Attach_11_-_Hazmat_Results_GLAC_311336_0001.pdf

December 18, 2020

Sincerely, Robin Klover Vice President

Subcontractor Number:

Laboratory Report: RES 478506-2

Project #/P.O. #: None Given

Project Description: None Given

Eric Hagen Glacier National Park 64 Grinnell Dr.

West Glacier MT 59936

Dear Eric, Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the American Industrial Hygiene Association, Lab ID 101533 - Accreditation Certificate #480. The laboratory is currently proficient in both IHPAT & ELPAT programs respectively.

Reservoirs has analyzed the following sample(s) using Atomic Absorption Spectroscopy (AAS) / Inductively Coupled Plasma - Mass Spectrometry (ICP-MS) per your request. Reported sample results were not blank corrected. The analysis has been completed in general accordance with the appropriate methodology as stated in the analysis table. Results have been sent to your office.

RES 478506-2 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed.

This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested.

If you have any questions about this report, please feel free to call 303-964-1986.

by Ryan Ellerby

Reservoirs Environmental, Inc Reservoirs Environmental QA Manual

Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf

(303) 964-1986

(866) RESI-ENV

www.reilab.com https://clients.reilab.com

5801 Logan St, Suite 100, Denver, CO 80216

ClientClientClientClient ID NumberID NumberID NumberID Number

ReportingReportingReportingReporting LimitLimitLimitLimit

LEADLEADLEADLEAD

CONCENTRATIONCONCENTRATIONCONCENTRATIONCONCENTRATION

N.Fork 1CN.Fork 1CN.Fork 1CN.Fork 1C 0.0084 19.1

* Unless otherwise noted all quality control samples performed within specifications established by the laboratory

Analyst/Data QA

Reservoirs Environmental, Inc Reservoirs Environmental QA Manual

Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf

RES Job Number:

Client:

Client Project/P.O.:

Client Project Description:

Date Samples Received:

Analysis Type:

Turnaround:

Date Samples Analyzed:

TABLE: I ANALYSIS: LEAD IN PAINT

RES 478506-2

Glacier National Park None Given None Given November 16, 2020

REI CHEMISTRY SOP / USEPA SW846 3050B/7420-M

Standard December 18, 2020

RESERVOIRS ENVIRONMENTAL, INC

NVLAP Lab Code 101896-0

AIHA Certificate of Accreditation #480 LAB ID 101533

NA = Not Analyzed NR = Not Received ND = None Detected BAS = Below Analytical Sensitivity BRL = Below Reporting Limit

(303) 964-1986

(866) RESI-ENV

www.reilab.com https://clients.reilab.com

December 07, 2020

Sincerely, Robin Klover Vice President

Subcontractor Number:

Laboratory Report: RES 479980-2

Project #/P.O. #: None Given

Project Description: LEE CREEK BRIDGE

John Lucke Glacier National Park 64 Grinnell Dr.

West Glacier MT 59936

Dear John, Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the American Industrial Hygiene Association, Lab ID 101533 - Accreditation Certificate #480. The laboratory is currently proficient in both IHPAT & ELPAT programs respectively.

Reservoirs has analyzed the following sample(s) using Atomic Absorption Spectroscopy (AAS) / Inductively Coupled Plasma - Mass Spectrometry (ICP-MS) per your request. Reported sample results were not blank corrected. The analysis has been completed in general accordance with the appropriate methodology as stated in the analysis table. Results have been sent to your office.

RES 479980-2 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed.

This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested.

If you have any questions about this report, please feel free to call 303-964-1986.

by Ryan Ellerby

Reservoirs Environmental, Inc Reservoirs Environmental QA Manual

Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf

(303) 964-1986

(866) RESI-ENV

www.reilab.com https://clients.reilab.com

ClientClientClientClient ID NumberID NumberID NumberID Number

ReportingReportingReportingReporting LimitLimitLimitLimit

LEADLEADLEADLEAD

CONCENTRATIONCONCENTRATIONCONCENTRATIONCONCENTRATION

P1P1P1P1 0.098 19.8

* P1: Sample contained insufficient sample volume to accurately quantify for EPA method 3050B. Therefore, results should be considered as qualitative only.

* Unless otherwise noted all quality control samples performed within specifications established by the laboratory

Analyst/Data QA

Reservoirs Environmental, Inc Reservoirs Environmental QA Manual

Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf

RES Job Number:

Client:

Client Project/P.O.:

Client Project Description:

Date Samples Received:

Analysis Type:

Turnaround:

Date Samples Analyzed:

TABLE: I ANALYSIS: LEAD IN PAINT

RES 479980-2

Glacier National Park None Given

LEE CREEK BRIDGE

December 05, 2020

REI CHEMISTRY SOP / USEPA SW846 3050B/7420-M

Standard December 07, 2020

RESERVOIRS ENVIRONMENTAL, INC

NVLAP Lab Code 101896-0

AIHA Certificate of Accreditation #480 LAB ID 101533

NA = Not Analyzed NR = Not Received ND = None Detected BAS = Below Analytical Sensitivity BRL = Below Reporting Limit

(303) 964-1986

(866) RESI-ENV

www.reilab.com https://clients.reilab.com

SUBMITTED BY INVOICE TO

Client Sample ID Number

RES Job #: 479980

CONTACT INFORMATION SERIES

ASBESTOS LABORATORY HOURS: Weekdays: 7am - 7pm & Sat. 8am - 5pm REQUESTED ANALYSIS VALID MATRIX CODES LAB NOTES

CHEMISTRY LABORATORY HOURS: Weekdays: 8am - 5pm

MICROBIOLOGY LABORATORY HOURS: Weekdays: 8am - 5pm

**Turnaround times establish a laboratory priority, subject to laboratory volume and are not guaranteed. Additional fees apply for afterhours, weekends and holidays.**

Laboratory Analysis InstructionsViables

(Sample ID's must be unique)

Company: Glacier National Park Company: Glacier National Park

Address: 64 Grinnell Dr. Address: 64 Grinnell Dr.

