Amendment3_AttachmentJ13_Annex1_2_SupplementalAsbestosReport.pdf
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- Solicitation number
- 12034320R0001
- Issued by
-
Department of Agriculture Forest Service
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This solicitation requires construction services for a new 15,000 square foot office building, foundation work for two smaller buildings to be relocated, and associated site work at the Nez Perce-Clearwater National Forests Kamiah Supervisor's Office in Kamiah, Idaho. The Department of Agriculture Forest Service will award a firm fixed-price contract for Phase 1 foundation work on the smaller buildings, Phase 2 relocation of the buildings, and Phase 3 construction of the new office building and remaining site work. The total contract period is 475 calendar days with Phase 2 work limited to 100 days. The estimated price range for all work is $5-10 million. A pre-proposal meeting will be held on February 20, 2020 and award is planned for April 2020. The project is subject to Tribal Employment Rights Ordinances of the Nez Perce Tribe. The point of contact is Contract Specialist Karen Ruklic at the Idaho Montana Acquisition Team office.
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Inspection Number IH 20-022 March 10, 2020
LIMITED INSPECTION REPORT FOR
ASBESTOS CONTAINING BUILDING MATERIALS (ACBM)
ANNEXES 1 & 2
INSPECTION NUMBER IH 20-022
INSPECTION LOCATION:
Kamiah Supervisors Offices Annex 1 – 1023 5th Street and
Annex 2 – 1012 5th Street Kamiah, Idaho 83536
PREPARED FOR:
United States Forest Service 26 Fort Missoula Road
Missoula, Montana 59804
PREPARED BY:
Abatement Contractors of Montana, LLC 208 Commerce Street
Missoula, Montana 59807 406-549-8489 www.acm-contracting.com http://www.acm-contracting.com/
APPENDIX I …….…………….. REPORT
APPENDIX II …….………….. RESULTS
APPENDIX III ………………DRAWING
APPENDIX IV ……. PHOTOGRAPHS
APPENDIX V .…………. CITY FORMS
APPENDIX I
REPORT
ABATEMENT CONTRACTORS OF MONTANA, LLC
PO Box 8747
Missoula, MT 59807 P 406-549-8489
F 406-728-9416
SPECIALTY CONSTRUCTION & ENVIRONMENTAL REMEDIATION SERVICES www.acm-contracting.com
March 10, 2020
United States Forest Service Attn: Corrie Kegel, PE 26 Fort Missoula Road Phone: (406) 829-7339 Missoula, Montana 59804 E-Mail: clkegel@fs.fed.us
Subject: Inspection Number IH 20-022 Limited Asbestos Inspection
Kamiah Supervisors Offices Annex 1 – 1023 5 th Street and
Annex 2 – 1022 5 th
Street Kamiah, Idaho 83536
Dear Ms. Kegel:
Abatement Contractors of Montana, LLC (ACM) is pleased to provide this sampling report for a limited asbestos inspection conducted at the Kamiah Supervisors Offices located at 1023 5th Street (Annex 1) and 1022 5th Street (Annex 2) in Kamiah, Idaho. The asbestos inspection was performed on March 6th, 2020, by James Parker, MTA-5024, a Montana Department of Environmental Quality (DEQ)-accredited asbestos inspector. The results of this inspection can be found in the enclosed report.
INTRODUCTION
ACM collected a total of seventy eight (78) bulk samples representing twenty six (26) homogeneous areas (HA) of suspected asbestos-containing building materials (ACBM) in the concerned area(s) that will be impacted during the planned demolition of the garages and the basements of both buildings within the subject property. Any materials found to contain greater than one percent (>1%) asbestos by weight are considered to be Asbestos Containing Building Materials (ACBM). This inspection considered only the garage and the basement of each building and ACM’s scope of work. This inspection was limited only to the materials that were readily accessible and only included those materials based on the information provided by the client phone conversations. All samples were collected from previously damaged or inconspicuous areas. Although ACM’s Inspector took every effort to evaluate all of the materials that will be impacted during the demolition of the garages and basements, it is possible that other hidden materials may exist.
Therefore, any materials that have not been discovered AND have not been specifically evaluated by bulk sampling in this inspection report must be tested and evaluated for asbestos content prior to disturbance of these materials. A complete list of all samples that were collected is located in Table 1. The detailed laboratory results are presented in Appendix II. A diagram of the building indicating where samples were collected and a map showing where asbestos containing material are located is enclosed within Appendix III. Photographs of materials sampled and asbestos containing materials can be found in Appendix VI.
Some of the samples tested POSITIVE for asbestos. Positive samples are highlighted in BOLD in Table 1.
