FINHazardsEvaluationAbateRecomRpt 07212010_0002.pdf
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f/lMACTEC engineering and constructing a better tomorrow
July21,2010
Roxanne Dey Concessions Management Specialist National Park Service Lake Mead National Recreation Area 601 Nevada Way Boulder City, NV 89005
RE: FINAL Hazardous Material Evaluation/Abatement Recommendation Report Lake I\,lead Lodge Discontinuation & Adaptive Reuse Study Lake Mead National Recreation Area PIVOS Number 150265 Contract Number C2000091400 Task Ordet· Number T2011101100 MACT�C Project# 4666100006.07
Dear Ms. Dey:
MACTEC Engineering and Consulting, Inc. (MACTEC) was requested to perform an asbestos survey and limited lead-based paint survey at Lake Mead Lodge \Vhich consists of four buildings located in the Lake Mead National Recreation Area east of Boulder City, Nevada. MACTEC perfrwmed the inspection and sampling on April 6 and 7, 2010. MACTEC also per formed a walk-through of the building to identify potential hazardous material issues within the building.
The work was performed in accordance Contract No. 1443C20000091400, Task Order No;
T20l 1101100.
The Lake Mead Lodge Complex consisted of the following buildings:
Building Description Estimated Size Bllilding A Annex building - Lodge 2,500 square feet
Rooms 1-8 BuildingB Lodge Rooms 1-19 4,000 square feet Building C Main Office and Suites 6,000 square feet
Building D Lodge Rooms 20-37 4,000 square feet
Asbestos Survey
Prior to surveying and sampling the buildings, Ms. Roxanne Dey and an anned ranger perfom1ed a walk-though of the buildings to insure no vagrants occupied the buildings. Ms. Dey indicated the bui I dings had been abandoned for approximately one year. She was not aware of past abatement activities. Ms. Dey also informed the inspector that rat nesting and droppings had been observed and that precautions for hanta virus were necessary within the building.
Consequently prior to entrance into the buildings, the inspector donned a respirator tyvek suite, MACTEC Engineering and Consulting1, Inc.
1819 Denver Wesf Drive, Sui le 100 • Golden, CO 80401 • Phone: 303.292.5365 • 303.292.5411 www.mactec.com
Ms. Roxanne Dey Lake Mead National Recreation Area July 21,2010 disposable rubber gloves, and disposable rubber boots. The inspector also reviewed the job hazard analysis (HIA) for the site prepared by MACTEC.
On April 6 and 7, 2010, Torn Colwell , a certified asbestos inspector performed inspection and sampling of identified homogeneous sampling areas at the subject site. The goal of the survey and sampling was to identify suspect asbestos containing materials (ACM) and sample those materials to identify the presence of ACM within the building. The inspector conducted a reconnaissance of the building's visible and readily accessible areas to identify potential ACM.
The inspector did not disassemble equipment or demolish structural and or finished materials to collect samples.
Homogeneous sampling areas contain suspect materials that appear by texture, color, and wear to be uniform and appear to have been applied or installed during the same general time period.
Once homogeneous sampling areas were identified, MACTEC collected representative samples of identified homogeneous suspect materials in general accordance with Asbestos Hazard Emergency Response Act (AHERA) requirements.
Once collected, the samples were shipped to Reservoir Environmental Inc. (Reservoir) for laboratory analysis. Reservoir is a National Voluntary Laboratory Accreditation Program (NVLAP) certified laboratory. Reservoir utilized the EPA recommended method of polarized light microscopy (PLM) with dispersion staining to analyze the samples and report the type and percent concentrations of asbestos. PLM utilizes the unique optical crystallographic properties of asbestos for identification. A minimum of 10% quality control samples were collected by utilizing duplicates of selected samp1es to confirm laboratory accuracy. Duplicate samples are denoted with a "D' at the end of the sample designation and were included in the laboratory analysis. Duplicate samples were found to be consistent with the original samples.
Table 1 depicts the identified and sampled homogeneous areas, location, and description of the material , condition and reported laboratory analytical results for the material. Homogeneous Area Definition Sheets detailing the identified homogeneous areas are included in Attaclm1ent A.
