qW mandate end rthMm ba ulndfor hrramatbnal purposue only.earners Yearearo no Peowd MwaMengfor
evaWlInODoftntlal ham o9 areortinlpaleenlamrnatlonandnmadrelan.ThletnFoMetfonissubjedfoohangsasmonolnfa IN to l
aontenffambbeaemeawaIIable Rormarornromialbn:vleMRRpJMrxnwapagevHaghnolddlndexldrillarwwaKryagwlMm�folYhenl/aVaMioldhfnLTula
dooummrtw+aagapgriadlo 9bnoweurranty¢noWn rndu.lyguldmnaa7ar Ina h>mrpnlbtlbtt d naar�Yt sampling,angprels enA r.nraata>lan.8lnoa
hMatptatatlonol mold andyeloropalmtaaaahlllhbwmkingaognea,llmayaosvohJsaobagad��ay.ltnrarYnMut.nOtbe ltleolMdlasak�r
faoponalbWfarlllauasanGlnUfpreLtlhmarthesarooammandM.aMbn9'>I�gnea�PR03J1� Ifna�molcoaneag�rawm7bpllr'awatralpPoaaato
s�h uea oranforproegtron.PRO4ADIQRP3.M Inm is ndeeA fo e,aiti.ens aoaeanrtemks a AativmbmVlarlea:6atMarw.Twnmu�l aounairese,>ardyQr
haahn oT a preyar�yt►om ony the oamplee awnlo lllatr leeo►etoy ltlr enayala.The G11eM rs imro$roollFlualMt dualalhaaubleallvs Daiwa offunegt
analysis and thsmaid glaMtti p.fowas,l®Qenley eanlplea aan arddoahengo ovarl4na raiatkra W ett�otlhtnalyeamplod meteRaS Pg02AaIB8p�ina
ragging Ina rlgmlo tydAspaaeotNtlaamptesa�terlgaeaanngetvual,aer�q,rasa.samelenQy,00mpleeedara�rarolypanee,wtllanoarpenae
la groeteGPRod.A9/fi6pTHl,fro.pargalpatae InlhaAiNA�WRTprogtam.LaOrlD/ftlSg2p �
Page 2
05/27/2004 10:42 15087789806 KABLOOM HYANNISH 25 PAGE 12
PRO-LAB/SSPTM INC. Mold Analysis Report
3300 Corporate Avenue, Bldg., 112 NON-VIABLE Spore Trap
Weston, Florida 33331 Report Number: 051404-0318
Toll Free: 800-427-0550 Received Data: 5/14/2004
Tat Addmm- Reported Date: 5/14/2004
KABL06M-966 RT 132,HYANNIS,MA 02601
C lent:
Amencllrl Home&Environmental
Box 1069 Environmental Debris;
Centerville,MA 02632 CeJlwl.ose fibor3
Phone: (508)775-1500
Fax: (508)775-1500 j
Email: amerioanhome.comcast.net@comca Your Results
Pro-Lab Number: 051404-0319 0514004-0320
Data Collected: 5/11/2004 511I/2004
Collection Location: C---+REAR WORK ARM
Sample Submitted: AitrO-Cell Ail*O-call
Volume(L): I50 I50
Chaln of Custodo 123594 123597
8eHal S: 6077367 6077360
Results Results
Spore Identification Raw Score S oreslm Raw Scam 8 ortes/m
Ekftvtis 0 0 3 80
C 1 27 7 197
HyDbae 1 - 7 1 27
tithe Aac2, ores 0 _0 747
e Bgsidiowms _ 1 27 _ 2 5
Penicilli / t u� 267 427
Total Spores(Sporeshn'1: 375 1521
Analysis Data: 5/14aW4 Analysis Dana: 5/14/2004
AnalystlD: 4 AnalysttD: 5
The above lMamsAbnwoeaampllodbyPR0 MI08PTMIna,frantheNPA ABrieflhddetoIrbfE�kAaAelura,endYourNome"andtheNYCDeptdf