BUILDING DESCRIPTION
ACM was contracted to perform a demolition asbestos inspection of the garage and basements of 1023 5th Street (Annex 1) and 1022 5th Street (Annex 2) at the subject site. Both buildings are a single story commercial facility housing offices, working spaces, mechanical spaces, kitchens and restrooms. The slab on grade buildings has a basement with steel support beams with a steel cross beam to support the upper http://www.acm-contracting.com/ mailto:clkegel@fs.fed.us
Inspection Number IH 20-022 Page 2 of 8 March 10, 2020 level. The interior walls of the basements are wood formed concrete which are mainly covered with wood framing with textured gypsum coverings. The ceilings are mainly wood framed with textured gypsum sheeting. The floors are concrete in the basements and are covered with carpeting with associated mastics.
The floors in the garages are wood framed with wood sheathing and are covered with carpeting and associated mastics in Annex 2 and laminated wood flooring with foam padding in Annex 1. The interior walls and ceilings are wood framed with textured gypsum sheathing in both garages. Attic insulation of both garages are blown-in cellulose on top of fiberglass batting. The exterior walls are T1-11 sheathing on the street side of the garage and cedar siding on the remaining portions of the garages. There is a tar paper moisture barrier below the exterior siding that is mechanically attached to the wood frame. The pitched roofs of the garages are constructed of composite asphalt shingles over a rolled out felt sheeting. The soffits and fascia boards of the garages are wood.
INSPECTION
The limited asbestos inspection was performed in accordance with Occupational Safety and Health Administration 29 Code of Federal Regulations (CFR) 1926.1101(k), the Montana DEQ Administrative Rules of Montana (ARM) 17.74.354 and National Emission Standards for Hazardous Air Pollutants (NESHAP) 40 CFR 61, Subparts A and M, and applicable portions of the currently recognized standard protocol developed for schools under the Asbestos Hazard Emergency Response Act (AHERA) and as promulgated in Title 40, Code of Federal Regulations (40 CFR), Part 763 and as amended in the Federal Register. The Quest Micro- Analytics Laboratory Analysis Report are enclosed for reference.
Representative bulk material samples were collected from the suspect asbestos-containing surfacing (S) materials, thermal system insulation (TSI) materials and miscellaneous (M) materials from each of the assigned homogeneous areas (HAs) that will be impacted at the time of the demolition. The suspect ACBM were visually identified and touched prior to sampling. The samples were placed in HA groups using a coding method to classify each suspect ACBM by type, texture, color and location. The asbestos inspection included:
Identification of HA suspect ACBM on an area-by-area basis within ACM’s scope of work;
Inspection was non-destructive in nature and bulk samples were collected in discrete locations when possible;
Collection and analysis of bulk samples to confirm or deny the presence of asbestos.
No materials were presumed to be asbestos containing materials
Bulk samples were not collected from any HA suspect ACBM made of fiberglass, wood, foam, glass or rubber.
This building did not reveal Vermiculite insulation within the wall cavities or in the attic of the garages. Due to the nature of Vermiculite and the uncertainties in the variations with testing techniques, it has been assumed that this material contains asbestos. Removal of this material should be accomplished by an accredited abatement contractor who will properly remove the material, containerize it in the recommended containers and dispose of at a certified landfill.
A minimum of three (3) suspect ACBM samples were collected from random locations within the subject area. Selected suspect ACBM were limited to HA that will be impacted at the time of the demolition. When possible, suspect ACBM samples were collected from existing damaged areas. These samples were placed in pre-labeled plastic containers for shipment to the laboratory. All samples were collected from previously damaged or inconspicuous areas. Although ACM’s Inspector took every effort to evaluate all of the materials that will be impacted during the demolition of the garages and basements, it is possible that other hidden materials may exist. Therefore, any materials that have not been discovered AND have not been specifically evaluated by bulk sampling in this inspection report must be tested and evaluated for asbestos content prior to disturbance of these materials.
The samples were shipped, under chain-of-custody protocol for standard analyses, to Quest Micro-Analytics Laboratory (NVLAP Lab# 200249) in Dallas, Texas for bulk sample analysis utilizing Polarized Light
Inspection Number IH 20-022 Page 3 of 8 March 10, 2020
Microscopy (PLM) coupled with dispersion staining for asbestos identification. The detailed laboratory results are presented in Appendix II.
Materials in the following table that are highlighted in BOLD were found to be asbestos containing.
Table 1. Suspect ACBM that were identified, collected, shipped and analyzed at the laboratory.