Laboratory analytical results for the collected samples are presented in Attachment B. Photos of various identified and sampled materials are presented in Attachment C. Certification documentation for the asbestos inspector is included in Attachment D.
Results of the asbestos survey and sampling indicated the presence of ACM in the following materials:
• 9-inch by 9-inch floor tiles - Buildings A and C
• l-foot by 1-foot floor tile - Buildings A, H, C, and D
• Domestic water white corrugated paper pipe insulation and mud fittings - Buildings B and D.
• Bathroom floor linoleum - Buildings A, B, C, and D.
• Spray-on acoustical ceiling spray - Building C, conference room.
The remaining tested materials did not indicate the presence of asbestos in the collected samples.
It should be noted that a single sample is adequate to define a homogeneous material as asbestos containing. However to define a homogenous material as asbestos free requires asbestos less than 1 percent for the entire representative sampling set.
July 21, 2010
Asbestos Abatement Estimated Costs Typical abatement costs are provided to give a general idea of potential abatement costs based upon quantity of various types of materials. For a more accurate cost, an actual cost estimate should be obtained from a licensed abatement contractor.
Material Descri2tion Price Range/sguare feet(ft:2) Average Cost (ft2) Vinyl Floor Tile $1.00-5 .75 $3.40
Vinyl Floor Tile $2.00- 7.00 $4.50 With mastic
Thennal Systen.1 insulation $12.00 - 30.00 $22.50 On p]pes with fittings
Glovebagging $13 .00- 30.00 $21.50/linear foot
Spray-on material $12.00- 30.00 $22.50
(flat surface) Exterior Surfacing Material $3.00 - 12.00 $5.00
Drywall $6.00 - 12.00 $9.00
Other costs may be involved such as mobilization costs, pem1itting, containment, placement of scaffolding as needed, and air monitoring costs.
Lead-Based Paint Sampling
During the April 6 and 7, 2010 inspection, MACTEC identified pre-dominant paints on the interior and exterior of the four buildings making up Lake Mead Lodge and collected chip samples for analysis for lead-based paint (LBP). LBP is defined as paint or other surface coatings that contain lead equal to or in excess of 1 .0 milligrams per square centimeter or more than 0.5% by weight. The goal of the limited paint sampling was to provide data regarding the scope of LBP within the facility. MACTEC identified and sampled a total of sixteen ( 16) pre dominant paints and collected paint chip samples from those locations . Paint chip samples were delivered to Reservoir and analyzed for lead by atomic absorption spectrometry (AAS) (an EPA preferred method) . Reservoir is a member of the National Lead Laboratory Accreditation Program (NLLAP).
Table 2 depicts the identified pre-dominant paints, location, and description of the material, condition , and laboratory analytical results for the material. The laboratory analytical report is included in Attachment B. Photographs of select paints sampled are included in Attachment C.
One of the 16 tested paints was defined as LBP. The paint defined as LBP was collected from a blue tnm and post paint located on the exterior of Building D (Bldg D# LPA). That sample indicated a lead concentration of 1.91 %. The remaining 15 paint sample locations collected were found to be less than 0.5% lead and not considered to be LBP.
July 21, 2010
If a more thorough evaluation of the LBP in the building is required, an evaluation of the building can be performed using an x-ray fluorescence (XRF) unit to identify LBP in the facility. An XRF survey is an exhaustive search of all surfaces within all rooms of the buildings. The XRF provides on-site results of lead content.
Hazardous Materials Survey
During the April 6 and 7 2010 site visit, MACTEC perfom1ed a walk-through of the building and associated property to identify potentia l hazardous materials which might be a concern to the National Park Service. Photographs of noteworthy conditions are included in Attachment C.
