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DEMO-18-1021
9 1 1 Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Permit NO. DEMO-4-18-1021 Permit Type: Demolition Work Classifiation: Building Permit Status: APPROVED Issue Date: 51112018 Expiration: 10/28/2018 Applicant 1280 NE 102 Street Miami Shores, FL 33138-2618 1132050220030 Block: Lot: MARK & DENISE JUANICO Owner Information Address Phone Cell MARK & DENISE JUANICO 1280 NE 102 Street MIAMI SHORES FL 33138-2618 1280 NE 102 Street MIAMI SHORES FL 33138-2618 Contractor(s) HOME OWNER Valuation: $ 17,000.00 Total Sq Feet: 1200 Type of Demo: Building Additional Info: DEMOLITION PER BLUE PRINT ATTACHED Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $10.20 $2.55 $2.00 $3.40 $5.00 $170.00 $9.00 $13.60 $215.75 Pay Date Pay Type Amt Paid Amt Due Invoice # DEMO-4-18-67205 05/01/2018 Credit Card $ 165.75 $ 50.00 04/17/2018 Credit Card $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Review Electrical Review Electrical Review Building Review Mechanical Review Plumbing In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AF VIT: I edify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construc n and z ing. ore, I authorize the above -named contractor to do the work stated. Authorized Signature: / Applicant / Contractor / Agent May 01, 2018 Date Building Department Copy May 01, 2018 1 71) elk-7,-o tratiTs N.ezri) 111)ertel DfdrAot8- to2 gpla)04fie- et -AN.-;\ • li BUILDING PERMIT APPLICATION ©BUILDING ❑ ELECTRIC ❑PLUMBING ❑ MECHANICAL JOB ADDRESS: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ❑ ROOFING ❑ PUBLIC WORKS /02- Sfr'e4 t.tiCEIVED APR 17 2018 h gFBpC,�2,01� Master Permit No. DO >I.� Og"'IO2— Sub Permit No. ❑ REVISION ❑ CHANGE OF CONTRACTOR ❑ EXTENSION 0 RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores Folio/Parcel#: Occupancy Type:Si County: Miami Dade Zip: 33,/3 d Is the Building Historically Designated: Yes NO Load: Construction Type: G r> S Flood Zone: WIN BFE: FFE: r i ^ .ay-v me f OWNER: Name (Fee Simple Titleholder): fl'o4-k a' 4enJ J ttiA 'i v Phone#: Address: /2C? i% NE / 0.2- .sti"G`e -2e-6- 2— )-_ j 1C7 City: V/A Gw• i 31 Jr -es State: ��- Tenant/Lessee Name: /'� z- tro-ve, I ea -a f . cam,'-►-, Email: CONTRACTOR: Company Name: 4U'nGOts-v7 Address: Zip: 33/37 Phone#: "1/1 Phone#: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ / ' 000 Square/Linear Footage of Work: /2 a 0 Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace 6 Demolition Description of Work: iDcr.p Jt''3t, ., rat— k/Ue.pr�'A.1- G. ( .,OvJmch ,.-^.)4.. iG G/ „40- Zi),., J-' (' (4 k/L`' Cc..-.�:'t ir-y ,k,-. d �ej,.. )15. Ca'rt,„2.4.l Q 4- Fi. (norm. +1e._ i-:.-. k, h,e,-t Specify color of color thru tile: Submittal Fee $ Permit Fee $ il--) 0 CCF $ CO/CC $ Scanning Fee $ Radon Fee $ 2 , f9 DBPR $ 2-.- CS Notary $ Technology Fee $ Training/Education Fee $ ` Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE$ (f 5 ' 5 (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address • Y. S � s City t: State Zip Mortgage Lender's Name (if;applicable) Mortgage Lender's Address ! ,City, '� " l ; ('(t State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING`TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be postedat the job "site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature /)le- k 7:7Z\✓ co OWNER or AGENT Signature CONTRACTOR The fore oing instrument was acknowledged before me this ' The foregoing instrument was acknowledged before me this 1 day of i { 1 1 0 1 C) , by day of , 20 by �^`J/ sp �C/��1 )rl ��UVho�is personally known to , who is personally known to me or who has produced 1 iCn identification and who did take an oath. NOTARY PUBLIC: Sign. Print: Seal: MAHARAI K. GONZALEZ �'µ.eS' Mr COMMISSION #GGO'y6u2 EXPIRES: November 2, 2020 • • �;� F�;;.` bonaea Tnru notary runuc unaen+mters as me or who has produced as identification and who did take an oath. i NOTARY PUBLIC: Sign: Print: Seal: ******************************►*1************************************`*************************************** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/20f4) OWNER BUILDER DISCLOSURE STATEMENT NAME: ADDRESS: /?Ng'U /.% / 0 2- S DATE: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 y-/7-2o/e' Do hereby petition the Village cf Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensedperson as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understar>'d that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and co acts. Initial I understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or, occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold -or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, whic)violates the exemption. Initial 5 I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial 6. ('understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by couy or municipal ordinance. Initial 7: I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious` financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal' Insurance Contributions Act (FICA) and must provide workers compensation for the employee!! understand that my failure to follow these may subject to serious financial risk. 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govern owner -builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.mvfloridalicense.com/dbpr/pro/cilb/index.html Initial 11. I am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party legally and financially respon3ible for the proposed construction activity at the following address: uj ��,� /2_8o,l t My i 54/ FL 3313E Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the infor ation that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. . Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this By v1IA Produced the k 7 day of *,":1 , 20 /? n 'CO who was personally known to me or who has OWNER /'14,<4 �JJkKz`r7 as identification. NOTARY 4/17/2018 Property Search Application - Miami -Dade County Summary Report Property Information Folio: 11-3205-022-0030 Property Address: 1280 NE 102 ST Miami Shores, FL 33138-2618 Owner DENISE JUANICO MARK T JUANICO Mailing Address 1280 NE 102 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3/3/1 Floors 1 Living Units 1 Actual Area 3,314 Sq.Ft Living Area 2,326 Sq.Ft Adjusted Area 2,881 Sq.Ft Lot Size 12,862.6 Sq.Ft Year Built 1961 Assessment Information Year 2017 2016 2015 Land Value $462,829 $430,486 $392,085 Building Value $200,518 $200,518 $200,518 XF Value $17,922 $17,946 $12,643 Market Value $681,269 $648,950 $605,246 Assessed Value $303,745 $297,498 $295,430 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $377,524 $351,452 $309,816 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Civilian Disability Exemption $500 $500 $500 Note: Not all benefits are applicable to all Taxable Values ('.e. County, School Board, City, Regional). Short Legal Description 5 53 42 AMD PL OF PORT OF REV PL OF MIAMI SHORES SEC 8 PB 41-64 W1/2 LOT 2 LESS S4.2FT OF W51.4FT & LESS S12.8FT OF E48.6FT BLK 185 Generated On : 4/17/2018 Taxable Value Information I 2017 2016 2015 County Exemption Value $50,500 $50,500 $50,500 Taxable Value $253,245 $246,998 $244,930 School Board Exemption Value $25,500 $25,500 $25,500 Taxable Value $278,245] $271,998 $269,930 City Exemption Value $50,500 $50,500 $50,500 Taxable Value $253,245 $246,998 $244,930 Regional Exemption Value $50,500 $50,500 $50,500 Taxable Value $253,245 $246,998 $244,930 Sales Information Previous Sale Price OR Book- Page Qualification Description 12/28/2011 $100 27946 3431 Corrective, tax or QCD; min consideration 07/01/1999 $0 18677- 2009 Sales which are disqualified as a result of examination of the deed 04/01/1999 $0 18653- 0317 Sales which are disqualified as a result of examination of the deed 11/01/1993 $225,000 16128 2178 Sales which are qualified The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: Laserfiche' WebLink Home Browse Search rMetadata I Thumbnails I Annotations 1280 NE 102 St Last Modified 1/23/2011 7:32:47 AM Creation Date 1/7/2011 4:36:48 PM Fields Template: Miami Shores Village Address 1280 NE 102 St Document management portal powered by Laserfiche WebLink 8.2.0 C 1998-2011 Laserfiche 1280 NE 102 St 1 1 4 1 PDF )% ,Avt+ry dose4 W ertioti34 G.-&-k4t1,9.61 O•efvokl-itpn - A ti.k4en ;:---.1 01 II j"- 6- I L _ I 17i61 _ .1,„ .:--1-• . --- ,........,s., „ - , :, • ; I. ,,,, ,;,.._; ,.; 1,.: -.: _--:..1!.? • ...elk,--7.- 1. ; ' ,4 , L • / i re,a;:.:- • ;; .1 ,/,-- ;', :. -„, . , .7; ;1.i 1 —I. ;1 "----. 1 rT #1,.. • -,,:,..+...Ti - 11! 4rs AP I, j \ 7 I ' 1 1 LtilAILt. • r - • t. • 2.APPROVEDI! BY Wiqt..1,ING:pEPLI!4 -.I..... it.DG D'EPT-• D(Txt 0 r64JECT-TO COMPLIANCE WITH AL:L.PIEDEifiAL . • • • • -ti • .1.: '• ' --1-ATE AND COL JNITY RULES A D REGULATIONS • • • °,,',.-; . • : . . V.: • •••• • . . 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HEI Systems 1690 N.E. 191 st Street, Suite 308 North Miami Beach, Florida 33179-4191 786-512-1450 Phone • 305-945-0755 Fax Report of Findings •• • • • • .... • Assessment for Water Damage and Possible Fungi Kt: 1280 NE 102nd Street Miami Shores, Florida 33138 File Number: 18-02-2002-K Prepared For: Mr. Mark Juanico Mathew Kori, B.S. . . .. .. ... . • • •• • • •..... • • • • • • • • •• •• • Mathew Kori, B.S. HEI Systems Florida License # MRSA2499 • • . •• • • • • • • •.• TABLE OF CONTENTS Section I Introduction 2 Section II Discussion 3 Section III Summary and Conclusions 8 Section IV Basis of Report 9 Section V Appendices • .12. A. Photographs :::; • i 1 .. • B. Sample Information Log (Chain of Custody) and •::::• Laboratory Results • • 2 "! • • • • ••�6. .. .. .. Section VI Recommendations , •• • .• •• • ...2? • .. • • • • • • • •• • • • 1 Section I Introduction On February 17, 2018, HEI Systems was retained to conduct an assessment related to reported water damage and potential fungal (mold and yeast) growth and sampling of the residence located at 1280 NE 102nd Street, Miami Shores, Florida 33138. The stated purpose of the assessment was to identify and determine the location and extent of any potential fungal growth within the residence. An additional concern was expressed for any potential to human health resulting from fungal exposure should any be present within the interior of the residence. On Tuesday, February 20, 2018, HEI Systems performed a walk-through visual inspection for any visual evidence of fungal growth on the indoor surfaces of the residence. Present during the February 20, 2018 assessment was Mathew Kori, B.S., . • from HEI Systems, and Mr. Mark Juanico, who granted access to the residper . •. • • • • .. . .... On Tuesday, February 20, 2018, indoor environmental sampling wN.qqAductag this residence. The collected samples were submitted to a fully accredited.microbiology . laboratory (AEML, Inc.) for microbiological (fungi) identification and.gaantificat:on. Mathew Kori, B.S., evaluated the sampling laboratory results received froi'h•.A!ML, Me'. : .. .. .. • This report is prepared for the exclusive use of Mr. Mark JuanIco' did is.not. intended for any other purpose. The report is prepared in accordance vyith recognized • • procedures and appropriate scientific methods applicable and used by pfdfesSionale tq • . this field. This