Sample Number
HA
Description
Location of Sample Collection
Percent of
Asbestos
Condition
Category
Quantity
SF / LF /
EA
Response Action
Annex 1 – 1023 5 th
Street, Kamiah, Idaho
AB-01
M-1
Wood Laminate Floor (Brown), Foam (Gray) & Mastic (White)
Annex 1 – South Side of Garage
ND N/A N/A N/A AB-02
Annex 1 – East Side of Garage
AB-03
Annex 1 – West Side of Garage
AB-04 M-2
Gypsum Wall (White), Joint Compound
(White) & Texture (Orange Peel)
Annex 1 – South Side of Garage
ND N/A N/A N/A AB-05
Annex 1 – East Side of Garage
AB-06
Annex 1 – North Side of
AB-07 M-3
Gypsum Ceiling
Compound
(White) & Texture (Orange Peel)
Annex 1 – Attic Access on East Center of Garage
ND N/A N/A N/A AB-08
Annex 1 – Attic Access on East Center of Garage
AB-09
Annex 1 – Attic Access on East Center of Garage
AB-10
M-4
Moisture Barrier (Black)
Annex 1 – Below T1-11 Siding on South Side of Garage
ND N/A N/A N/A AB-11
Annex 1 – Below Cedar Siding on West Side of Garage
AB-12
Annex 1 – Below Cedar Siding on North Side of Garage
AB-13
M-5
Caulking (White)
Annex 1 – Southeast Corner of Garage
ND N/A N/A N/A AB-14
Annex 1 – Northwest Corner of Garage
AB-15
Annex 1 – North Window of
Inspection Number IH 20-022 Page 4 of 8 March 10, 2020
Location of Sample Collection
Percent of
SF / LF /
EA
Response Action
AB-16 M-6
Composite Shingle (Brown
Aggregate), Mastic (Black) &
Felt Paper (Black)
Annex 1 – Southeast Corner of Garage
ND N/A N/A N/A AB-17
Annex 1 – Southwest Corner of Garage
AB-18
Annex 1 – Northwest Corner of Garage
AB-19
M-7
Concrete (Gray)
Annex 1 – Garage Slab – South Side
ND N/A N/A N/A AB-20
Annex 1 – Garage Slab – Southwest Corner
AB-21
Annex 1 – Garage Slab – Northwest Corner
AB-22
M-8
Carpet Mastic (Yellow)
Annex 1 Basement – Office 2
ND N/A N/A N/A AB-23 Annex 1 Basement – Office 3
AB-24 Annex 1 Basement – Office 1
AB-25 M-9
Compound
(White) & Texture (Orange Peel)
Annex 1 Basement – Office 2
ND N/A N/A N/A AB-26 Annex 1 Basement – Office 3
AB-27
Annex 1 Basement – Storage Room
AB-28 M-10
Compound
(White) & Texture (Splatter)
Annex 1 Basement – Office 1
ND N/A N/A N/A AB-29
Annex 1 Basement – Office 3 at Bottom of Stairs
AB-30 Annex 1 Basement – Office 2
AB-31
M-11
Ceiling Panel (White & Brown)
Annex 1 Basement – Center of Mechanical Room
ND N/A N/A N/A AB-32
Annex 1 Basement – Center of Mechanical Room
AB-33
Annex 1 Basement – Center of Mechanical Room
Inspection Number IH 20-022 Page 5 of 8 March 10, 2020
Location of Sample Collection
Percent of
SF / LF /
EA
Response Action
AB-34
S-1
HVAC Duct Texture (White)
Annex 1 Basement – Office 3
ND N/A N/A N/A AB-35 Annex 1 Basement – Office 3
AB-36 Annex 1 Basement – Office 3
AB-37
M-12
Annex 1 Basement – East Wall
ND N/A N/A N/A AB-38
Annex 1 Basement – South Wall
AB-39
Annex 1 Basement – West Wall
AB-40
M-13
Annex 1 Basement – Exterior Wall South Side
ND N/A N/A N/A AB-41
Annex 1 Basement – Exterior Wall East Side
AB-42
Annex 1 Basement – Exterior Wall North Side
Annex 2 – 1022 5 th
Street, Kamiah, Idaho
AB-43
M-14
Annex 2 Garage – Northeast Corner
ND N/A N/A N/A AB-44
Annex 2 Garage – Central Area
AB-45
Annex 2 Garage – Southwest Corner
AB-46 M-15
Compound
(White) & Texture (Orange Peel)
Annex 2 Garage – North Side
ND N/A N/A N/A AB-47 Annex 2 Garage – East Side
AB-48 Annex 2 Garage – South Side
AB-49 M-16
Compound
(White) & Texture (Orange Peel)
Annex 2 Garage – Attic Access
2% Chrysotile
Texture
Good
RACM –
Category II Non-Friable
~360 SF
Removal by an
Accredited Abatement Contractor
Prior to Demolition
AB-50
Annex 2 Garage – Attic Access
AB-51
Annex 2 Garage – Attic Access
Inspection Number IH 20-022 Page 6 of 8 March 10, 2020
Location of Sample Collection
Percent of
SF / LF /
EA
Response Action
AB-52
M-17
Annex 2 Garage – Exterior South Side below Siding
ND N/A N/A N/A AB-53