Health^ONdallnae en Aseea■memeM Ramedlsflan.offtrigl In Indoor Environments",at the rogaaM op■ndfarthaa■ah■sNauss of Ilre apart named on
this repaR TAIs document le net a hips;mandate and should be used for tnformstlonal purposes only.curren0ytnaraare no Federe row4filonefor
avaluating potential haslds aRaata of fungal contamination and remedhdloo.This Information to suloatto ahenys ae mars InINaM ragadln6funaal
aenmminante lseoomes Mellebls PDT mars Infannafterr vleR Mtp flwww epagovlledpndldldlndgchaml erNnasv nye g■WhlmHdaldMmyeaelmeld.MmL file
dosuMeM wee designee to fallow ounaMy NrtaNrrt industry guldennesforfhe tnferptafalton ri rskrAsM�samplln4 analysts.and ntmodla@arti Ainoo
IntsrpMgHon of mold analysis reports wasawlitaworRtn progress,Itmgeyyras slmh be atla"slaMAmawNhaat naMa4 The eRantIs sropb
rosponelble w tho tow and lrRerprowlen of edso r000mmended detran guldepnea.PRO P7Yd11na,makes no eopraae su phplhul vganoMles as to
such Lies or Rrtemratallon.pRo-L"ramm rno to net able to make and does ad MGM adatsmEnaaea do to the envhonmetwal roundness,eahty or
heal of a propetpr Ram mrsrtlre■■mple■tiara m ihafr taOoraDor►rtoranety■m.the Wtmd N neratV notMed met due to the■Ullao"Vo Imura oRnn8e1
m+syala andlhs rtmidgresNq pa®aay gory■awrplw asn and dnahsnas ogrtsmo.nrIDlNem lhs aABlaslysan�gad meMrlst.Pltt?.LABIBaPTM rna
reserves the rlgMtoyrdpalbdlspu■■dfsp samples e(brtheteWriodMalah—a,pNoaeelftlenlyaomplstedarafhraTdsypado4;"Idd Wwpggw
te9romerPRoaAtaiBaPnoLlrwt�rlteta�It Nt�ataARw�nTt���taarea�o
Page 1
• i
05/27/2004 10:42 15087789806 KABLOOM HYANNISH 25 PAGE 11
PRaLAB/SsPTM INC. Molts Analysis deport
3300 Corporate Avenue, Bldg., 112 Direct Microscopic Examination
Weston, Florida 33331
Toll Free,800-427-0550 Report Number: 051404-0.121
Reaeived Dab: 5/1412004
TwtAdd= Reported Date: 5/14/2004
KABLOOM1455 R'T 132,HYANNiS.MA 02901 Chain OTCtasWYO 123596
Client:
American Home&Environmental
Box 1069
Environmental Debris:
Centerville,lV.1A tD2b32
Phone: (508)775-1500
Fax: (509)775-1100
Email: amaricenhome.comoagt.i tet@oomoa YOUr ReSUItS
Pro-Lab I4umber: 051404-G321 Collection Loo Mon: ACCESSORY TjiJIMM
Date Collected: 5/1 V2004 Sample Submitted: svrob
The following ltingal dfasorlptions are pedinent to the samples cialhreted. General charscteftstion of
mold is made vidth respect to cheer most common Impact to Human health,Many genere of molds
have species with varying characteristics.