report is based upon the information available to HEI Systems at this time, as described in Section IV, Basis of Report. Should additional information become available, HEI Systems reserves the right to determine the impact, if any, of the new information on our opinions and conclusions, and to revise our opinions and conclusions, if necessary, as warranted by the discovery of additional information. -2- Section II Discussion • This residence has experienced reported roof leaks beginning during a prior hurricane. Water intruded into Kitchen, Living Room, Den, NW Office, and SW Bedroom. The roof was undergoing repairs at the time of this assessment. • There was a moderate Microbial Volatile Organic Compound (mVOC) odor present within the residence at the time of this assessment. • The ceiling in the NW Office and Bathroom is water damaged and had collapsed prior to _this assessment. Debris from the ceilings were present on the floors and into the carpet. There was visual fungal growth present on the ceil.n s. .The upPei.'• walls near the ceiling in the Bathroom are water damaged. No ceiiingS or walj4.. had elevated moisture content at the time of this assessment. The €eik>ggs in•AG NW Office and NW Bathroom should be removed, along with any above ceiling insulation present. The water damaged areas of the Bathroom wafPs'should :• removed two feet beyond visible damage. The NW Bedroom carpets. $hould.11e removed along with any water damaged tack strips present. Systemically clean alt.: affected areas. . •. • •• • • • Several areas of the ceiling in the Living Room are water damaged and water. stained. The ceiling is cracking and crumpling. Suspect fungal growth present.' around water staining. The Living Room west wall is water stained and impacted with suspect fungal growth. All water damaged areas of the ceiling should be removed four feet beyond visible water damage and water staining, along with all above ceiling insulation present. The water damaged west wall should be removed two feet beyond visible water staining. Systemically clean all affected areas. • The Den ceiling is water damaged, cracking and water stained with suspect fungal growth present. The walls in the SE corner and SW corner have elevated moisture content above the windows. The Den carpet is stained and tack strips are water damaged and impacted with fungal growth. The ceiling within the Den should be removed corner to corner, along with any above ceiling insulation present. The carpet and tack strips should be removed and discarded, and the concrete slab beneath thoroughly cleaned. The south, east and west walls in the Den should be removed above all windows, along with all wall insulation present. • The Kitchen cabinets are water damaged and impacted with fungal growth. The wall cover below the upper cabinets on the south wall were warped, separated from the wall, and had elevated moisture content during this assessment. The back of the lower Kitchen cabinets are stained, had elevated moisture content, and were impacted with fungal growth. The lower Kitchen cabinets along the south wall should be removed. Any water damaged wallboard impacted with fungal growth -3- should be removed two feet beyond visible damage. Systemically clean all exposed wall cavities. • It was reported that the NE Bedroom and Bathroom had experienced water intrusion resulting in a crack that had been repaired prior to this assessment. There was no visible fungal growth present in the Bedroom or Bathroom during this assessment. • Air sampling conducted within the residence revealed an elevated airborne fungal ecology at the time of this assessment. Fungal growth was discovered within the Kitchen, Living Room, Den, and NW Office during this assessment. All walls, ceiling and exposed surfaces throughout the residence should be wiped clean. Carpets and fabric furnishing throughout the residence should be HEPA vacuum cleaned. The air conditioning system should be thoroughly cleaned according to 2013 NADCA standards. • • • • •• •... • .• . •.• • ..•. . Hypotheses: • . Hi: The fungal load of the 150 Liter aerosol sample collected ftron, •the Living • • Room will exceed the outside control sample by an order of magnitude:i'if aggreeate : fungal spores per cubic meter of air, and therefore be considered to I •ip a state of � • • •• • elevated fungal ecology. • . • . Ho': The fungal load of the 150 Liter aerosol sample collected frbin the Liwlflg•. Room will not exceed the outside control sample by an order of magnitude in aggregate• fungal spores per cubic meter of air, and therefore be considered to be in a state of normal fungal ecology. H2: The Kitchen Cabinets will exceed a fungal load of 1,000 aggregate fungal spores per cm2, in the direct sterile swab sample collected, and is therefore considered to be in a state of elevated fungal ecology. Hoe: The Kitchen Cabinets will not exceed a fungal load of 1,000 aggregate fungal spores per cm2, in the direct sterile swab sample collected, and is therefore considered to be in a state of normal fungal ecology. Hs: The Den Tack Strips will exceed a fungal load of 1,000 aggregate fungal spores per cm2, in the direct sterile swab sample collected, and is therefore considered to be in a state of elevated fungal ecology. Ho3: The Den Tack Strips will not exceed a fungal load of 1,000 aggregate fungal spores per cm2, in the direct sterile swab sample collected, and is therefore considered to be in a state of normal fungal ecology. Sampling: -4- Aerosol sampling of the indoor air was conducted within the Living Room of the residence. The sampling indicated