Annex 2 Garage – Exterior East Side Below Siding
AB-54
Annex 2 Garage – Exterior North Side Below Siding
AB-55
M-18
Caulking (White)
Annex 2 Garage – Southwest Corner Exterior
ND N/A N/A N/A AB-56
Annex 2 Garage – Southeast Window Exterior
AB-57
Annex 2 Garage – Northwest Window Exterior
AB-58 M-19
Composite Shingle (Brown
Aggregate) Mastic (Black) & Felt
(Black)
Annex 2 Garage – Southwest Corner
ND N/A N/A N/A AB-59
Annex 2 Garage – Southeast Corner
AB-60
Annex 2 Garage – Northeast Corner
AB-61
M-20
Annex 2 Garage Slab – South Side
ND N/A N/A N/A AB-62
Annex 2 Garage Slab – Southeast Corner
AB-63
Annex 2 Garage Slab – Northeast Corner
AB-64
M-21
Annex 2 Basement – Office 2
ND N/A N/A N/A AB-65 Annex 2 Basement – Office 3
AB-66 Annex 2 Basement – Office 4
AB-67 M-22
(Pink), Joint Compound
(White) & Texture (Splatter)
Annex 2 Basement – Office 1
ND N/A N/A N/A AB-68 Annex 2 Basement – Office 2
AB-69 Annex 2 Basement – Office 4
Inspection Number IH 20-022 Page 7 of 8 March 10, 2020
Location of Sample Collection
Percent of
SF / LF /
EA
Response Action
AB-70 M-23
Compound
(White) & Texture (Orange Peel)
Annex 2 Basement – Office 1
ND N/A N/A N/A AB-71 Annex 2 Basement – Office 4
AB-72
Annex 2 Basement – Bathroom
AB-73
M-24
Annex 2 Basement – West Closet
ND N/A N/A N/A AB-74
Annex 2 Basement – Southeast Corner
AB-75
Annex 2 Basement – Southwest Corner
AB-76
M-25
Annex 2 Basement – Exterior South Side
ND N/A N/A N/A AB-77
Annex 2 Basement – Exterior East Side
AB-78
Annex 2 Basement – Exterior North Side
LEGEND
AB Asbestos Bulk M Miscellaneous EA Each LF Linear Feet S Surfacing Material ND None Detected N/A Not Applicable SF Square Feet TSI Thermal System Insulation RACM Regulated Asbestos Containing Material
Inspection Number IH 20-022 Page 8 of 8 March 10, 2020
Our inspection has revealed the presence of ACM at the subject property. This inspection was generally non-destructive in scope and may not have located all potentially hidden ACBM within the subject property.
However, we have attempted to sample all obvious and accessible suspect materials within the scope of this inspection. Most of these materials appeared to be in a good condition at the time of our inspection.
Limitations
This asbestos inspection summary was prepared based on information gathered during our site visit and interpretations of laboratory results of bulk samples collected during the inspection. This inspection considered only the garage and the basement of each building and ACM’s scope of work. All samples were collected from previously damaged or inconspicuous areas. Although ACM’s Inspector took every effort to evaluate all of the materials that will be impacted during the demolition of the garages and basements, it is possible that other hidden materials may exist. Therefore, any materials that have not been discovered AND have not been specifically evaluated by bulk sampling in this inspection report must be tested and evaluated for asbestos content prior to disturbance of these materials. Additional sampling may be required if additional HA’s are exposed during material removal, or the scope of work is expanded to include HA’s that have not been inspected or analyzed for asbestos content.
Any ACBM that might be impacted during renovation / demolition activities must be addressed prior to start of such activities by a qualified and accredited abatement company.
Abatement Contractors of Montana (ACM) greatly appreciates this opportunity to assist the United States Forest Service and look forward to providing our services to you on future projects. If you have any questions regarding this sampling report, would like an estimate for removal, or require additional information of our services, please contact me at 406-549-8489 or via e-mail at jim.parker@acm-contracting.com.