MACTEC reviewed a Phase I Environmental Site Assessment (ESA) report provided by the National Park Service. The Phase I ESA was developed by Kleinfelder and dated August 27, 2008 (Project #96034.1 ). The Phase 1 ESA Teport included a cover letter, photographs, and a radius report. The report did not include text or conclusions indicating the identification of recognized environmental conditions (RECs). The photos and environmental radius reporl were reviewed. The photos indicated storage of chemica1s in the main building (Building C). At the time of the April 6 and 7, 20 IO inspection, those chemicals had been removed from the facflity.
A review of the radius report indicated no regulated findings within the ASTM l 527-05 prescribed search distances.
During the April 6 and 7, 2010 walk-through, the following conditions were observed and deemed note,vorthy:
• Pad-mounted transformers were observed behind each bui1ding. Transfonners can contain PCBs. No labeling denoting PCB content was identified on the b·ansformers and based on age and appearance, they are assumed to contain PCBs. The following transformer designations were observed:
Buildi11g Location Transformer Deshmatious Building A - Annex Behind Building AA-106
Building B-Rooms 1-19 Behind Building AA-107 & AA-257 Building C - Main Office Behind Building AA-194 & AA-200
Building D - Rooms 20-37 Behind Building AA-48 & AA-216
• Friable asbestos was noted in the maintenance rooms of Buildings Band D. The friable asbestos was in poor condition in these moms. If contractors are to perform work in these or other rooms in Buildings Band D, they should b e notified of the presence of friable asbestos and not to disturb these materials. Additionally, prior to any proposed demo! ition or renovation, abatement of ACM must be performed.
• Fluorescent lighting is typicaHy associated with lamp ballasts. Lamp ballasts can contain PCBs. Additionally, used light tubes can contain mercury. Used ballasts and 1ight tubes should be disposed of by using approved recycling or disposal vendors. Lamp ballasts and light tubes were observed in Building C. These materials will require specialized handling and disposal.
July 21 , 2010
• 1-fanta virus is a disease associated with animal waste . Evidence of animal intrusion into the buildings was noted .specifically in Building C. Precautions should be taken to reduce exposure to these animal wastes . These precautions should include respiratory protection· eye shielding; and disposable outer clothing including tyvek, gloves, and booties.
• Evidence of drug cooking was observed in Room 7 of Building B . Vapors ·from drug making activities may impact permeable surfaces within the room.
Conclusions
On April 6 and 7 2010 MACTEC perfonned an asbestos survey, lead paint chip sampling, and hazardous materials survey of the Lake Mead Lodge complex located in the Lake Mead National Recreation Area. ACM was identified in flooring materials, pipe insulation, and sprayed-on acoustical ceiling material. Prior to implementation of renovation or demolition activities, abaten1ent of identified ACM will be required. LBP was identified in one of the collected samples on Blue exterior paint on Building D. The remaining collected paint chip samples djd not indicate the presence of LBP. Hazardous mateda]s were identified including PCB containing pad-mounted transformers and light ballasts, hanta virus concerns and evidence of drug making paraphernalia. Specialized handling of identified hazardous materials would be required in the event of a renovation or demolition of the complex.
Thank you for allowing MACTEC to assist you with this project. If you have any questions please contact Tom Colwell at (303) 293-6053.
Sincerely, MACTEC Engine
Senior Scientist and Consulting, Inc.