West Glacier, MT 59936 West Glacier, MT 59936

Project Number and/or P.O. #: None Given

Project Description/Location: LEE CREEK BRIDGE

Contact: John Lucke -1 PLM Standard -2 Chem Standard

Phone: (406) 732-7718

Fax:

Cell:

Final Data Deliverable Email Address:

john_lucke@nps.gov (+ 2 ADDNL. CONTACTS)

PLM / PCM / TEM DTL RUSH PRIORITY STANDARD Air = A Bulk = B

Dust = D Food = F

Paint = P Soil = S

Dust RUSH PRIORITY STANDARD

*PRIOR NOTICE REQUIRED FOR SAME DAY TAT

Surface = SU Swab = SW

Tape = T Wipe = W

Metals RUSH PRIORITY STANDARD Drinking Water = DW

Waste Water = WW

Organics* SAME DAY RUSH PRIORITY STANDARD **ASTM E1792 approved wipe media only**

Viable Analysis** PRIORITY STANDARD

**TAT DEPENDENT ON SPEED OF MICROBIAL GROWTH

Medical Device Analysis RUSH STANDARD

Mold Analysis RUSH PRIORITY STANDARD

Special Instructions:

1 CRT.1A X B 1 11/09/20 11:30

2 CRT.1B X B 1 11/09/20 11:30

3 CRT.1C X B 1 11/09/20 11:30

4 P1 X P 1 11/09/20 11:30

P L

M

S ho rt R ep or t , L on g

R ep or t, C A

R B

T E

M

A H

E R

A o r Q ua nt ifi ed

M ic ro va c o r Q ua nt ifi ed

W ip e o r Q ua nt ifi ed

N

IO

S

H

2, Y am at e

Le ve l I I, IS

O

, I

S O

C ha tfi el d, W as te

W at er , D rin ki ng W at er

, B ul k

, C

A R

B M od ifi ed A he ra

P C

M

A , 7

0B

, O S

H A

D U

S T

To ta l, R es pi ra bl e

M E

TA

L

S

A na ly te

(s

P b

Le ad

O nl y (7

2, , W as te

W at er , F oo dw ar e)

, M ul ti M et al

(7

3, A

, 2

.8 , W as te

W at er , F oo dw ar e, O S

H A

ID

-1

G p

H (L iq ui d, N on -L iq ui d)

T C

LP

, R

C R

A

S ca n, W el di ng F um e

S ca n, F ul l M et al s S ca n

O R

G A

N

IC

S

M et ha m ph et am in e, T

S S

C am py lo ba ct er , B ac ill us , S al m on el la (C ul tu ra bl e, -2

L is te ria

E

.c ol i O

7:

H

7, E

.c ol i/C ol ifo rm s

- P la te d, S

. a ur eu s, Y ea st

M ol d, A re ob ic P la te

C ou nt , C ol ifo rm s/

E .c ol i (

S ta te W at er

, D rin ki ng

W at er

N on

-D rin ki ng

W at er

, Q ua nt ifi ca tio n)

, L ac tic A ci d, V ia bl e

M ic ro bi oa l C ou nt

(w o/

ID

, w

/ID

E nt er oc oc cu s o r Q ua nt ifi ca tio

n) , L eg io ne lla

(P , N

P, C

M E

D

IC

A L

B io bu rd en

, L A

L

M O

L D

S po re

T ra p, B ul k

M ol d, P ar tic ul at e Id en tif ic at io n

S am pl e

V ol um e

(L

A re a

Le ng th (o r A liq uo ts

) x W id th

(o r A re a pe r A liq uo t)

M at rix C od e of

C on ta in er s

D at e C ol le ct ed m m

/d d/ yy

T im e C ol le ct ed hh :m m

ASBESTOS CHEMISTRY MICROBIOLOGY

REI will analyze incoming samples based on information received and will not be responsible for errors or omissions in calculations resulting from the inaccuracy of original data. By signing, client/company representative agrees that submission of the following samples for requested analysis as indicated on this Chain of Custody shall consitute an analytical services agreement with payment terms of NET 30 days. Failure to comply with payment terms may result in a 1.5% monthly interest surcharge.

Relinquished By: Date/Time: Sample Condition: Acceptable

Received By: Sophia Ingram Date/Time: 12/05/2020 11:12:58 Carrier: USPS

Reservoirs Environmental, Inc Reservoirs Environmental QA Manual

Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf

(303) 964-1986

(866) RESI-ENV

www.reilab.com https://clients.reilab.com

5801 Logan St, Suite 100, Denver, CO 80216

*Samples were taken from the railing jmontiel Highlight

Glacier National Park

HAZARDOUS MATERIALS INSPECTION COVER SHEET

Building Title Kintla Bridge

Park Location North Fork

Building No. _______________ FMSS Location No.

PREPARATION FOR SURVEY

1 heck each HAZMAT suspected in this building then elaborate on where these may be located:

_____Asbestos Containing Materials: bridge support

EEl Lead-based Paint: N/A

El Rodents (1-lantavirus): N/A

H Mold: N/A

[~] Other:

2. Check and identify existing HAZMAT records; Identify what was found and where; If none go to paragraph 4

[~1 Local Records search conducted on 11/13/20 by Mike Palumbo Found N (V/N)

[~] TIC Records search conducted on by Found (V/N)

3. If records were found is an updated survey needed to record past rehab or renovation?

If YES, then proceed to paragraph 4; If NO, skip to paragraph 6 and file this form with the record

CONDUCT THE SURVEY

4. Identify material was surveyed, date of survey and name of surveyor; (attach HAZMAT Form 2 & floor plan) asbestos Survey done; conducted on 11/10/20 by_Mike_Palumbo done; conducted on by_________________________________________

Survey done; conducted on by_________________________________________ done; conducted on by_________________________________________ done; conducted on by_________________________________________

5. From survey send samples for HAZMAT testing (attach HAZMAT Form 3) and complete the HAZMAT Laboratory Testing Checklist (attach HAZMAT Form 4):

4 of ACM samples sent:______ Lab:

4 of Paint samples sent:______ Lab:

4 of Mold samples sent:_____ Lab:

6. As a result of the survey:

~ Survey is negative for HAZMAT confirmed through testing (forms attached) fl This is an updated survey to correct the record (forms attached as needed)

~. El Records are adequate and pdate survey is needed

~ (Certified Inspector)

Printed name of inspector Michael Palumbo

Inspector’s MT License Number_MTA-4135 Expires on4130’21

HAZMAT Form 1 1

HAZMAT SURVEY FORM BY MATERIAL

Note: Use one form per suspect hazardous material found in the building

Building If: ______ Building Description: Kintla Bridge Homogeneous area number: 1 Type of Material: SurfacingOTSlOMisc.®