Sincerely, James Parker Montana DEQ-Accredited Asbestos Inspector
MTA-5024
Enclosures: Quest Micro-Analytics Laboratory Analysis Report
Sample Location Diagrams Positive ACBM Location Diagrams Photographs City Permit Letter mailto:jim.parker@acm-contracting.com
APPENDIX II
RESULTS
11052 Shady Trail, Suite 217, Dallas, Texas 75229
214-351-4441 questmicro@gmail.com
PLM REPORT
Asbestos Fiber Analysis
TDSHS License No. 30-0218
Project: USFS Kamiah Buildings 1 & 2
Identification: Polarized Light Microscopy/Dispersion Staining (PLM/DS)
Test Method: Method 40 CFR, Ch. 1, Part 763, Subpart F, Appendix A
Request No.: 30049
Sample Date: 3/9/2020
The results are outlined below:
On 3/10/2020, 78 bulk material Jim Parker of ACM for PLM/DS analysis.
Report Date: 3/11/2020
Client: Abatement Contractors of Montana samples were submitted by
Client No. Sample Description Fibrous Components Asbestos Content
NVLAP Lab No. 200249
Project No.: IH-20-022; 1012 5th Street
Brown Wood Laminate Flooring (A) with Gray Foam Backing (B) and White Mastic (C ), Annex 1 Garage, South Side
A) None Detected B) None Detected C) None Detected
A) 90% CelluloseAB-01
Brown Wood Laminate Flooring (A) with Gray Foam Backing (B) and White Mastic (C ), Annex 1 Garage, East Side
A) None Detected B) None Detected C) None Detected
A) 90% CelluloseAB-02
Brown Wood Laminate Flooring (A) with Gray Foam Backing (B) and White Mastic (C ), Annex 1 Garage, West Side
A) None Detected B) None Detected C) None Detected
A) 90% CelluloseAB-03
Wallboard: Off-White Paint (A), White Orange Peel Texture/Joint Compound (B), Tan Paper (C ) and Gray Drywall (D), Annex 1 Garage, South Side
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 35% Gypsum 15% Fiberglass
AB-04
Wallboard: Off-White Paint (A), White Orange Peel Texture/Joint Compound (B), Tan Paper (C ) and Gray Drywall (D), Annex 1 Garage, East Side
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 35% Gypsum 15% Fiberglass
AB-05
Wallboard: Off-White Paint (A), White Orange Peel Texture/Joint Compound (B), Tan Paper (C ) and Gray Drywall (D), Annex 1 Garage, North Side
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 35% Gypsum 15% Fiberglass
AB-06
Ceiling Board: Off-White Paint (A), White Orange Peel Texture/Joint Compound (B), Tan Paper (C ) and Gray Drywall (D), Annex 1 Garage, Attic Access East Center
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 35% Gypsum 15% Fiberglass
AB-07
Ceiling Board: Off-White Paint (A), White Orange Peel Texture/Joint Compound (B), Tan Paper (C ) and Gray Drywall (D), Annex 1 Garage, Attic Access East Center
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 35% Gypsum 15% Fiberglass
AB-08
Ceiling Board: Off-White Paint (A), White Orange Peel Texture/Joint Compound (B), Tan Paper (C ) and Gray Drywall (D), Annex 1 Garage, Attic Access East Center
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 35% Gypsum 15% Fiberglass
AB-09
Page 1 of 5 30049Lab Request No
Black Moisture Barrier, Annex 1 Garage Below T1-11, South Side
None Detected65% CelluloseAB-10
Black Moisture Barrier, Annex 1 Garage Below T1-11, West Side
None Detected65% CelluloseAB-11
Black Moisture Barrier, Annex 1 Garage Below T1-11, North Side
None Detected65% CelluloseAB-12
White Caulking, Annex 1 Garage South East Corner
None DetectedNoneAB-13
White Caulking, Annex 1 Garage North West Window
None DetectedNoneAB-14
White Caulking, Annex 1 Garage North Windows
None DetectedNoneAB-15
Brown Aggregate on Black Shingle (A) with Black Felt (B), Annex 1 Garage South East Corner
A) None Detected B) None Detected
A) 20% Fiberglass B) 60% Cellulose
AB-16
Brown Aggregate on Black Shingle (A) with Black Felt (B), Annex 1 Garage South West Corner
A) None Detected B) None Detected
A) 20% Fiberglass B) 60% Cellulose
AB-17
Brown Aggregate on Black Shingle (A) with Black Felt (B), Annex 1 Garage North West Corner
A) None Detected B) None Detected
A) 20% Fiberglass B) 60% Cellulose
AB-18
Gray Concrete, Annex 1 Garage Slab South Side