Certified Asbestos Inspector cc: Paul Cloyd- NPS Denver Service Center
~ti£5 Senior Principal Chemist
Nicole Haines - NPS Denver Service Center Carmen Washington - NPS Denver Service Center Kendall Dalton - MACTEC Bruce Harding - MACTEC Gary Probe1t - MACTEC Debbie Cooper - Architectural Resources Group (ARO)
Attachments Tables Table I - Asbestos Sampling Results Table 2 - Lead-Based Paint Sampling of Pre-dominant Paints
July 21 , 2010
Attachments Attachment A - Homogeneous Area Definitions Sheets Attachment B - Laboratory Analytica1 Results Asbestos and Lead-Based Paint Attachment C - Photo Log Attachment D - Asbestos Certification
TABLE 1
ASBESTOS SAMPLING RESULTS
Table I Asbestos Survey and Sampling Result
Building A-Annex Building Lake lVIcad Lodge, Lake Mead Recreation Area
A ·1 6 2010 .. pn ' Homogeneous
Friable/Non-Area Description Location Friable Designation
MFA
Tan 9"x9" Floor Tile with
Rooms A l-A8, Under carpet Non-Friable brown/grny Streaks
MFB
Tan I 'x I ' Floor T il e with "X" Bathrooms floor , Rooms A l A6, Non-Friable pattern of blue & tan chips A7, A8
IFC
Tan I 'x 1' Floor Tile with tan Batlu·oom floor , Rooms A2, A3
Non-Friable square patt ern A4, and AS
TSA Spray applied ceiling insulation Above ceiling Friable
NIDA
Drywa ll/Tape Compo1md with
Units Al -AS Non-Friable textmed cover
SIA-1 Textured White Plaster Storage room walls Friable MUA Brown tar paper Beneath concrete shingles on roof Non-Friable
ND = None Detected Materials with> 1 % asbestos are defined as Asbestos Containing Material m1d are bolded
Estimated Quantity
2,200 ft.:
120 tr 120 ft !
3,200 fr 2 000 fr
4,000 ft2
4,000 ft2
Laborntory Results
Tile: 12 % Chrysotilc Mastic: ND Tile: 4r1/., Chrysotile Mastic: ND T ile: 7% C hryso til e Mastic: ND
ND
ND
ND
ND
Prepared by'tfJ;..J Reviewed by~
Homogeneous Area
Designation
MLA
MLB
MLC
MFA
MFB
MDA
MUA
TPA
TFA
Table 1 Continued Asbestos Survey and Sampling Result
Building B - Rooms 1-19 Lake Mead Lodge, Lake Mead Recreation Area
April 6, 2010
Friable/Non- Description Location
Friable
Brown l'x l' Panel Linoleum Bathroom floor, Rooms 1-4, 7, Non-Friable 11-13, 15, andl6
White 4" paneled Linoleum Manager's Quarters bathroom
Non-Friable and Room8
Tan l'xl' panel linoleum w/ multi- Bathroom floor, Rooms 10, 14, Non-Friab sized squares and 19 Tan l'x l' Floor Tile with 4"x4"
Bathroom floor, Rooms 5 and 9 Non-Friable squares Tan l'x l' Floor Tile with "X"
Bathrooms floor, Rooms 6 and 17 Non-Friable pattern of blue & tan chips Drywall/Tape Compound with
Manager's quarters Non-Friable textured cover Brown tar paper Beneath concrete shingles on roof Non-Friable 2" Domestic water lines-hot and
Above ceiling throughout cold, white corrugated paper Friable insulation (air cell) building
2" Domestic water lines-hot and Above ceiling throughout Friable cold, mud fittings building
ND= None Detected Materials with > 1 % asbestos are defined as Asbestos Containing Material and are bolded
Estimated Quantity Laboratory Results
250 ft2 sheet: 30% Chrysotile Mastic: ND
50 ft2 sheet: 30% Chrysotile Mastic: ND