Homogeneous Material Description: concrete Functional Space Description: support

Friable: YesLlNo~condition of material: good

Extentofdamage: NoneC <10%Q >10%~~ <25%(J

Type of damage: Deterioration~D waterO PhysicalO Dry RotC Rodent 0 Potential for significant damage: Yes El No _______ Describe: ____________________

Est’d Quantity of material: Square feet 200 Pipe: Size_______ Footage ___________ Size _________Footage __________

Size ________Footage ___________ Size __________Footage ___________

Type of Substrate (for surfacing materials):

RATE EACH OF THE FOLLOWING RISKS High Moderate Low

Accessibility El Li i~i Contact by general public El i~i Contact by building occupants El El Activity near the material LI LI I~i Possibility of vibration damage LI Li Possibilityofwaterdamage El El El Possibility of air erosion El El I~l Possibility of vandalism LI El I~l Corn ments:

Signature of Inspector: Date: 11/13/20

HAZMAT Form 2

Note: Use one form per suspect hazardous material found in the building

Building It: ______ Building Description: Kintla Bridge Homogeneous area number;2 Type of Material: SurfacingOTSlOMisc.®

Homogeneous Material Description: concrete Functional Space Description: support

Friable: YesLJNo~Condition of material: good

Extentofdamage: NoneC <1O%O >1O%rJ <25%~D >25%rJ Type of damage: Deterioration0 WaterQ PhysicalQ Dry Rot~D RodentO

Potential for significant damage: Yes El No ii?i Describe: ____________________

Est’d Quantity of material: Square feet 200 Pipe: Size_______ Footage ___________ Size _________Footage __________

Size _______Footage __________ Size _________Footage __________

Type of Substrate (for surfacing materials):

RATE EACH OF THE FOLLOWING RISKS High Moderate Low

Accessibility El El Contact by general public El El Contact by building occupants El El [~?] Activity near the material El LI i~i Possibility of vibration damage El LI Possibilityofwaterdamage El [~1 El Possibility of air erosion El LI [~] Possibility of vandalism LI El Comments:

Signature of lnspector:Jj~~Date: 11/13/20

HAZMAT Laboratory Testing Checklist

• . Kintla BridgeProject Title:

Date: 11/13/20

Description of HAZMAT Work: ____________

1. Asbestos:

1 1/10/20Date samples taken: ____________________ Sampler:

Type, material and quantity of samples taken: 2 concrete

Laboratory analyzing samples: REI

Do results indicate asbestos containing material > 1.0%?

Check type of asbestos detected: Tremolite:

Anthophyllite: .0...

Amosite: C)

Location where asbestos sampling results were filed: —

2. Lead: / Date sample taken: n a Location of samples taken in building: ________

Laboratory analyzing samples:

Do results indicate lead > 0.5% by weight?

Location where lead sampling results were filed:

3. Hantavirus Potential:

Is there sign of rodent infestation?

Location(s) in building where signs were noted:

4. Mold:

Is there sign of mold?

Describe evidence in detail:

Locations) in building where signs were noted:

Yeslil (identify type below) % content: __________

% content: ___________

% content: __________

FMSS Location #:

______ PMIS#: _____________ Location:

North Fork

Michael Palumbo Note: Attach Chain of Custody Record (HAZMAT Form 3)

Sampler:

_____ Date sent to lab: 11/13/20 Date results returned: ___________

NoJE (no asbestos hazard exists) Actinolite: % content: ___________

Chrysotile: % content: ___________

Crocidolite: % content: __________

Filer:

Method of sampling done:

Yesjj

Date sent to lab: ___________ Date results returned:

NoI~1 (no lead hazard exists) Filer:

YesU Noj~

YesU No~

HAZMAT Form 4

Building Title Ford Creek Bridge

Park Location North Fork

Building No. _______________ FMSS Location No. 3??‘+ 7

PREPARATION FOR SURVEY

1 heck each HAZMAT suspected in this building then elaborate on where these may be located:

V_Asbestos Containing Materials: concrete

LI Lead-based Paint:

LI Rodents (Hantavirus): n/a

El Mold: n/a

_____Other:

2. Check and identify existing HAZMAT records; Identify what was found and where; If none go to paragraph 4

[~1 Local Records search conducted on 11/13/20 by Mike Palumbo Found N (YIN)

F~l TIC Records search conducted on by Found (Y/N)

3. If records were found is an updated survey needed to record past rehab or renovation?

If YES, then proceed to paragraph 4; If NO, skip to paragraph 6 and file this form with the record

CONDUCT THE SURVEY

4. Identify material was surveyed, date of survey and name of surveyor; (attach HAZMAT Form 2 & floor plan) asbestos Survey done; conducted on 11/10/20 byM~_Palumbo done; conducted on by_________________________________________ done; conducted on by_________________________________________ done; conducted on by_________________________________________ done; conducted on by_________________________________________

5. From survey send samples for HAZMAT testing (attach HAZMAT Form 3) and complete the HAZMAT Laboratory Testing Checklist (attach HAZMAT Form 4):

2 #of ACM samples sent:1111312° Lab: Reservoirs Environmental Inc.

of Paint samples sent:______ Lab:

of Mold samples sent:_____ Lab:

6. As a result of the survey:

EEl Survey is negative for HAZMAT C HAZMAT confirmed through testing (forms attached) Eli This is an updated survey to correct the record (forms attached as needed)

~. EEl Records are adequate and no is needed

Signature Validatio~i:

Printed name of inspectorM~~_Palumbo

Inspector’s MT License Number MTA-4135

Certified Inspector)

Expires on 4/30/21

HAZMAT Form 1

Note: Use one form per suspect hazardous material found in the building

Building#: ______ Building Description: Ford Creek Bridge Homogeneous area number:_________ Type of Material: SurfacingOrSlOMisc.O

Homogeneous Material Description: upper 1A Functional Space Description:suPP0II

Friable: Yes~No~Condition of material: _________________________________________

Extentofdamage: NoneQ <1O%Q >1O%Q <25%r~ >25%rJ Type of damage: Deterioration0 WaterC PhysicalQ Dry RotQ RodentO

Potential for significant damage: Yes D No II?1 Describe: ____________________

Est’d Quantity of material: Square feet 200 Pipe: Size_______ Footage __________ Size _________Footage __________

Size ________Footage ___________ Size __________Footage ___________

Type of Substrate (for surfacing materials):

RATE EACH OF THE FOLLOWING RISKS High Moderate Low

Accessibility El El i~i Contact by general public El El I~1 Contact by building occupants El El IFi Activity near the material LI El Possibility of vibration damage LI LI Possibilityofwaterdamage El LI Possibility of air erosion U Possibility of vandalism LI El Comments:

Note: Use one form per suspect hazardous material found in the building

Building U: ______ Building Description: Ford Creek Bridge Homogeneous area number:_________ Type of Material: SurfacingOTSlOMisc.O

Homogeneous Material Description: upper lB Functional Space Description: support

Friable: YesLlNo~Condition of material: _________________________________________

Extentofdamage: NoneQ <1O%C >1O%~~ <25%r~

Type of damage: Deterioration0 WaterQ PhysicalO Dry Rot~D RodentQ

Potential for significant damage: Yes El No F~1 Describe: ____________________

Est’d Quantity of material: Square feet 200 Pipe: Size_______ Footage __________ Size _________Footage __________

Size _______Footage __________ Size _________Footage

Type of Substrate (for surfacing materials):

RATE EACH OF THE FOLLOWING RISKS High Moderate Low

Accessibility El El I~1 Contact by general public El LI Ii?] Contact by building occupants LI El [~] Activity near the material El EEl [~1 Possibility of vibration damage El El Possibilityofwaterdamage LI I~1 El Possibility of air erosion El El Possibilityof vandalism El LI [~ Comments:

Note: Use one form per suspect hazardous material found in the building

Building#: ______ Building Description: Ford Creek Bridge Homogeneous area number:_________ Type of Material: SurfacingOTSlOMisc.®

Homogeneous Material Description: upper 1 C Functional Space Description: bearing pad

Friable: YesLlNo~Condition of material: ___________________________________________

Extentofdamage: NoneQ <10%C >10%CJ c25%Q >25%CJ~

Type of damage: Deterioration~D waterED PhysicalO Dry RotQ Rodent 0 Potential for significant damage: Yes LI No I~1 Describe: ____________________

Est’d Quantity of material: Square feet ______________

Pipe: Size_______ Footage __________ Size _________Footage __________

Size Footage __________ Size _________Footage __________

Type of Substrate (for surfacing materials):

RATE EACH OF THE FOLLOWING RISKS High Moderate Low

Accessibility El El i~] Contact by general public El El El Contact by building occupants El El El Activity near the material El El I~l Possibility of vibration damage El El El Possibilityofwaterdamage El El El Possibility of air erosion LI El El Possibility of vandalism El El El Comments:

• . Ford Creek BridgeProject Title:

Date: 11/13/20 Description of HAZMAT Work: ________________________

1. Asbestos:

11/10/20Date samples taken: ___________________ Sampler:

Type, material and quantityofsamplestaken: 3 concrete

Laboratory analyzing samples: REI

Do results indicate asbestos containing material > 1.0%?

Check type of asbestos detected: Tremolite:

Anthophyllite: iD_ Amosite:

Location where asbestos sampling results were filed: —

2. Lead:

N/ADate sample taken: ___________________

Location of samples taken in building: _________

Laboratory analyzing samples: ________________

Do results indicate lead > 0.5% by weight?

Location where lead sampling results were filed:

3. Hantavirus Potential:

Is there sign of rodent infestation?

Location(s) in building where signs were noted:

4. Mold:

Is there sign of mold?

Describe evidence in detail:

Locations) in building where signs were noted:

FMSS Location #:

Glacier National Park

HAZMAT Laboratory Testing Checklist

North Fork ______ PMIS #: _____________ Location: _____________

Mike Palumbo Note: Attach Chain of Custody Record (HAZMAT Form 3)

Yes0 (identify type below) % content: ___________

% content: ___________

% content: __________

Sampler:

Date sent to lab: 11/13/20 Date results returned:

NoC (no asbestos hazard exists) Actinolite: i2.. % content: ___________

Chrysotile: % content: ___________

Crocidolite: % content: ___________

Filer:

Method of sampling done:

YesII

Date sent to lab: ___________ Date results returned:

Noj~ (no lead hazard exists)

Filer:

Yes0 NoJE

Building Title Dutch Creek Bridge

Park Location North Fork

Building No. _______________ FMSS Location No. 3pg’ss

PREPARATION FOR SURVEY

1 heck each HAZMAT suspected in this building then elaborate on where these may be located:

_____Asbestos Containing Materials: SUPPOrt

EEl Lead-based Paint: N/A

EEl Rodents (Hantavirus): N/A ri Mold: N/A

[~] Other:

2. Check and identify existing HAZMAT records; Identify what was found and where; If none go to paragraph 4

[~] Local Records search conducted on 11/13/20 by Mike Palumbo Found N (YIN)

E~1 TIC Records search conducted on by Found (Y/N)

3. If records were found is an updated survey needed to record past rehab or renovation? _____(YIN) If YES, then proceed to paragraph 4; If NO, skip to paragraph 6 and file this form with the record

CONDUCT THE SURVEY

4. Identify material was surveyed, date of survey and name of surveyor; (attach HAZMAT Form 2 & floor plan) asbestos Survey done; conducted on 11/10/20 by_Michael_Palumbo done; conducted on by_________________________________________ done; conducted on by_________________________________________ done; conducted on by_________________________________________ done; conducted on by_________________________________________

5. From survey send samples for HAZMAT testing (attach HAZMAT Form 3) and complete the HAZMAT Laboratory Testing Checklist (attach HAZMAT Form 4):

2 It of ACM samples hhh1~~20 Lab: Reservoir Environmental Inc.

______It of Paint samples sent:______ Lab: ________________________________________________ It of Mold samples sent: Lab: _________________________________________

Other:

6. As a result of the survey:

~ Survey is negative for HAZMAT _____HAZMAT confirmed through testing (forms attached) ~ This is an updated survey to correct the record (forms attached as needed)

7. 0 Records are adequate and no u daty~urvey is needed

Signature Valida ion:

____________________________________________________________(Certified Inspector)

Printed name of inspector_Michael Palumbo

Inspector’s MT License Number_MTA-4135 Expires on 4/30/21

HAZMAT Form I I

HAZMAT SURVEY FORM BY MATERIAl.