the following. The Outdoor Control aerosol sample collected on February 20, 2018, was captured with an Allergenco-DTM drawing fifteen liters of air for ten minutes, for a total of 150 liters of air. The outdoor control sample was taken on during a heavy storm which may have lowered the spores in the sample taken. The results of this sample analysis by AEML, Inc. revealed a fungal spore count of: 20 Aspergillus/Penicillium-Like per cubic meter of air; 7 Cladosporium per cubic meter of air; 7 Curvularia per cubic meter of air; 7 Oidium/Peronospora per cubic meter of air; 7 Rust per cubic meter of air and 13 Hyphal Fragments per cubic meter of air in the sample collected. Aspergillus and Penicillium spores are often difficult to distinguish microscopically, and are commonly grouped together in the analysis of total count samples. All spore -trap (Allergenco-D'"`) samples are total count samples. • • • • • • Aspergillus is found in soil, compost piles, decaying vegetation, stored grain, a4d • • other kinds of organic matter. Aspergillus can also be found indoors in'Vi'-damdg8d buildings. Some species are able to produce mycotoxins, depending upgq,the species,• substrate, and/or food source. ' • • • •' • •' • • • ••• • Penicillium consists of many species that are common contamina'tits'dn a variety • • of substrates. Penicillium may be found indoors in air samples, carpet •djst, ofi on, • wallpaper. Some species are able to produce mycotoxins depending ueon.the spends',' • substrate, and/or food source. • • • • •• •• • •.• ••• • Cladosporium are widely distributed as plant pathogens and saprobes. Cladosporium is the most frequently found fungus in outdoor air. Indoors, Cladosporium usually occurs at low concentrations in damp or humid areas, but may be found in high concentrations in water -damaged building materials. Its ability to sporulate heavily and to get airborne makes it an important fungal allergen. Cladosporium is only occasionally associated with disease in humans. The most common species include Cladosporium elatum, Cladosporium herbarum, Cladosporium sphaerospermum, and Cladosporium cladosporioides. Some Cladosporium spp. are causative agents of skin lesions, keratitis, onychomycosis, sinusitis and pulmonary infections. Curvularia is a common saprobe found in soil, plants, cereals, and cellulose materials such as paper and archives. Some species are plant pathogens, but can also occur indoors. Curvularia is allergenic and may cause infections in itnmunocompromised people. Oidium is an obligate parasite on many plant varieties causing powdery mildew disease. It is sometimes found in outdoor samples and indoors it may be found on houseplants. - 5 - Peronospora is an obligate pathogen causing Downy Mildew on many types of plants. It is sometimes seen on outdoor samples. Rusts are parasitic to many types of plants and require a living plant host for growth. Rusts have a Type I allergenic potential, and are the cause of economic loss to many cultivated plants. There are 5000 known species of rusts belonging to at least 150 different genera. Hyphal Fragments are portions of the fungal mycelium that do not have any spores or other diagnostic fungal structures, and therefore could not be identified. An indoor air sample was collected on February 20, 2018, in the Living Room with an Allergenco-DTM drawing fifteen liters of air for ten minutes, for a total of 150 liters of air. The results of this sample analysis by AEML, Inc. revealed a fungal spore count of: 7 Ascospores per cubic meter of air; 14,853 Aspergillus/Penicillium-Like per. • cubic meter of air; 227 Chaetomium per cubic meter of air; 7 Cladospgriuln.per cubie • meter of air; 833 Stachybotrys per cubic meter of air and 33 Hyphal Fragments'per cubit • meter of air in the sample collected. • • .... • . . Ascospores are the sexual spores produced by Ascomycetes.• Ascomycetes constitute the largest class of fungi characterized by the production of Mil:spores' Is : structures called asci. This includes plant pathogens, saprobes, and decgtpars. Witb� • few exceptions, most Ascomycetes do not grow in buildings and are saldom:agents of. wood rot. Ascomycetes are the perfect stages of molds like Aspergillus $nd.P�nicilltum. At high levels, Ascomycetes spores may cause allergies. ' Chaetomium fungi are commonly found in soils, dung, straw and seeds. Indoors they are found in water damaged sheetrock and wallpaper. Their spores are disseminated in the environment by wind, water splash and insects. Chaetomium have a Type I allergenic potential (hay fever and allergic asthma) and have recently been recognized as a new agent of cerebral phaeohyphomycosis. Some species have a potential to produce toxic metabolites. Stachybotrys is found naturally occurring in soil and on decaying plant material. Indoors, it is found in water damaged building materials such as: ceiling tiles, gypsum board, insulation backing, sheet rock, textiles and wall paper. Stachybotrys has a Type I allergenic potential (hay fever and allergic asthma). Stachybotrys may play a role in the development of sick building syndrome. The presence of this fungus can be significant due to its ability to produce mycotoxins. Exposure to the toxins can occur through inhalation, ingestion, or skin exposure. A direct sample was collected by sterile swab from the Kitchen Cabinets as a response to the water damage, and suspect fungal growth present. The sample was approximately 1 cm2 in dimension. The results of this sample analysis by AEML, Inc. revealed the presence of: 31,560 Aspergillus/Penicillium-Like spores/cm2; 1,036,200 