75 ft2
ND
50 ft2 ND
50 ft2
ND
450 ft2 ND
4,000 ff ND 720 linear feet
80% Chrysotile
32 quantity 40% Chrysotile
Designation
SYA
MCA
MFA
MFB
MFC
MDA
MUA
SIA
TNA
Table 1 Continued Asbestos Survey and Sampling Result
Building C - Main Office and Pool Lake Mead Lodge, Lake Mead Recreation Area
April 7, 2010
Friable/Non- Description Location
Friable
Aqua Blue pool skim coat Swimming Pool Friable 2'x 4' White textured lay-in ceiling
Offices Friable tile Tan l'xl' Floor Tile w/ multi-sized
Restrooms and Hallway Non-Friable squares Tan l'xl' Floor Tile with tan and
Suite 2, under carpet Non-Friable white flecks Tan 9"x 9" Floor Tile with dark
Suite 2, under carpet Non-Friable brown streaks Drywall/Tape Compound Internal walls Non-Friable Brown tar paper Beneath concrete shingles on roof Non-Friable Sprayed on white textured plaster Meeting Room ceiling Friable
White Blow-in ceiling insulation Above wooden and drywall
Friable ceiling
ND= None Detected Materials with > 1 % asbestos are defined as Asbestos Containing Material and are bolded
*2 layers of tile MFC overlies MFB
Estimated Quantity Laboratory Results
2,000 ft2 ND 675 ft2
ND
190 ft2 Tile: ND Float: 2 % Chrysotile
500 ft2 Tile: 6% Chrysotile Mastic: ND
1,000 ft2 Tile: 6% Chrysotile* Mastic: ND
8,000 ft2 ND 6,000 ft2 ND 1,700 ft2 4% Chrysotile 2,000 ft2
ND
Designation
MLA
MLB
MFA
MFB
MFC
MFD
MDA
MUA
TPA
TFA
Table 1 Continued Asbestos Survey and Sampling Result
Building D - Rooms 20-37 Lake Mead Lodge, Lake Mead Recreation Area
April 7, 2010
Friable/Non- Description Location
Friable
White 4" square pattern Linoleum Bathroom floor, Room 25 Non-Friable
Tan Linoleum with 4" squares Bathroom floor, Rooms 31, 33, Non-Friable and 34
Brown l'x l' Floor Tile pattern Bathroom floor, Rooms 20-24
Non-Friable and 26 and 29
White l'x l' Floor Tile with gray Bathroom floor, Room 30 Non-Friable specks Tan l'xl' Floor Tile with "X" Bathroom floor, Rooms 32 and
Non-Friable pattern of blue & tan chips 36 Tan l'xl' Floor Tile with multi- Bathroom floor, Rooms 35 and
Non-Friable sized squares 37 Drywall/Tape Compound with
Bathroom walls, Rooms 20-37 Non-Friable textured cover Brown tar paper Beneath concrete shingles on roof Non-Friable 2" Domestic water lines-hot and
Above ceiling throughout cold, white corrugated paper Friable insulation (air cell) building
2" Domestic water lines-hot and Above ceiling throughout Friable cold, mud fittings building
ND= None Detected Materials with > 1 % asbestos are defined as Asbestos Containing Material and are bolded
Estimated Quantity Laboratory Results
25 ft2 Sheet: 40% Chrysotile Mastic: ND
75 ft2 Sheet: 40% Chrysotile Mastic: ND
250 ft2 Tile: 40% Chrysotile Mastic: ND
25 ft2 ND
50 ft2
ND
50 ft2 ND
3,500 ff ND
4,000 ft2 ND 750 linear feet
80% Chrysotile
32 quantity 40% Chrysotile
TABLE2
LEAD-BASED PAINT SAMPLING OF PRE-DOMINANT PAINTS
Sample Designation
LPA
LPB
LPC
LPD
De:ScriJition
Table 2 Limited Sampling of Pre-dominant Paints
Lake Mead Lodge Building A-Annex Building
April 6, 2010
Location