None DetectedNoneAB-19
Gray Concrete, Annex 1 Garage Slab SW Corner
None DetectedNoneAB-20
Gray Concrete, Annex 1 Garage Slab NW Corner
None DetectedNoneAB-21
Yellow Carpet Mastic, Annex 1 Basement Office 2
None DetectedNoneAB-22
Yellow Carpet Mastic, Annex 1 Basement Office 3
None DetectedNoneAB-23
Yellow Carpet Mastic, Annex 1 Basement Office 1
None DetectedNoneAB-24
Wallboard: White Paint (A), Green Orange Peel Texture (B), Tan Paper (C ) and White Drywall (D), Annex 1 Basement Office 2
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 35% Gypsum 15% Fiberglass
AB-25
Wallboard: White Paint (A), White Orange Peel Texture (B), Tan Paper (C ) and White Drywall (D), Annex 1 Basement Office 3
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 35% Gypsum 15% Fiberglass
AB-26
Wallboard: White Paint (A), White Orange Peel Texture (B), Tan Paper (C ) and White Drywall (D), Annex 1 Basement Storage Room
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 35% Gypsum 15% Fiberglass
AB-27
Ceiling Board: White Paint (A), White Splatter Texture (B), Tan Paper (C ) and White Drywall (D), Annex 1 Basement Office 1
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 35% Gypsum 15% Fiberglass
AB-28
Ceiling Board: White Paint (A), Green Splatter Texture (B), Tan Paper (C ) and White Drywall (D), Annex 1 Basement
A) None Detected B) None Detected C) None Detected
C) 98% Cellulose D) 35% Gypsum 15% Fiberglass
AB-29
Page 2 of 5 30049Lab Request No
Office 3 Bottom of Stairs D) None Detected
Ceiling Board: White Paint (A), White Splatter Texture (B), Tan Paper (C ) and White Drywall (D), Annex 1 Basement Office 2
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 35% Gypsum 15% Fiberglass
AB-30
White Paint (A) on Brown Ceiling Panel (B), Center of Annex 1 Basement Mechanical Room
A) None Detected B) None Detected
B) 99% CelluloseAB-31
White Paint (A) on Brown Ceiling Panel (B), Center of Annex 1 Basement Mechanical Room
A) None Detected B) None Detected
B) 99% CelluloseAB-32
White Paint (A) on Brown Ceiling Panel (B), Center of Annex 1 Basement Mechanical Room
A) None Detected B) None Detected
B) 99% CelluloseAB-33
White Paint (A) on Green HVAC Duct Texture (B), Annex 1 Basement Office 3
A) None Detected B) None Detected
NoneAB-34
White Paint (A) on Green HVAC Duct Texture (B), Annex 1 Basement Office 3
A) None Detected B) None Detected
NoneAB-35
White Paint (A) on Green HVAC Duct Texture (B), Annex 1 Basement Office 3
A) None Detected B) None Detected
NoneAB-36
Gray Concrete, Annex 1 Basement, East Wall
None DetectedNoneAB-37
Gray Concrete, Annex 1 Basement, South Wall
None DetectedNoneAB-38
Gray Concrete, Annex 1 Basement, West Wall
None DetectedNoneAB-39
Black Moisture Barrier, Annex 1 Basement Wall, South Side
None DetectedNoneAB-40
Black Moisture Barrier, Annex 1 Basement Wall, East Side
None DetectedNoneAB-41
Black Moisture Barrier, Annex 1 Basement Wall, North Side
None DetectedNoneAB-42
Yellow Carpet Mastic, Annex 2 Garage None DetectedNoneAB-43
Yellow Carpet Mastic, Annex 2 Garage None DetectedNoneAB-44
Yellow Carpet Mastic, Annex 2 Garage None DetectedNoneAB-45
Wallboard: White Paint (A), White Orange Peel Texture (B), White Tape (C ), White Joint Compound (D), Tan Paper (E) and Pink Drywall (F), Annex 2 Garage, North Side
A) None Detected B) None Detected C) None Detected D) None Detected E) None Detected F) None Detected
C) 98% Cellulose E) 98% Cellulose F) 40% Gypsum 10% Fiberglass
AB-46
Wallboard: White Paint (A), White Orange Peel Texture (B), Tan Paper (C ) and Pink Drywall (D), Annex 2 Garage, East Side
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 40% Gypsum 10% Fiberglass
AB-47
Wallboard: White Paint (A), White Orange Peel Texture (B), Tan Paper (C ) and Pink Drywall (D), Annex 2 Garage, South Side
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 40% Gypsum 10% Fiberglass
AB-48
Page 3 of 5 30049Lab Request No
Ceiling Board: White Paint (A), White Splatter Texture (B), Green Paint (C ), Beige Texture (D), Tan Paper (E) and White Drywall (D), Annex 2 Garage, at Attic Access