Cladosporium spores/cm2 and 5,200 Hyphal Fragments/cm2 in the sample collected. -6 A direct sample was collected by sterile swab from the Den Tack Strips as a response to the water damage, and suspect fungal growth present. The sample was approximately 1 cm2 in dimension. The results of this sample analysis by AEML, Inc. revealed the presence of: 90,440 Aspergillus/Penicillium-Like spores/cm2; 64,040 Chaetomium spores/cm2; 19,320 Cladosporium spores/cm2; 29,680 Stachybotrys spores/cm2 and 8,000 Hyphal Fragments/cm2 in the sample collected. Interpretation of the Laboratory Analysis: An interpretation of the laboratory analysis of the 150 Liter aerosol sample collected from the Living Room, results in the rejection of the null -hypothesis, and a finding that this area of the residence may be said to be in a state of elevated airborne fungal ecology. • An interpretation of the laboratory analysis of the direct sample ky sterile s• • collected from the Kitchen Cabinets results in the rejection of the null hypp%t'AB �sis, a • finding that this area substrate may be considered to be in a state of elevated fungal • • ecology. ••••• • • • • •••• • • • • An interpretation of the laboratory analysis of the direct sample •lay Aterile swab• collected from the Den Tack Strips results in the rejection of the null hypothesis, and a • • finding that this area substrate may be considered to be in a state of elevated firtg�,l: • • •ecology. ••••••• :::.:. • Additional Information: Descriptions of the damage and locations are indicated in Table contained in Appendix A. In the table, WD denotes water damage, FG denotes visible fungal growth, and EM denotes elevated moisture detected by a meter. Environmental Sample Results: HEI Systems personnel collected indoor environmental samples. 1. Laboratory results and the sample information logs are contained in Appendix B, Sample Chain of Custody and Laboratory Results. 2. Conclusions derived from the sample results are stated in Section III, Summary and Conclusions. Section III Summary and Conclusions The condition of the Kitchen, Den, Living Room, and NW Office within this residence can be said to be a state of elevated fungal ecology. As such, the residence may be considered to be in a state of elevated risk associated with elevated fungal ecology that is delineated by both the quantity of microorganisms and the fungal species present in assessing the risk to humans in the same environment. This residence should be professionally remediated, by state licensed personnel performing all remediation work pursuant to the provisions of the ANSI/IICRC S520 — 2015, 3rd Ed., Standard and Reference Guide for Professional Mold Remediation. . ••• • • • •••• • • • • •• • •••• • • • •••• • • • • •••• • • • • • • •••• • ••• • • • • • •• •• •• • • • • • • • • • • • • • • • • • • • • • •• • •• • • • • • • 8 Section IV Basis of Report 1. Mathew Kori, B.S., conducted the walk-through visual inspection; collected environmental samples from the residence, and evaluated the sampling laboratory results received from AEML, Inc. (Appendix B, Sample Information Log [Chain of Custody] and Laboratory Results). 2. The following reference materials were incorporated within the development of this report: Alexopoulos, C. J., C. W. Mims, M. Blackwell (1996). Introductory Mycology. New York, John Wiley & Sons, Inc. ASHRAE (2004). ANSI/ASHRAE Standard 62.I-2004, Ventilation for Ajceet.able Indoor Air Quality. Atlanta, Georgia. . .• .. . . 00110 *0410 . Bailey, H. S. (2005). Fungal Contamination: A Manual for Investigation, 4.gr iediatio , • • : • and Control. Jupiter, Florida, BECi. ... .• .. .• . •. Brooks, G. F., Karen C. Carroll, Janet S. Butel, Stephen A. Morse (2007).:Metz., Melnick & Adelberg's Medical Microbiology. New York, New York, Moira -till • Lange. '..' : .. . • .. .. . Committee (2000). Clearing the Air: Asthma and Indoor Air Exposures. Washington, -SD.C.,=Institute of Medicine. Committee (2004). Damp Indoor Spaces and Health. Washington, D. C., Institute of Medicine of the National Academies. Deacon, J. (2006). Fungal Biology. Oxford, UK, Blackwell Publishing. DiNardi, S. R., Ed. (2003). The Occupational. Environment: Its Evaluation, Control. and Management. Fairfax, Virginia, American Industrial Hygiene Association. Dismukes, W. E., Peter G. Pappas, Jack D. Sobel (2003). York, New York, Oxford University Press. Emanuel, P., Jason W. Roos, Kakoli Niyogi, Ed. (2008). in the Environment. Washington, D.C., ASM Press. Clinical Mycology. New Sampling for Biological Agents Farzan, S. (1992). A Concise Handbook of Respiratory Diseases. Norwalk, Connecticut, Appleton & Lange. -9 Wiley & Sons, Ltd. Gunderson, E. C., Ed. (2006). The IAQ Investigator's Guide. Fairfax, Virginia, American Industrial Hygiene Association. Harwood, C., Merry Buckley (2008). The Uncharted Microbial World: Microbes and Their Activities in the Environment. Washington, D.C., American Academy of Microbiology. Hess-Kosa, K. (2002). Indoor Air Quality: Sampling Methodologies. Boca Raton, Florida, Lewis Publishers. Hung, L.-L., Miller, J. David, KilIon, H. Kenneth, Ed. (2005). Field Guide for the Determination of Biological Contaminants in Environmental Samples. Fairfax, Virginia, AIHA Press. IICRC (2015). Standard and Reference Guide for Professional Mold Remediation. Vancouver, Washington, Institute of Inspection, Cleaning and Restoration Certifcatio1.• • • • .... IICRC (2015). IICRC S500 Standard and Reference Guide for Professional Ter • •' •: ..