Note: Use one form per suspect hazardous material found in the building

Building#: ______ Building Description: Dutch Creek Bridge Homogeneous area number: IA Type of Material: SurfacingOTSlOMisc.®

Homogeneous Material Description: concrete Functional Space Description:suPP0It

Friable: YesLlNo~Condition of material: ___________________________________________

Extentofdamage: NoneC <1O%Q >1O%(3 <25%~flJ >25%r~ Type of damage: Deterioration0 WaterC PhysicalO Dry RotO RodentO

Potential for significant damage: Yes LI No Li?1 Describe: ____________________

Est’d Quantity of material: Square feet 200 Pipe: Size_______ Footage ___________ Size _________Footage __________

Size ________Footage ___________ Size __________Footage ___________

Type of Substrate (for surfacing materials):

RATE EACH OF THE FOLLOWING RISKS High Moderate Low

Accessibility El El Contact by general public El El Ii?1 Contact by building occupants El El IFI Activity near the material El El Possibility of vibration damage El El Possibilityofwaterdamage El [~?] El Possibility of air erosion El El i:~i Possibility of vandalism El El El Comments:

Note: Use one form per suspect hazardous material found in the building

Building #: ______ Building Description: Dutch Creek Bridge Homogeneous area number: lB Type of Material: SurfacingOTSlOMisc.G

Homogeneous Material Description: concrete Functional Space Description:SuPP0II

Friable: Yes~No~Condition of material: ___________________________________________

Extentofdamage: NoneC <1O%C >10%1~ <25%~E~

Type of damage: Deterioration0 WaterO PhysicalQ Dry RotO RodentQ

Potential for significant damage: Yes LI No _______ Describe: ____________________

Est’d Quantity of material: Square feet 200 Pipe: Size_______ Footage __________ Size _________Footage __________

Size _______Footage __________ Size _________Footage __________

Type of Substrate (for surfacing materials):

RATE EACH OF THE FOLLOWING RISKS High Moderate Low

Accessibility El El i~i Contact by general public El El El Contact by building occupants El El El Activity near the material El El I~l Possibility of vibration damage El El El Possibility of water damage El El El Possibility of air erosion El El El Possibility of vandalism El El El Comments:

Signature of Inspector: ~U~~Date: 11/13/20

• . Dutch Creek BridgeProject Title: ____________________________

Description of HAZMAT Work: ____________

1. Asbestos:

11/10/20Date samples taken: ___________________ Sampler:

Type, material and quantityofsamplestaken: 2 concrete

Laboratory analyzing samples: REI

Do results indicate asbestos containing material > 1.0%?

Check type of asbestos detected: Tremolite:Q~ Anthophyllite: ~ Amosite: .13.

Location where asbestos sampling results were filed: —

Mike Palumbo

YeslZ (identify type below) % content: __________

% content: ___________

% content: __________

North Fork

2. Lead:

N/ADate sample taken: ___________________

Location of samples taken in building:

Laboratory analyzing samples: ___________

Do results indicate lead >0.5% by weight?

Location where lead sampling results were filed:

_____ Date sent to lab: Date results returned:

NoI~1 (no lead hazard exists)

3. Hantavirus Potential:

Is there sign of rodent infestation?

Location(s) in building where signs were noted:

4. Mold:

Is there sign of mold? vesLi No~

Describe evidence in detail:

Locations) in building where signs were noted:

Glacier National Park

HAZMAT Laboratory Testing Checklist

PMIS It: ______________

3~-rsrFMSS Location It:

Location:

Note: Attach Chain of Custody Record (HAZMAT Form 3)

Sampler:

_____ Date sent to lab: 11/13/20 Date results returned: ___________

NojJj (no asbestos hazard exists) Actinolite: % content:

Chrysotile: % content: ___________

Crocidolite: % content: ___________

_____________ Filer: ___________________________________

Method of sampling done:

YesU Filer:

YesU Noj~

Building Title Akokola Creek Bridge

Park iocationN0~Th Fork

Building No. _______________ FMSS Location No. 3~.%~~fç3 2

PREPARATION FOR SURVEY

1 heck each HAZMAT suspected in this building then elaborate on where these may be located:

_____Asbestos Containing Materials: concrete

D Lead-based Paint: N/A

LI Rodents (Hantavirus): N/A

H Mold: N/A

[~] Other:

2. Check and identify existing HAZMAT records; Identify what was found and where; If none go to paragraph 4

[~1 Local Records search conducted on 11/13/20 by Mike Palumbo Found N (YIN)

F~i TIC Records search conducted on by Found (YIN)

3. If records were found is an updated survey needed to record past rehab or renovation?

If YES, then proceed to paragraph 4; If NO, skip to paragraph 6 and file this form with the record

CONDUCT THE SURVEY

4. Identify material was surveyed, date of survey and name of surveyor; (attach HAZMAT Form 2 & floor plan) asbestos Survey done; conducted on 11/10/20 by_Mike_Palumbo done; conducted on by_________________________________________ done; conducted on by_________________________________________ done; conducted on by_________________________________________ done; conducted on by

S. From survey send samples for HAZMAT testing (attach HAZMAT Form 3) and complete the HAZMAT Laboratory Testing Checklist (attach HAZMAT Form 4):

2 it of ACM samples ~ Lab: Reservoir Environmental Inc.

of Paint samples sent:______ Lab:

of Mold samples sent:_____ Lab:

6. As a result of the survey:

U Survey is negative for HAZMAT Li HAZMAT confirmed through testing (forms attached) C This is an updated survey to correct the record (forms attached as needed)

i. U Records are adequate a no update survey is needed

Si~n1~je\Ial~ion:g (Certified Inspector)

Printed name of inspector Michael Palumbo

HAZMAT Form!

Note: Use one form per suspect hazardous material found in the building

Building 4*: ______ Building Description: Akokola Creek Bridge Homogeneous area number: 1A Type of Material: SurfacingOTSlOMisc.®

Homogeneous Material Description: concrete Functional Space Description:S1JPP0It

Friable: YesLJNc~Condition of material: good

Extentofdamage: NoneQ <1O%Q >1O%CJ .c25%Q >25%r~ Type of damage: Deterioration~D WaterO PhysicalO Dry RotO RodentO

Potential for significant damage: Yes LI No IFI Describe: ____________________

Est’d Quantity of material: Square feet 200 Pipe: Size________ Footage ___________ Size __________Footage

Size _______Footage __________ Size _________Footage

Type of Substrate (for surfacing materials):

RATE EACH OF THE FOLLOWING RISKS High Moderate Low

Accessibility El El Contact by general public El El Ii?1 Contact by building occupants El El i:~i Activity near the material El El Ii?1 Possibility of vibration damage El El Possibilityofwaterdamage El El Possibility of air erosion El El Possibility of vandalism El El Ii?1 Comments:

Note: Use one form per suspect hazardous material found in the building

Building #: ______ Building Description: Akokola Creek Bridge Homogeneous area number: lB Type of Material: SurfacingOTSlOMisc.®

Homogeneous Material Description: concrete Functional Space Description:SUPP0It

Friable: Yes~No~Condition of material: good

Extentofdamage: NoneC <1O%Q >10%(~~ <25%~flJ

Type of damage: Deterioration0 WaterC PhysicalQ Dry Rot~D RodentO

Potential for significant damage: Yes LI No Ii?1 Describe: ____________________

Est’d Quantity of material: Square feet 200 Pipe: Size________ Footage ___________ Size Footage ___________

Size ________Footage ___________ Size Footage ___________

Type of Substrate (for surfacing materials):

RATE EACH OF THE FOLLOWING RISKS High Moderate Low

Accessibility El LI i~i Contact by general public El LI [~?i Contact by building occupants LI LI [~i Activity near the material LI El i~i Possibility of vibration damage LI LI Possibilityofwaterdamage LI LI Possibility of air erosion LI LI II~?i Possibilityof vandalism LI El [~] Comments:

• • Akokola Creek BridgeProject Title: ____________________________

Date: _____________________________________

Description of HAZMAT Work: ____________

1. Asbestos:

11/10/20Date samples taken: Sampler:

Type, material and quantity of samples taken: 2 concrete

Laboratory analyzing samples: REI

Do results indicate asbestos containing material > 1.0%?

Check type of asbestos detected: Tremolite:

Anthophyllite: -~ Amosite:

Location where asbestos sampling results were filed: —

2. Lead:

N/ADate sample taken: ___________________

Location of samples taken in building:

Laboratory analyzing samples: ___________

Do results indicate lead > 0.5% by weight?

Location where lead sampling results were filed:

Date sent to lab: __________ Date results returned:

No~ (no lead hazard exists)

3. Hantavirus Potential:

Is there sign of rodent infestation?

Location(s) in building where signs were noted:

4. Mold:

Is there sign of mold? YesLi No~

Describe evidence in detail:

Locations) in building where signs were noted:

Glacier National Park

HAZMAT Laboratory Testing Checklist

________ PMIS #:

FMSS Location #:

Location: North Fork

Mike Palumbo Note: Attach Chain of Custody Record (HAZMAT Form 3)

Yesiji (identify type below) % content: ___________

% content: ___________

% content: ___________

Sampler:

Date sent to lab: 11/13/20 Date results returned:

Noj1 (no asbestos hazard exists) Actinolite: % content: ___________

Chrysotile: % content: ___________

Crocidolite: % content: ___________

Filer:

Method of sampling done:

Yes0

Filer:

YesIJ Noj~

Building Title Bowman Creek Bridge

Park Location North Fork

Building No. _______________ FMSS Location No. ________________________

PREPARATION FOR SURVEY

1 heck each HAZMAT suspected in this building then elaborate on where these may be located:

V_Asbestos Containing Materials: concrete

El Lead-based Paint: N/A

[1 Rodents (Hantavirus): N/A

El Mold: N/A

[~] Other:

2. Check and identify existing HAZMAT records; Identify what was found and where; If none go to paragraph 4

[~] Local Records search conducted on 11/13/20 by Mike Palumbo Found N (YIN)

El TIC Records search conducted on by Found (YIN)

3. If records were found is an updated survey needed to record past rehab or renovation? _____(YIN) If YES, then proceed to paragraph 4; If NO, skip to paragraph 6 and file this form with the record

CONDUCT THE SURVEY

4. Identify material was surveyed, date of survey and name of surveyor; (attach HAZMAT Form 2 & floor plan) asbestos Survey done; conducted on 11/10/20 by_Mike Palumbo

______________________Survey done; conducted on _______ by_________________________________________

______________________Survey done; conducted on _______ by_________________________________________

______________________Survey done; conducted on _______ by_________________________________________

______________________Survey done; conducted on _______ by_________________________________________

5. From survey send samples for HAZMAT testing (attach HAZMAT Form 3) and complete the HAZMAT Laboratory Testing Checklist (attach HAZMAT Form 4):

2 1$ of ACM samples sent:1111~° Lab: Reservoir Environmental Inc.

______It of Paint samples sent:______ Lab: _____________________________________________________________________

_____# of Mold samples sent:_____ Lab: ____________________________________________________________

______Other:

6. As a result of the survey:

~ Survey is negative for HAZMAT _____HAZMAT confirmed through testing (forms attached) ~ This is an updated survey to correct the record (forms attached as needed)

~. EEl Records are ayi~quate andAo uDate sunev is needed

Signature~),iaIidation~

Certified Inspector)

Printed name of inspectorM~~_Palumbo

Note: Use one form per suspect hazardous material found in the building

Building U: ______ Building Description: Bowman Creek Bridge Homogeneous area number: 1A Type of Material: SurfacingOTSlOMisc.®

Homogeneous Material Description: concrete Functional Space Description:SuPP0II

Friable: Yes0No~Condition of material: good

Extentofdamage: NoneC <1O%C >1O%(J <25%(J~ >25%(~

Type of damage: Deterioration0 WaterQ PhysicalQ Dry RotC RodentO

Potential for significant damage: Yes LI No i~Ei Describe: ____________________

Est’d Quantity of material: Square feet 200 Pipe: Size________ Footage ___________ Size __________Footage ___________

Size ________Footage ___________ Size __________Footage ___________

Type of Substrate (for surfacing materials):

RATE EACH OF THE FOLLOWING RISKS High Moderate Low

Accessibility El El Contact by general public El El Ii?1 Contact by building occupants El El Activity near the material El El Possibility of vibration damage El El Possibilityofwaterdamage El [~1 El Possibility of air erosion El El I~1 Possibility of vandalism El El Comments:

Note: Use one form per suspect hazardous material found in the building

Building#: ______ Building Description: Bowman Creek Bridge Homogeneous area number: I B Type of Material: SurfacingOlSlOMisc.®

Homogeneous Material Description: concrete Functional Space Description:SuPP0II

Friable: Yes~No~Condition of material: good

Extentofdamage: NoneC <1O%Q >10%ID <25%rJ Type of damage: Deterioration0 waterED PhysicalQ Dry RotC

Potential for significant damage: Yes El No Ii?1 Describe:

Est’d Quantity of material: Square feet 200 Pipe: Size_______ Footage __________

Size ________Footage ___________

Type of Substrate (for surfacing materials): —

Size _________Footage

Size _________Footage

Comments:

Signature of Inspector’ Date: 11/13/20

>25%Q Rodent C

RATE EACH OF THE FOLLOWING RISKS High Moderate Low

Accessibility El El Contact by general public El El Ii?1 Contact by building occupants El El Activity near the material El EEl Possibility of vibration damage El El Possibility of water damage El El Possibility of air erosion LI El i:~l Possibility of vandalism El El

• . Bowman Creek BridgeProject Title: _________________________________

Date: 11/13/20 Description of HAZMAT Work: ____________

1. Asbestos:

1 1/1 0/20Date samples taken: ____________________ Sampler:

Type, material and quantity of samples taken: 2 concrete

Laboratory analyzing samples: REI

Do results indicate asbestos containing material> 1.0%?