Blue Exterior PaLnt, Trim and Posts Exterior Aru1ex Building Tan Exterior Paint, Walb Exterior Ailllex Building Tan Interior Paint, Walls Interior Rooms Gray Paint, Floor Exterior Decking Floors
I -o ' • Mate1 ials \\ 1th g1eate1 than 0.) 1/o lead by weight are defined as lead based pa111t and are bolded BRL= Below Reporting Limit
Condition fair Good Good Good
La.boratt11~y Results ( 0/.i Jead by we·ight)
0.28 0.01
BRL
BRL ,
- E<--Prepared by / Revicwedb~
Desi2nation
LPA
LPB
LPC
LPD
Description
Table 2 Continued Limited Sampling of Pre-dominant Paints
Lake Mead Lodge Building B - Rooms 1-19
April 6, 2010
Location
Blue Exterior Paint, Trim and Posts Exterior Building B Tan Exterior Paint, Walls Exterior Building B Tan Interior Paint, Walls Interior Rooms Grav Paint, Floor Exterior Decking Floors
Materials with greater than 0.5% lead by weight are defined as lead based paint and are bolded BRL= Below Reporting Limit
Condition Laboratory Results (% lead by wei2ht)
Good 0.03 Good 0.01 Good BRL Good 0.01
Desi2nation
LPA
LPB
LPC
LPD
Description
Table 2 Continued Limited Sampling of Pre-dominant Paints
Lake Mead Lodge Building C - Main Office
April 7, 2010
Location
Blue Exterior Paint, Trim and Posts Exterior Main Office Tan Exterior Paint, Walls Exterior Main Office Tan Interior Paint, Walls Interior Rooms Grav Paint, Floor Exterior Decking Floors
Materials with greater than 0.5% lead by weight are defined as lead based paint and are bolded BRL= Below Reporting Limit
Condition Laboratory Results (% lead by wei2ht)
Good 0.23 Good 0.11
Good 0.01
Desi~nation
LPA
LPB
LPC
LPD
Description
Table 2 Continued Limited Sampling of Pre-dominant Paints
Lake Mead Lodge Building D - Rooms 20-37
April 7, 2010
Location
Blue Exterior Paint, Trim and Posts Exterior Building D Tan Exterior Paint, Walls Exterior Building D Tan Interior Paint, Walls Interior Rooms Gray Paint, Floor Exterior Decking Floors
Materials with greater than 0.5% lead by weight are defined as lead based paint and are bolded BRL= Below Reporting Limit
Condition Laboratory Results (% lead by wei~ht)
Good 1.91 Good 0.01
ATTACHMENT A
HOMOGENEOUS AREA DEFINITION SHEETS
HOMOGENEOUS AREA DEFINITION SHEET
FACILITY: L~Vle ff\~~ LJee ASStJMED ACM
A.\._). CODE: SAMPLES: 1 2 0 4 5 6 7
COLLECTED
INSPECTOR:
ACM(> 1 % asbestos)?: ( YE~,,) NO
M A TERI AL TYPE:
@ Surfacing ~terial (S) _ • T.oermal System Insulation (T) _
_ Spray-Applied Fi.reproofing (S) _ Pipe Fitting (F) _Tank (T) _ Chiller (H) _Duct (U) _ Gasket (G) _ Firebrick (K)
Acoustical. Plaster (I) _ Pipe (P) _ Acoustical Paint (J) _ Boiler (B)
Hard Plaster (X) _ Br-eeching (R) Cement-Plaster (Y) _ Blown-In (N) Other (0) ________ Other (0) _______ _
111 l';,1.iscellaneous Material (M) ,,.¥:_ Ceiling Tile (C)
X Floor Tile (F) .:_:_ Linoleum (L) _ Sneet Vinyl (Q)
,iicav,f)
_ Fitting Insulation Assumed ACM
_J_ 9,. X 9•
2' X 2' 2' X 4'
= ;._., , ;rwall, Tape & Joint Compound (D) Cement Board (E)
_ Sound Absorption Panel (A) _ Vibration Damper M _ Wiring Insulation (W)
Steam _ Htg. Hot Water
Dom. Hot Water Cold Wat.er Chilled Water Drain/Sewer Roof Drain Other
_ Lay-in _ Spline