• Damage Restoration. Vancouver, Washington, Institute of Inspection, Claaniboand . Restoration Certification. • • • • • . •.... . Johanning, E., Chin S. Yang, Ed. (1995). Fungi and Bacteria in Indoor Air• • • • • • • • • •• • Environments. Latham, New York, Eastern New York Occupational HeakbRiQgram. Kavanagh, K., Ed. (2005). Fungi: Biology and Applications. West Sussex, U.K., John Kendrick, B. (2000). The Fifth Kingdom. Newburyport, Massachusetts, Focus Publishing. Macher, J., Ed. (1999). Bioaerosols Assessment and Control. Cincinnati, Ohio, American Conference of Governmental Industrial Hygientists. NADCA (2005). Introduction to HVAC System Cleaning Services: A Guideline for Commercial Consumers. Washington, D.C. NADCA (2013). ARC 2013: Assessment, Cleaning and Restoration of HVAC Systems. J. Schulte. Washington, D.C., NADCA National Air Duct Cleaners Association. Pope, A., M., Roy Patterson, Harriet Burge, Ed. (1993). Indoor Allergens: Assessing and Controlling Adverse Health Effects. Washington, D.C., National Academies Press. Prezant, B., Weekes, Donald M., Miller, J. David, Ed. (2008). Recognition. Evaluation., and Control of Indoor Mold. Fairfax, Virginia, American Industrial Hygiene Association. • • • • • Schaechter, M. (2006). Microbe. Washington, D. C., ASM Press. Singh, J. (1994). Residence Mycology. London, UK, Chapman & Hall. Smith, E. G. (2000). Sampling and Identifying Allergenic Pollens and Molds: An Illustrated Identification Manual for Air Samples. San Antonio, Texas, Blewstone Press. Spengler, J. D., Jonathan M. Samet, John F. McCarthy, Ed. (2001). Indoor Air Ouality Handbook. New York, New York, McGraw-Hill. Sugar, A. M., Caron A. Lyman (1997). A Practical Guide to Medically Important Fungi and the Diseases They Cause. Philadelphia, Pennsylvania, Lippencott -- Raven. USEPA (2001). Mold Remediation in Schools and Commercial Residences. E. P. Agency. Washington, D.C., United States Environmental Protection Agency. Woodcock, H. C., John Seibert (2000). Investigations: A Handbook for Prevention Professionals. Fairfax, Virginia, AIHA Press. • .• .. • • •••• •••• • •••• • • • •••• • •••• • ••• • . . •.• .. •• • •• • • • • • •• • • . • • • • • • • • •. • • • • • - 11 - Section V Appendices A Photographs B Sample Chain of Custody and Laboratory Results • ... . . . .... •... . • • •••• • • • • •••• • • •••• • ••• • • • •• • •••• •• • • • • • • • • • • •• •• • •• • • • • • • • • • • -12- Section V Appendix A Photographs Photographs taken during this inspection that are not included in this report are retained in our files and are available to you upon request. Location WD FG EM Description Photo # Front of Residence Photograph of the front of the residence on the day of the assessment. . 1 . . .... .. . - 13 - Location WD FG EM Description Photo # NW Office Water flowed into the NW Office through the ceiling. The ceiling within the Office and Bathroom are water damaged and collapsed have collapsed. Visible fungal growth present. 2 - 14- Location WD FG EM Description Photo # NW Office Ai Water flowed into the NW Office through the ceiling. The ceiling within the Office and Bathroom are water damaged and collapsed have collapsed. Visible fungal growth present. 3 •••• • • • • • • • • • • • •• • •••• • • • • • • • • • • • • • • • • • • • • •• •• • • • • • • • • •• • • ••• • • • •• • • • •• • • • • - 15 - Location WD FG EM Description Photo # NW Bathroom \i Water flowed into the NW Office through the ceiling. The ceiling within the Office and Bathroom are water damaged and collapsed have collapsed. Visible fungal growth present. 4 . . . . . • • - 16- Location WD FG EM Description Photo # Living Room \I Water staining and damage of the Living Room ceiling. Suspect fungal growth present. 5 • • • .. .. • . • .. • • •••• •••• • •••• • •••• . • •••• • • • .. .. • • ••• • .. • • • • • • ..• ..• • • • ... • • • • • • - 17 - Location WD FG EM Description Photo # Living Room Water staining and damage of the Living Room ceiling. Suspect fungal growth present. 6 . •.. . . • • • •••• • • • • •• • •••• • • • • • • • • • • • • • • • • • • •• •• ••• . • • • • - 18 - Location WD FG EM Description Photo # Den -V Al Water damage and fungal growth present to ceiling. Elevated moisture and visible fungal growth on upper walls in the SE corner and SW corner. Suspect fungal growth present on carpet tack strips. 7 - 19 - Location WD FG EM Description Photo # Kitchen -V -V Water damage and fungal growth present to ceiling. Elevated moisture and visible fungal growth on upper walls in the SE corner and SW corner. 8 •.•. • !• • • • •••::: • • • • • • •••• • • • • • • • • • • • • • • • •••• • • • •• •• • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • - 20 - Location WD FG EM Description Photo # Den Ai AI AI Water damage and fungal growth present to ceiling. Elevated moisture and visible fungal growth on upper walls in the SE corner and SW corner. 9 • • • • • ..• •••• • • ••• • .. . • .. .... .. • . • • • • • • • • • • • • • • • • • • • ..• • • .. . • • • • • • - 21 - Location WD FG EM Description Photo # Den Suspect fungal growth present on carpet tack strips. 10 • .. . . .... .... . . . . • . • ... • .. • . • • • . - 22 - Location WD FG EM Description Photo # Kitchen Ai The cabinets on the south wall have elevated moisture content and are warping of the wall. Suspect fungal growth present on wall and cabinets. 11 - 23 - Location WD FG EM Description Photo # NE Bedroom Ai -V 4 The cabinets on the south wall have elevated moisture content and are warping of the wall. Suspect fungal growth present on wall and cabinets. 12 •..� . • .... .. • • • • • • .... .... . ••• _ • . .. ... • •. • .. • • • • • • • • • • • • • • . .. • • • • .. .. • - 24 - Location WD FG EM Description Photo # NE Bedroom It was reported that water intruded into the NE Bedroom. Crack was repaired prior to this assessment. 