A) None Detected B) None Detected C) None Detected D) 2% Chrysotile E) None Detected F) None Detected
C) 98% Cellulose E) 98% Cellulose F) 40% Gypsum 10% Fiberglass
AB-49
Ceiling Board Not Analyzed per Positive Stop
NAAB-50
Ceiling Board Not Analyzed per Positive Stop
NAAB-51
Black Moisture Barrier, Annex 2 Garage, Ext. South Side
None Detected60% CelluloseAB-52
Black Moisture Barrier, Annex 2 Garage, Ext. East Side
None Detected60% CelluloseAB-53
Black Moisture Barrier, Annex 2 Garage, Ext. North Side
None Detected60% CelluloseAB-54
White Caulking, Annex 2 Garage South West Corner
None DetectedNoneAB-55
White Caulking, Annex 2 Garage South East Window
None DetectedNoneAB-56
White Caulking, Annex 2 Garage North West Window
None DetectedNoneAB-57
Brown Aggregate on Black Shingle (A) with Black Felt (B) and Black Mastic (C ), Annex 2 Garage, SW Corner
A) None Detected B) None Detected C) None Detected
A) 20% Fiberglass B) 25% Fiberglass
AB-58
Brown Aggregate on Black Shingle (A) with Black Felt (B) and Black Mastic (C ), Annex 2 Garage, SE Corner
A) None Detected B) None Detected C) None Detected
A) 20% Fiberglass B) 25% Fiberglass
AB-59
Brown Aggregate on Black Shingle (A) with Black Felt (B) and Black Mastic (C ), Annex 2 Garage, NE Corner
A) None Detected B) None Detected C) None Detected
A) 20% Fiberglass B) 25% Fiberglass
AB-60
Gray Concrete, Annex 2 Garage Slab None DetectedNoneAB-61
Gray Concrete, Annex 2 Garage Slab None DetectedNoneAB-62
Gray Concrete, Annex 2 Garage Slab None DetectedNoneAB-63
Yellow Carpet Mastic, Annex 2 Basement Office 2
None DetectedNoneAB-64
Yellow Carpet Mastic, Annex 2 Basement Office 3
None DetectedNoneAB-65
Yellow Carpet Mastic, Annex 2 Basement Office 4
None DetectedNoneAB-66
Wallboard: White Paint (A), White Splatter Texture (B), Tan Paper (C ) and Pink Drywall (D), Annex 2 Basement Office 1
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 40% Gypsum 10% Fiberglass
AB-67
Wallboard: White Paint (A), White Splatter Texture (B), Tan Paper (C ) and Pink Drywall (D), Annex 2 Basement Office 2
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 40% Gypsum 10% Fiberglass
AB-68
Page 4 of 5 30049Lab Request No
Wallboard: White Paint (A), White Splatter Texture (B), Tan Paper (C ) and Pink Drywall (D), Annex 2 Basement Office 4
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 40% Gypsum 10% Fiberglass
AB-69
Wallboard: White Paint (A), White Orange Peel Texture (B), Tan Paper (C ) and Pink Drywall (D), Annex 2 Basement Office 1
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 40% Gypsum 10% Fiberglass
AB-70
Wallboard: White Paint (A), White Orange Peel Texture (B), Tan Paper (C ) and Pink Drywall (D), Annex 2 Basement Office 4
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 40% Gypsum 10% Fiberglass
AB-71
Wallboard: White Paint (A), White Orange Peel Texture (B), Tan Paper (C ) and Pink Drywall (D), Annex 2 Basement Bathroom
A) None Detected B) None Detected C) None Detected D) None Detected
C) 98% Cellulose D) 40% Gypsum 10% Fiberglass
AB-72
Gray Concrete, Annex 2 Basement West Closet
None DetectedNoneAB-73
Gray Concrete, Annex 2 Basement South East Corner
None DetectedNoneAB-74
Gray Concrete, Annex 2 Basement South West Corner
None DetectedNoneAB-75
Black Moisture Barrier, Annex 2 Basement Ext. South Side
None DetectedNoneAB-76
Black Moisture Barrier, Annex 2 Basement Ext. East Side
None DetectedNoneAB-77
Black Moisture Barrier, Annex 2 Basement Ext. North Side
None DetectedNoneAB-78
Lab Director: Jennifer D. Jaber
Analyst: Jennifer Jaber
Approved Signatory :
Samples are analyzed by layers, and percentages estimated visually during microscopic examination. Individual analysis sheets available upon request. Results may not be reproduced except in full. This test report relates only to the samples tested, and results must not be used to claim product endorsement by NVLAP or any agency of the U.S. Government.
