B09_Hazmat_B536_Two_Medicine_0003.pdf

PROJECT Fonn I a

Glacier National Park

PROJECT GO/NO-GO PROCESS

Project Title CYCLIC ROOFING

Location in park TWO MED CAMPGROUND, 535,536, ST. MARY CAMPGROUND 1022,1133,1019,1020

Brief Project Description REPLACE ROOFING

PMIS Number 328268,328281,328283 Building No. 535,536,-1022,1133,1019,1020

FMSS Location No. 8174,8175,8047,8050,8044,8045 Compliance No. GLAC- - 1-008

1. Does project involve work on an existing building?_Y (Y/N) if Y proceed with form, if N go to paragraph 7c

2. Has the building received a full building HAZMAT Survey?_Y (Y/N) or, If a Concession operated building has the affected area been surveyed? (Y/N)

If YES identify the HAZMAT records on file and attach HAZMAT Form-4 to this form

Date of survey 7114 MT Certified Inspector MHR, GERALD GILHAM

3. Was HAZMAT identified in the building by the above surveyor? _Y

If YES go onto paragraph 4; If NO skip to paragraph 7a

(Y/N)

4. List below the HAZMAT that was identified in the building:

IVIAsbestos List ACM SHEETROCK.FLOOR BASE,BLACK ROOF TAR,WINDOW CAULKING AND GLAZING

IVILead Based Paint

List paint locations EXT. TRIM, DOORS AND WINDOWS ROOFING PAINT, Other Mold (Y/N) Rodents (Y/N)

List where found

5. Will the funded project disturb any of the HAZMAT identified in paragraph 3? _Y

If YES go onto paragraph 6; If NO skip to paragraph 7b

(Y/N)

6. Identify mitigation/abatement measures

Use PROJECT Form-lb to succinctly state the mitigation and/or abatement plan proposed for the HAZMAT identified in paragraph 4

7. Recommended action:

a. D All Records and/or Surveys are negative for HAZMAT

b. LJHAZMAT confirmed but will not be disturbed in described project

c. D Project is exempt from this Project Go/No-Go Process

d. III' I HAZMAT confirmed, stated mitigation/abatement plan in force

Signature Recommendation: ALAN LUCCHESI Digitally signed by ALAN LUCCHESI Date: 2023.12.13 14:52:28 -07'00'

FIELD REVIEW (date) (Project Manager)

DIVISION REVIEW (dat

Signature Validation:

(Division Chief)

SAFETY REVIEW (date) (Safety Manager)

APPROVAL TO PROCEED (date) (Superintendent)

Digitally signed by JAMES FOSTER

Date: 2023.12.14 09:53:47 -07'00'

PROJECT Form 1 b 2

PMIS Number 328268,328281,328283

GLACIER NATIONAL PARK

"Id" 535,536,-1022,1133,1019,1020 Bui mg No.

FMSS Location No. 8174,8175,8047,8050,8044,8045 Compliance No. GLAC- - 1-008, 24-1-009

1. Asbestos Containing Material (Identify what will be disturbed in the project, if the material will be partially or totally removed, if the material will be exposed to occupants and what will be done to communicate its presence):

ALL ROOF ACM WILL BE REMOVED BY CERTIFIED CONTRACTOR. ALL OTHER

ACM MATERIALS WILL NOT BE DISTURBED DURING PROJECT.

Ensure the contractor/vendor uses and follows applicable disposal procedures and record keeping/retention for ACM IAW GNP 4-5 Glacier Asbestos Management Plan and RM 50B Chapter 13 4.8 Asbestos Exposure Control, Paragraph 18, 40 CFR 61.56 National Emission Standards for Hazardous Air Pollutants (NESHAPS) and 40 CFR 763. Asbestos Hazard Emergency Response Act.

2. Lead-Based Paint (Identify what will be disturbed in the project, what mitigation method will be used, if any material will be exposed to occupants and what will be done to communicate its presence):

ALL LEAD-BASED CONTAINING ROOF MATERIALS (ROOF AND FASCIA) WILL BE

REMOVED BY A CERTIFIED CONTRACTOR. ALL OTHER LEAD-BASED MATERIALS

WILL NOT BE DISTURBED DURING PROJECT.

3. Rodent Presence: As a minimum a rodent infestation remediation will require: 1) Infestation cleanup procedures complying with GNP Hantavirus Safety Procedures, Sections 4.3 (light infestation) and 4.4 (heavy infestation) cleanup procedures. 2) Following cleanup, written documentation acknowledging infestation remediation provided to the GNP Safety Manager for files retention. Additional mitigation as follows:

NONE FOUND DURING INSPECTION

4. Mold (Identify what will be done to remove the mold, what will be done to prevent its recurrence and what will be done to monitor future infestations):

NONE FOUND DURING INSPECTION