13 ••.. • • • .••• • • • • •• • •••• • • • • • • • • • • • • • • • • • • ••. • • • .• • • • • • • • • • • • • • • • •• • • • • • • •• • - 25 - Section V Appendix B Sample Chain of Custody and Laboratory Results The following Chain of Custody Reports and Laboratory Analysis Results are provided as attachments. . . .• .... . . . . .. • •••• . .... . ... . . .... .. .. . . ... . .. .. • • • . . • • • • • • • • • .. .. • .. • • .. . - 26 - V • Section VI Recommendations These recommendations are based upon a limited assessment of conditions existing at the time of the assessment. The extent of water damage and/or fungal contamination and ecology may or may not be fully delineated. Therefore, these recommendations may change as new information is obtained, either before, or during remediation. These recommendations are based upon the assumption that conditions that caused excessive moisture and resulting fungal growth have been corrected. Prior to the Start of Restoration: • . • . . .. . •..• .... •• . ••. • 1. Submit all pre -approval items (Health and Safety Plan,. E>3visonmental . . .... . Protection Plan, Work Plan, MSDS sheets for any chemicals used)..' ... . 2. Obtain all necessary permits from local unit of government. .. • .. • • •• 3. Establish a controlled access work area. • •• •••• • • •• 4. Turn off air conditioning system and seal openings. • • 5. Establish containment. Full containment means critical barriers, airlocks' negative pressurization with HEPA-filtered exhaust, and related procedures. 6. A minimum of N-95 respirator protection should be worn by all remediation personnel during work. 7. Perform all remediation work pursuant to the provisions of the ANSI/IICRC S520 — 2015, 3`d Ed., Standard and Reference Guide for Professional Mold Remediation. During Remediation: 8. Remove and discard the ceilings in the NW Office and NW Bathroom, along with any above ceiling insulation present. Systemically clean above ceiling areas. - 27 - 9. Remove and discard the water damaged areas of the NW Bathroom walls two feet beyond visible damage, discard any interior wall insulation present and systemically clean wall cavities. 10. Remove and discard the NW Bedroom carpets, along with any water damaged tack strips present. Systemically thoroughly clean concrete slab beneath. 11. Remove and discard all water damaged areas of the ceiling four feet beyond visible water damage and water staining. Any above ceiling insulation present should be discarded. Systemically clean all affected areas. 12. Remove and discard the water damaged west wall two feet beyond visible water staining, along with any interior wall insulation present. Systemically clean all affected areas. 13. Remove and discard the Den ceiling, corner to corner, along;witly ny ab• ove• .. . .... ceiling insulation present. Remove and discard the south, east. anli•west was • in the Den above all windows, along with all wall insulation present.. • . .... . Systemically clean affected areas. •• • • • • 14. Remove and discard the carpet and all water damaged t jj„ snips, anti• • .• thoroughly clean the concrete slab beneath. • • . . • 15. Remove the lower Kitchen cabinets along the south wall. All t?ater damapir. wallboard impacted with fungal growth should be removed two feet beyond visible damage. Systemically clean all exposed wall cavities. 16. Systematically wipe clean all walls, ceiling and exposed surfaces throughout the residence. All carpets and fabric furnishing within should be HEPA vacuum cleaned. 17. Any insulation present should be double -bagged, removed and discarded. 18. Wire -brush clean, HEPA-vacuum, and dry all exposed surfaces, including structural members and other items inside of the exposed wall and ceiling cavities. 19. Subsequent to remediation, remove all filters and all contaminated materials in the air conditioning system that have porous surfaces, including return air ducts and supply air ducts. Clean or replace all contaminated non -porous • .• . . -28- 4 I surfaces. Disinfect the coils and condensate drain pan. The air conditioning system should be thoroughly cleaned according to 2013 NADCA standards. 20. Double -bag all mold -contaminated and water damaged materials (sheetrock, wood, etc.) in plastic bags, and HEPA vacuum the bags prior to removal from the containment area. 21. Monitor the remediation progress by observation, testing, and sampling. After Remediation: 22. Perform a fmal assessment of the work and conduct clearance sampling for compliance. Negative air machines should be operating for one to two days in filtration mode (exhaust air recycled within the residence, anti ncb exhausted. .. . .... outside of the residence). After this air filtration step, turn offtne:aif filtration • equipment for one day prior to clearance sampling. .... . • •23. Prior to any restoration activities, the remediated sections q) • •Itcresid;pce should be sampled to assure post-remediation clearance crilirI ;have been achieved. Clearance sampling should be undertaken prior to:any applicition:. of sealants or encapsulating medium to the remediated surfaces' • • • .. . .. .. . 