HEALTH 1111PPECT&Active mold growth In indoor enVlromments Inlay load to adverse hoaAh aftels.lire ptasenm of meld oll
building materials,as idatttlfled by the sampling nasuttk dons not nacossnAfs thstpeople will he exposed orowbitheafth aReats,
in order for humans to be exposed Indoors,fungal sporac fragments,.or metabolites must be ratsacad into ohs air and labeled,
physically contacted(demo exposure),or Ingested.Whether or not symptoms dowlep In people expossel to mold depends on the
nature of the fungal material(e g.,allsryank,toxic.or(nitarlloas),The amount of arrpasllre,and•the%a soepUWIfty of=posed
Persons.SttsceptlblltDy varies wRh The fanatic pradisposlllen(a.g.,aAergio reactions do not ahrays occur In all IIMIViduals),ego,
stets of hasith,and concurrent exposures.Per Thus reasons,and beoausa morawrelrIs or a gmare ara not standgrdlzad end
biological mantels of espostlne to retold Sae largely unknown,tt.la:not possible I[o detal8miga"belle or'1lmaefa"laysb of exposure
for people in genaraL Tito most common symptoms of mold exposes are runiv nose,no Inflation,1Vggh,congestion.am
aggmveaon of asthma.Individuals with pomistsnt bosim probbms thertappeor to he relatedio mloleor otNertyDes of air quality
contaminant exposure should see their physhAno lior.a raftni tD praressionarS Who am ftamod in oseoposanwanvllonlneMal
madlcloo or,al d spealeitles and are knowledgestils Shout those types afaitimrurso.Decisions about tomoving individuals from
A"otfaelad area mvatlye based on the llasafts.01such rrndicai avaluetlon,eihca mold Fs nawral(y presets In4utdooTamAronrnentt
and we share The same air between The Inloom and the outdoor%It is fmpe"MTa to elln0naQa all mold and frotrsporas Rom the
ThaebovalyHermellenrresoanpltodbyPR0-LA6laeFT3aine,Ihm(MEPA A&net®WteteVola,AtaMl%enel/ourWams"srdlheW.0 apt,mf
Health"quidelkwoon AeeeeamantandRomedlallonofPunatIninfaorErWr*wwi e',atthereelmalarew%rihearrtlusiveuaeotthe9eanInamatlan
this report17dsdaaumsntfa.rrdeesCmandelsandshedldbeuaedlarAdennollw tpraposes.eVjLCwrerdTytharmamso.reEeralmaphillonsiar
aveluatlnp potedusrhael0�etiaoR atbrnaA oonteririhalpbn•antl remedlevrm.iMattRerreWon fe eWoutto ehsnps u,7nora IrRatlnallenaegardpigffirrgloi
oontaminantepeasmeaaa6rebOs.trormmalntennallon;v1eKAaplhrNw.e�oevllsgllneMdlndraefV�NlmwlwwayagovlhlmvdelUfdmuoyelmeldhbeQ7lNa �°
dewmerrr eras dtelgped t�feleerlraurenlyknown t�raayg�llHalrrpalerelafna�r.tab„a eeloraeihrAerr�fRg enaysle,aw remad6aia�se,os
IrderD^eatlanat+noYr one"16 nPartsisa :ndliaa TheolleM ilasoley
roepanellfaroraM use and hderprctatlwratrlraaa raeorenNtnAed atrtbn.9rA�Drea.PROd�6V17A'iio,rnaR®nee><peaas arrmplisaaiananlraa ae�
such,maarlrlwpura Top,P.RO-AD$W8Pneteempeautamaea-. a gMdeearrel{rmlreadariMl Maw Or
haanl/aF a preparpr Item orrytlratlempma aerxnetlreR ameraCery9frenetYsis.The C9fent R NereeernrytRiatlthet daatoara ersteouve morale erRrapal
enAysre endtha mdtlgreWA proceeq t®enrteryeamplee oenaed da+Qiarteesvareme reiAlsra to tIM•oddJnaBrmmplhd marenrr..vAo4�I8sP7fii71w
reestwathee4htta praparrydtepma crop:eamprw AlarMatasliha.otsooh�npiaa ado a�sr►apnrtly'uornpTerad:araPMxa T dayp%ftd,vrtaenaver perroe
h amder.PRoaAE 789FrM fie,perthlpeha rndheAlHA t�PAT pm®am ram ID ilea9ba
Page 3
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VILLAGE
INSTALLER'S NAME & ADDRE
C4 .2
B U I L D E R OR OWNER
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED
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