Check type of asbestos detected: Tremolite:

Anthophyllite: Q_ Amosite:

Location where asbestos sampling results were filed: —

_____ Date sent to lab: 11/13/20 Date results returned:

N0C (no asbestos hazard exists) Actinolite: ~Q. % content: ___________

Chrysotile: % content: ___________

Crocidolite: % content: ___________

2. Lead: N/A Date sample taken: ____________________

Location of samples taken in building: —

Laboratory analyzing samples: ___________

Do results indicate lead >0.5% by weight?

Location where lead sampling results were filed:

3. Hantavirus Potential:

Is there sign of rodent infestation?

Location(s) in building where signs were noted: —

4. Mold:

Is there sign of mold? YesLi No~

Describe evidence in detail:

Locations) in building where signs were noted:

FMSS Location #: 38844

PMIS It: Location: North Fork

Mike Palumbo Note: Attach Chain of Custody Record (HAZMAT Form 3) yesC (identify type below)

% content: __________

% content: ___________

% content: __________

Sampler:

Filer:

Method of sampling done:

YesQ

Date sent to lab: Dat results returned:

No8 (no lead hazard exists) Filer:

YesIJ NoJE

Building Title Quartz Creek Bridge

Park Location North Fork

Building No. ________________ FMSS Location No. 38843

PREPARATION FOR SURVEY

1 heck each HAZMAT suspected in this building then elaborate on where these may be located:

V_Asbestos Containing Materials: concrete

El Lead-based Paint: N/A

El Rodents (1-lantavirus): N/A

H Mold: N/A

F~i Other:

2. Check and identify existing HAZMAT records; Identify what was found and where; If none go to paragraph 4

_____Local Records search conducted on 11/13/20 by Mike Palumbo Found N (V/N)

El TIC Records search conducted on by Found (Y/N)

3. If records were found is an updated survey needed to record past rehab or renovation? _____(YIN) If YES, then proceed to paragraph 4; If NO, skip to paragraph 6 and file this form with the record

CONDUCT THE SURVEY

4. Identify material was surveyed, date of survey and name of surveyor; (attach HAZMAT Form 2 & floor plan) asbestos Survey done; conducted on 11/10/20 by_Mike Palumbo

______________________Survey done; conducted on _______ by_________________________________________

______________________Survey done; conducted on _______ by_________________________________________

______________________Survey done; conducted on _______ by_________________________________________

______________________Survey done; conducted on _______ by_________________________________________

5. From survey send samples for HAZMAT testing (attach HAZMAT Form 3) and complete the HAZMAT Laboratory Testing Checklist (attach HAZMAT Form 4):

2 # of ACM samples hhh1~~20 Lab: Reservoirs Environmental Inc.

______It of Paint samples sent:______ Lab: _____________________________________________________________________

_____It of Mold samples sent:_____ Lab: ____________________________________________________________

_____Other:

6. As a result of the survey:

_____Survey is negative for HAZMAT _____HAZMAT confirmed through testing (forms attached) C This is an updated survey to correct the record (forms attached as needed)

Records Vè adequate and,n’a upØ~e stgvev is needed

Valid

Printed name of inspectorMidi~eI_Palumi

Inspector’s MT License Number_MTA-4135

Certified Inspector)

Expires on 4/30/21

7.

FJAZMAT Form! I

Note: Use one form per suspect hazardous material found in the building

Building U: ______ Building Description: Quartz Creek Bridge Homogeneous area number: IA Type of Material: SurfacingOTSlOMisc.®

Homogeneous Material Description: concrete Functional Space Description:SuPP011

Friable: Yes~No~Condition of material: good

Extentofdamage: NoneC <1O%C >1O%(D <25%CJ >25%rJ Type of damage: Deterioration0 waterED PhysicalQ Dry RotG~ RodentO

Potential for significant damage: Yes D No I~l Describe: ___________________

Est’d Quantity of material: Square feet 200 Pipe: Size_______ Footage __________ Size _________Footage __________

Size _______Footage __________ Size _________Footage __________

Type of Substrate (for surfacing materials):

RATE EACH OF THE FOLLOWING RISKS High Moderate Low

Accessibility El El i~i Contact by general public El El El Contact by building occupants El El El Activity near the material LI LI i~i Possibility of vibration damage El El El Possibilityofwaterdamage El El El Possibility of air erosion LI El I~l Possibility of vandalism El LI I~l Comments:

Note: Use one form per suspect hazardous material found in the building

Building If: ______ Building Description: Quartz Creek Bridge Homogeneous area number: I B Type of Material: SurfacingOtSlOMisc.®

Homogeneous Material Description: concrete Functional Space Description:SuPP0It

Friable: YesLlNo~Condition of material: good

Extentofdamage: NoneQ <1O%C >1O%CJ c25%CJ >25%CJ

Type of damage: Deterioration~D waterED PhysicalO Dry RotO Rodent C Potential for significant damage: Yes D No I~1 Describe: ___________________

Est’d Quantity of material: Square feet 200 Pipe: Size________ Footage ___________ Size __________Footage ___________

Size ________Footage ___________ Size __________Footage ___________

Type of Substrate (for surfacing materials):

RATE EACH OF THE FOLLOWING RISKS High Moderate Low

Accessibility D D Contact by general public D D El Contact by building occupants D D El Activity near the material LI LI I~I Possibility of vibration damage LI Possibilityofwaterdamage LI t~l LI Possibility of air erosion LI EEl [i~?l Possibility of vandalism LI LI El Comments:

Quartz Creek BridgeProject Title: _________________________________

Date: 11113120 Description of HAZMAT Work: _________________-

1. Asbestos:

1 1/1 0/20Date samples taken: ___________________ Sampler:

Type, material and quantityofsamplestaken: 2 concrete Laboratory analyzing samples: REI

Do results indicate asbestos containing material > 1.0%?