24. Post-remediation clearance criteria shall be considered to be successful at a level of less than 1,000 aggregate fungal spores/cm2 for direct surface samples, and at a level of less than 1,000 aggregate fungal spores per cubic meter of air collected in a 150 liter aerosol spore trap. - 29 - Richard H. McMonagie HEI Systems 1690 N.E. 191 st Street, Suite #308 North Miami Beach, FL 33179 AEML Test: S001 Swab Analysis 41AEMLI Inc. microbiology laboratories AEML, Inc. 1301 E. Atlantic Blvd., Suite 5 Pompano Beach, FL 33060 Phone: (954) 333-8149 Fax: (954) 333-8151 email: customerservice@aemlinc.com Sample ID: 1802200027 1802200028 Client Sample ID: Kitchen Cabinet Den Tack Area Swabbed (cm2): 1 1 Media: Swab Swab Sample Analysis: Analyzed at 600X Magnification Analyzed at 600X Magnification Spore Types 1 Raw Count 1 Count/cm2 1 %' Raw Count I Count/cm2 I % Attemaria — — — — — — Arthrinium — — — — — — Ascospores — — — — — — Aspergillus/Penicillium-Like 789 31,560 3 2,261 90,440 44 Basidiospores — — — — — — Bipolaris/Dreschlera — — — — — — Botrytis — — — — — — Chaetomium — — — 1,601 64,040 31 Cladosporium 25,905 1,036,200 97 483 19,320 9 Curvularia — — — — — — Epicoccum — — — — — — Fusarium — — — — — — Ganoderma — — - — — — Memnoniella — — — — — — Nigrospora — — — — — — Oidium/Peronospora — — — — — — Pithomyces — — — — — — Rust — — — — — — SmutMtyxomyces/Periconia — — — — — — Stachybotrys — — — 742 29,680 15 Torula — — — — — — Ulocladium — — — — — — Unidentified Spores — — — — — — Total Spores 26,694 1,067,760 5,i87 • IA• •• �t03s�80 Hyphal Fragments 130 5,200 206. • • • •8,400 • • • Detection Limit 471 • • • • 1171 • • • • • Joshua Krinsky Technical Director • • • • • ••• • ••• • • • • • • • • • • • • • • • ••• • • • • • • • • • •• • •• • • • • • ••• • • • Project: Juanico, Mark Batch: 154220 ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• Results submitted pertain only to th%Sarffples at preSbnted QrftheacconRpanying Chain of Custody. This report shall not be reproduced, except in its entirety and with the written approval of AEML. Sampled: 2/20/2018 Received: 2/20/2018 Analysis Date: 2/20/2018 Report Date: 2/20/2018 ACCREDITED TESTPage 1 Of WGCERI 0HYLOt AiAEML, Inc. Microbiology Laboratories 1301 B. Atlantic Blvd, Suite 5 Pompano Beach, FL 33060 Phone: 954-333-8149 Fax: 954 333-8151 www.aemlinc.com CHAIN OF CUSTODY/ANALYSIS REQUEST Page • of COmpany: HEI Systems Sawp By: Mathew Kori B.S. ledContact Payment Type:O On Accwmt 1 Credit Card ❑ Check Name: Richard H. McMonagle, Ph. D. Project/Site Name:-1- �) C MGr Credit Card Type{]Visa 1 Master Ca� Amex 1 Discover Address:1690 N.E. 191 st Street, Suite #308 Project #: j 1-d 1- o Pk Credit Card #: City: North Miami Beach State: FL Zip: 33179 P.O. #' Name on Card (Print): P101e #' (786) 512-1450 Fax #: (305) 945-0755 Report (circle): 0 E-Mail ■ Fax • Both Signature: E-mail: mc2egbellsouth.net Sample Type: A = Air W = Water Turn Around Time (Rush charges may Analysis Requested (Eater "X" Below to indicate vaguest) Exp. Data: / -- — -- w ci Sample Identification T = Tape S = Swab B =Balk apply) Standard ()flier For Lab Use Only Sample Numbers .., .., .-i N ry Date Sample T Volume (Air) Aroa (Swabs) 8 S $ FI c 44 c H —I 141540 i 6 (As, )-o Z/ c e.( , v l`aL —2 VI 5(1 lb 3 L,11 RC" 2/2(-4 —3 1.' lit Af n Lr/it't Z1 6 S • t Cif` t- OG7.51 0 pen TG.G%i 2/.zv S 1cm - n0"2,q 5 6 7 8 • 0 ' •• .•• • • •• • • • • • • • . • r •• . • Special Instructions/Requirements: ••• • • Date Time Relinquished By • Company • .. • • Received By Company Good Condition Z /2a Jr % 1( .i Richard H. McMonagle, Ph. D. •tiEat 8*tarns .: • • •• • : ` • • • • • • • • Yes No • • • • • Y •• No 7 i (�` 1 .- 0 \ ``1j �} [ `t', ( 1 • . • • • • . • . • 1'a1( � j rr , ^� A/V 11 �— �/� � n H-f.n I l� / VYeses 1.3�s` No • • .••• • • • . • • • • • . •• • • Analysis performed is subject to AEML, Inc. Standard Terms and Conditions unless otherwise specifiedby tearaattetw;e1 giant and AMC. Inc. AEML-DOG 12-COC-REVOS Richard H. McMonagle HEI Systems 1690 N.E. 191 st Street, Suite #308 North Miami Beach, FL 33179 AEML Test: A001 Spore Trap Analysis 4AEML, Inc. Microbiology Laboratories AEML, Inc. 1301 E. Atlantic Blvd., Suite 5 Pompano Beach, FL 33060 Phone: (954) 333-8149 Fax: (954) 333-8151 email: customerservice@aemlinc.com Sample ID: 1802200025 1802200026 Client Sample ID: 193479 Outside 193483 Living Room Volume Sampled (L): 150 150 Media: Allergenco D Allergenco D Percent of Trace Analyzed: 100% at 600X Magnification 100°,6 at 600X Magnification Spore Types I Raw Count I Count/m3 I %I Raw Count I Count/m3 ( % Altemaria — — — — — — Arthrinium — — — — — — Ascospores — — — 1 7 <1 Aspergillus/Penicillium-Like 3 20 43 2,228* 14,853 93 Basidiospores — — — — — — Bipolaris/Dreschlera — — — — — — Botrytis — — — — — — Chaetomium — — — 34 227 1 Cladosporium 1 7 14 1 7 <1 Curvularia 1 7 14 — — — Epicoccum — — — — — — Fusarium — — — — — — Ganoderma — — — — — — Memnoniella — — — — — — Nigrospora — — — — — — Oidium/Peronospora 1 7 14 — — — Pithomyces — — — — — — Rust 1 7 14 — — — Smut/Myxomyces/Periconia — — — — — — Stachybotrys — — — 125 833 5 Torula — — — — — — Ulocladium — — — — — — Unidentified Spores — — — — — — Total Spores 7 47 2,41 • • : : : 501.7 f Hyphal Fragments 2 13 • 5• _ •� • •• S3 ; •-• Pollen 1 7 • 20 • • • • • 13 • • Debris Rating 3 3 Detection Limit 7 • ••• 7 • ••• • Joshua Krinsky Technical Director •• i •• • • • •• stimation performed due to high souiit. • • • • • • • • • • •• • •• • • • • ••• • •• • Project: Juanico, Mark Batch: 154220 •••• ••••••• • • • • •• •• • • •• . • •• ••• •• •• •• • •• • • •• • •• • • • • • •••• •• •• •• •• •••• •• Results submitted pertain only tot feSarffples aS predtinte0 SrftheaccorApanying Chain of Custody. This report shall not be reproduced, except in its entirety and with the written approval of AEML. 1 Sampled: 2/20/2018 Received: 2/20/2018 e Analysis Date: 2/20/2018 • Report Date: 2/20/2018 ACCREDITED Page 1 of 1 TBBT6UN 1° CT ltr.0t