The EPA test method for bulk analysis (EPA/600/R-93/116) states in paragraph 2.2.2. that "the detection limit for visual estimation is a function of the quantity of the sample analyzed, the nature of matrix interference, sample preparation, and fiber size and distribution. Asbestos may be detected in concentrations of less than one percent by area if sufficient material is analyzed. Samples may contain fibers too small to be resolved by PLM (<0.25 micrometers in diameter) so detection of those fibers by this method may not be possible."
Materials containing >1% asbestos are considered by the EPA to be asbestos containing materials, and must be handled as such.
Page 5 of 5 30049Lab Request No
Specialty Coi.etructio,t & Rnwirojamental lRe2nediation Services
P.O. Box 8747 Missoula, Montana 59807 Office: (406) 549-8489 Fax: (406) 728-9416
CHAIN OF CUSTODY
Date: j / Project Number: Project Name:
Laboratory:
t, Report Results to: i i m.parker @ acm-contracting.com chelsea.sieversacm-contracting.com rnike.foust@acmcontracting.com brian.betts@acm-contracting.com dawn.violetacm-contracting.com chris.rinehart @ acm-contrgcting.com
PLM ( ) TEM Air
PCM
Pont Count
( ) Lead Air
( ) Lead Bulk
( ) Lead Wipe
( ) Air-O-CelI
| ( | ) Mold Swab |
| ( | ) Mold Tape |
Positive Stop
TURNAROUND:
)RUSH Xj24HOUR
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Date/Time:
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® National Voluntary L1 Ii Laboratory Accreditation Program
S4tES Of
SCOPE OF ACCREDITATION TO ISO/IEC 17025:2005
Quest MicroAnalytics 2530 Electronic Lane, Suite 712
Dallas, TX 75220-1229 Ms. Jennifer Jaber
Phone: 214-351-4441 Email: questmicro@gmail.com
ASBESTOS FIBER ANALYSIS
NVLAP LAB CODE 200249-0
Bulk Asbestos Analysis
| Code | Description |
| 18/A0l | EPA --40 CFR Appendix E to Subpart E of Part 763, Interim Method of the Determination of |
Asbestos in Bulk Insulation Samples
1 8/A03 EPA 600/R-93/1 16: Method for the Determination of Asbestos in Bulk Building Materials
For the National VoluntaboratàAccreditation Program
Effective 2019-07-01 through 2020-06-30 Page 1 of 1
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APPENDIX III
DRAWINGS OF SAMPLE LOCATIONS
APPENDIX IV
PHOTOGRAPHS
USFS Forest Service – Kamiah, Idaho
Inspection Number: IH 20-022 March 11, 2020
Annex 1 – 1023 5th Street, Kamiah, Idaho
Wood Flooring in Garage of Annex 1
Annex 1 – Garage – Gypsum Wall
Annex 1 Garage – Gypsum Ceiling
Annex 1 Garage – Composite Shingle with Felt
Annex 1 Basement – Carpet Mastic
Annex 1 Basement – Ceiling Panel
Annex 1 Basement – Concrete
Annex 1 Basement – HVAC Duct Texture
Annex 1 Basement – Exterior Moisture Barrier
Annex 2, 1022 5th Street, Kamiah, Idaho
Annex 2 Garage – Carpet Mastic
Annex 2 Garage – Gypsum Wall
Annex 2 Garage – Gypsum Ceiling
Annex 2 Garage – Caulking (Exterior)
Annex 2 Garage – Composite Shingle
Annex 2 Basement – Carpet Mastic
Annex 2 Basement – Exterior Moisture Barrier
APPENDIX V
CITY FORMS
City of Missoula Building Department 435 Ryman
Missoula, MT 59802 Phone: (406) 552-6040
FAX: (406) 552-6053
Date:�_______________� City�of�Missoula� Building�Inspection�Division� 435�Ryman�Street� Missoula,�MT�59802� Address�and/or�Project�Name:�� Asbestos�Inspector/Company:���� I,�___________________________________________________,�an�accredited�asbestos� inspector,�have�completed�the�asbestos�survey�at�the�above�address�and�the�Montana� Department�of�Environmental�Quality�has�been�notified�of�the�contents.� Signature� State�of�Montana� Department�of�Environmental�Quality� Asbestos�Control�Program� (406)�444�5300�
March 11, 2020
1008 & 1023 5th Street, Kamiah, Idaho
Abatement Contractors of Montana
P.O. Box 8747
Missoula, Montana 59807
James Parker, MTA-5024
James Parker Digitally signed by James Parker DN: cn=James Parker, o=Abatement Contractors of Montana, ou=ACM, email=jim.parker@acm-contracting.com, c=US Date: 2020.03.11 12:02:42 -06'00'
File details come from the government source that posted it. Updated .