Check type of asbestos detected: Tremolite:

Anthophyllite: -~ Amosite:

Location where asbestos sampling results were filed: —

Mike Palumbo yeslEl (identify type below) % content: ____________

% content: __________

% content: ____________

2. Lead:

N/ADate sample taken: ___________________

Location of samples taken in building:

Laboratory analyzing samples: ___________

Do results indicate lead >0.5% by weight?

Location where lead sampling results were filed:

_____ Date sent to lab: ___________ Date results returned: ____________

NoØ (no lead hazard exists) Filer:

3. Hantavirus Potential:

Is there sign of rodent infestation?

Location(s) in building where signs were noted:

4. Mold:

Is there sign of mold?

Describe evidence in detail:

Locations) in building where signs were noted:

Glacier National Park

HAZMAT Laboratory Testing Checklist

North Fork ________________ PMIS #: _____________ Location: _____________

FMSS Location it: 38843

Note: Attach Chain of Custody Record (HAZMAT Form 3)

Sampler:

_____ Date sent to lab: 11113120 Date results returned: ___________

N0JEI (no asbestos hazard exists) Actinolite: % content: __________

Chrysotile: % content: __________

Crocidolite: % content: __________

___________ Filer: ________________________________

Method of sampling done:

yesO

YesC NoJE

Building Title Logging Creek Bridge

Park Location North Fork

Building No. ________________ FMSS Location No. 38842

PREPARATION FOR SURVEY

1 heck each HAZMAT suspected in this building then elaborate on where these may be located:

V_Asbestos Containing Materials: concrete

El Lead-based Paint: N/A

EEl Rodents (Hantavirus): N/A

El Mold: N/A

El Other:

2. Check and identify existing HAZMAT records; Identify what was found and where; If none go to paragraph 4

[~1 Local Records search conducted on 11/13/20 by Mike Palumbo Found N (YIN)

El TIC Records search conducted on by Found (YIN)

3. If records were found is an updated survey needed to record past rehab or renovation? _____(YIN) If YES, then proceed to paragraph 4; If NO, skip to paragraph 6 and file this form with the record

CONDUCT THE SURVEY

4. Identify material was surveyed, date of survey and name of surveyor; (attach HAZMAT Form 2 & floor plan) asbestos Survey done; conducted on 11/10/20 byMike_Palumbo

______________________Survey done; conducted on _______ by_________________________________________

______________________Survey done; conducted on _______ by_________________________________________

______________________Survey done; conducted on _______ by_________________________________________

______________________Survey done; conducted on _______ by_________________________________________

5. From survey send samples for HAZMAT testing (attach HAZMAT Form 3) and complete the HAZMAT Laboratory Testing Checklist (attach HAZMAT Form 4):

2 #of ACM samples sent:11113~° Lab: Reservoirs Environmental Inc.

______# of Paint samples sent:______ Lab: ________________________________________________________________

_____# of Mold samples sent:_____ Lab: ____________________________________________________________

______Other:

6. As a result of the survey:

~ Survey is negative for HAZMAT _____HAZMAT confirmed through testing (forms attached) LII This is an updated survey to correct the record (forms attached as needed)

Records are adequ; survey is needed

VaIid~

Printed name of inspectorM~~_Palumbo

Inspector’s MT License Number_MTA-4135

Certified Inspector)

Expires on 4/30/21

7.

Note: Use one form per suspect hazardous material found in the building

Building 4$: ______ Building Description: Logging Creek Bridge Homogeneous area number: 1A Type of Material: SurfacingOTSlOMisc.®

Homogeneous Material Description: concrete Functional Space Description:SuPP0rt

Friable: YesLilNo~Condition of material: good

Extentofdamage: NoneC c1O%Q >1O%rJ c25%i~ >25%~~

Type of damage: Deterioration0 WaterC PhysicalQ Dry RotO RodentO

Potential for significant damage: Yes ________No I~j Describe: ____________________

Est’d Quantity of material: Square feet 200 Pipe: Size_______ Footage __________ Size _________Footage __________

Size ________Footage ___________ Size Footage ___________

Type of Substrate (for surfacing materials):

RATE EACH OF THE FOLLOWING RISKS High Moderate Low

Accessibility D LI i~~i Contact by general public LI [El Contact by building occupants LI LI Activity near the material LI LI Ii?~1 Possibility of vibration damage LI LI Possibilityofwaterdamage LI El LI Possibility of air erosion LI LI i:~i Possibility of vandalism LI LI F~?1 Comments:

Signature of lnspector:1~Date: 11/13120

Note: Use one form per suspect hazardous material found in the building

Building 4*: ______ Building Description: Logging Creek Bridge Homogeneous area number: lB Type of Material: SurfacingOTSlOMisc.®

Homogeneous Material Description: concrete Functional Space Description:SuPP0~l

Friable: YesLINo~Condition of material: good

Extentofdamage: NoneC <1O%O >1O%rJ <25%~flJ >25%~EJ~

Type of damage: Deterioration~D WaterO PhysicalO Dry RotO RodentO

Potential for significant damage: Yes D No _______ Describe: ____________________

Est’d Quantity of material: Square feet 200 Pipe: Size________ Footage ___________ Size __________Footage ___________

Size _______Footage ___________ Size _________Footage

Type of Substrate (for surfacing materials):

RATE EACH OF THE FOLLOWING RISKS High Moderate Low

Accessibility LI LI Contact by general public LI LI El Contact by building occupants LI LI El Activity near the material LI LI Ii?1 Possibility of vibration damage LI El LI Possibilityofwaterdamage LI [~1 LI Possibility of air erosion LI LI I~1 Possibility of vandalism LI LI El Comments:

Signature of Inspector: LU Date: 11/13/20

Logging Creek BridgeProject Title:

Description of HAZMAT Work: ________________________

1. Asbestos:

Date samples taken: 11/1 0/20 Sampler:

Type, material and quantity of samples taken: 2 concrete

Laboratory analyzing samples: REI

Do results indicate asbestos containing material > 1.0%?

Check type of asbestos detected: Tremolite:

Anthophyllite Amosite:

Location where asbestos sampling results were filed: —

North Fork

Note: Attach Chain of Custody Record (HAZMAT Form 3)

Date sent to lab: 11/13/20 Date results returned:

N0JE (no asbestos hazard exists)…