Suspended J Glued-on
Roofing (U) _ Built-Up _ Shingles _Flashing
Other (0)
'RIABILITY:
)UANTITY:
.OCATION:
:OMMEi'i'TS:
Q/j , 001, ~{2.{
Friable --- -4- Non-Friable
?; ~ Square Feet Linear Feet -- __ (Items) tfr I I • 9;{9 1
' '"'"1de< Coroer 10 9// rwtr;s
LJ;(c 41 (~~ L)~~e K sAJ.vtPLED ASSUMED ACM FACILITY:
&_rsnez., Bl@
Ah __ .;_ CODE: fVIEB DATE: e:lk:)ro sAMPLEs: 1 2@)4 5 6 7
1 COLLECTED
INSPECTOR:
ACM ( > 1 % asbestos)?: NO i'YfA TERI AL TYPE:
• Surfacing Material (S) _ • Thermal System Insulation (I)_
__ Spray-Applied Fireproofing (S) _ Pipe Fitting (F) Acoustical Plaster (I) _ Pipe (P} Acoustical Paint (J) _ Boiler (B) Hard Plaster (X) _ Breeching (R) Cement-Plaster (Y) _ Blown-In (N)
_Tank: (I) _Chiller (H) _Duct (U) _Gasket (G) _ Firebrick (K)
Other (0) __________ Other (0) _______ _
• Miscellaneous Material (M) K._ Ceiling Tile (q
1T Floor Tiie (F) = Linoleum (L) _ Sheer Vinyl (Q) tic (M)
_ Fitting Insulation Assumed ACM
9" X 9"
JC 12" X 12"
2 7 X 21' 2• X 4•
= L,,jWall. Tape & Joint Compound (D) Cement Board (E)
_ Sound Absorption Panel (A) _ Vib ration Damper M _ Wiring Insulation (v{")
Steam _ Htg. Hot Water
Dom. Hot Water Cold Waser Chilled Water Drain/Sewer Roof Drain Other
I.a.v-i.n - ;
_Spline _ Suspended
~ Glued-on
Roofing (U) Built-Up _ Shingles Fla.shin"'
- 0
Other (0) ilJRTHER
)ESCRIPTION:
"RI ABILITY:
)UANTITY: .
Friable --- LlaQ_ Square Feet
X Non-Friable
Linear Feet __ (Items)
.ocATroN: as+~~R~_-....... --1.c....._,7 _---'A'--'-/---f,_._-A'----=-6,-· ...J-!A.__' .__7 41---'-A-"-· -_._!?:"'--------------, ) ./
:OMMENTS:
HOi\i!OGENEOUS AREA DEFINITION SHEET
FACILITY: l~~c Me~ l.o~e 1 SAMPLED Aro12;r el<1:, , ASSUMED ACM
Ai_.-i. CODE: /VIP C DATE: '116 SAMPLES: I 2 ® 4 5 6 7
COLLECTED
INSPECTOR:
ACM (> 1 % asbestos)?:
J\tfA TERI AL TYPE:
• Surfacing Material (S) _ • Thermal System InsuLi.tion (I) _
_ Spray-Applied Fireproofing (S) _ Pipe Fitting (F) Acoustical Plaster (I) _ Pipe (P} Acoustical Paint (J) _ Boiler (B) Hard Plaster (X) _ Breeching (R) Cement-Plaster (Y) _ Blown-In (N)
_Tank (I) _ Chiller (H) _Duct (0) _ Gaslcet (G)
Fu-ebriclc (K) Othe::- (0) ________ Other (0) _______ _
_ Fitting Insulation Assumed ACM
• :tvfisce!laneous Material (M) . .i Ceiling Tile (C)
J?Floor T ile (F) _, Linoleum (L) _ Sheet Vinyl (Q) tic (M)
- ,L,,,fWall, Tape & Joint Compound (D)
Cement Board (E) = Sound Absorption Panel (A) Vibration Damper M = Wiring Insulation Cw';
9" X 9" :::J12" X 12"
2' X 2' 2' X 4-'
Steam _ Htg. Hot Watt!r
Dom. Hot Water Cold W~ Chille.d Water Drain/Sewer Roof Drain Other
_ Lay-in _ Spline
_ _ Suspended
_,,}(:- Glued-on
_ Roofing (U) _ Built-Up _ Shingles _Flashing
Other (0)
,l TRTHER , )ESCRIPTION:
"RIABILITY:
)UAN1lTY:
.OCATION:
:OMMENTS:
06 l00 i. ~8{
Friable --- l Non-Friable
I d\C) Square Feet __ Linear Feet (Items)
Btrlt, fOl:;;l(Y)
FACILITY: Ld1 e f\001~ 1:-~ '2? + SAfvfPLED ASSUMED ACM
Ah_). CODE: TS-A DATE: l~k SAMPLES: I 2 /';\ 4 5 6 7
COLLECTED \(_)
INSPECTOR: "1otr1 G/lrf:d} ACM(> 1 % asbestos)?:
MA TERI AL TYPE:
• Surfacing Matecial (S) x- • Thermal System Insubltion m)ti.
:{'_ Spray-Applic::d Fireprooftng (S) _ Pipe Fitting (F) _ Tank (f') _1 _ Acoustical Plaster (I) _ Pipe (P) _ Chiller (H) _ Acoustical Paint (J) _ Boiler (]3) _ Duct (U)
Hard Plaster (X) _ Breeching (R) _ Gasket (G) Cement-Plaster (Y) _ Blown-In (N) _ Firebrick (K) 0L~er (0) ________ Other (0) _______ _
_ Fitting Insulation Assumed ACM
• ~fiscellaneous Material (M) _
__ Ceiling Tile (C) Fioor Tile (F) Linoleum (L) Sheet Vinyl (Q) tic (M) = L,.f'Nall, Tape & Joint Compound (D) Cement Boa:d (E)
_ Sound Absorption Panel (A) Vibration Damper M = Wiring Insulation CW';
9* X 9*
2' X 2' 2' X 4'
Steam _ Htg. Hot Water
Dom. Hot Water Cold Water Chilled Water Drain/Sewer Roof Drain Other
_Lay-in _Spline
_Suspended Glued-on
Roofing (CJ) _ Built-Up _ Shingles _ Flashing
Other (0)
'URTHER $tr()))) l\ophod ~OSl.,/qi}DQ
)ES CRIPTION:
"RI ABILITY:
'>UANTITY:
,OCATION:
:OM;\fENTS:
,J .S i 007. ~(2,{
_){_Friable
~OU0Square Feet
~b.t'fte1),·M?) on
Non-Friable -- Linear Feet --
W;:,Dd Joo1,n~ __ (Items)
FACILITY: lrJte flkn~ lw~S'~ + SAlvfPLED ASSUMED ACM
S.Alvf PLES : 1 6 7
COLLECTED
INSPECTOR:
ACM (> 1 % asbestos)?: YES ( ~
MA TERI AL TYPE:
• Surfaci.1g Material (S) _ • Thermal System Insub.ti.on (T) _
__ Spray-Applied Fireproofing (S) __ Pipe Fitting (F) _Taru:(T) _ Chiller (H) _Duct (U) _Gasket (G) _ Firebrick: CK)
Acoustical Plaster (I) _ Pipe (P) Acoustical Paint (J) _ Boiler (B) F...ard Plaster (X) _ Breeching (R) c.~ment-Plaster (Y) _ Blown-In (N) Other (0) __________ Other (0) _______ _
_ Fitting Insulation Assumed ACM
:ii :Miscellaneous Material (M) A-
- Ceiling Tile (Q
F1oor Tile CF) Linoleum (L) Sheet Vinyl (Q) tic (M) X- 1..,,ywall, Tape & Joint Compound (D) ' Cement Board (E) = Sound Absorption Panel (A)
Vibration Damper M
- Wiring Insulation C'1v)
9" X 9" 12" X 12"
2' x. 2'
Steam _ Htg. Hot Water
Dom. Hot Water Cold Wate::
_Lay-in _ Spline
Chilled Water Drain/Sewer Roof Drain Other
_ Suspended
Glued-on
Roofing (U) _ Shingles _ Flashing
Other (0) l JRTHER , )ES CRIPTION:
'RIABILITY:
)UANTITY:
,OCATION:
:OM:VfEN1S:
{)6 i 007 . :,.(2-,.,{
Friable
~'DX) Square Feet
-L Non-Friable
Linear Feet __ (Items)
HOl\!lOGENEOUS AREA DEFINITION SHEET
FACILITY: l,q~e rfl&lQ L;)~e ASSUMED ACM
,1\h_.-\. CODE: /Y) 1/j DATE:'lk SAMPLES: 1 2 G) 4 5 6 7
COLLECTED
INSPECTOR:
ACM ( > 1 % asbestos)?: YES
MA TERI AL TYPE:
• Surfacing lvfaterial (S) _ • Thermal System Insulation ('I)_
·-- Spray-Applied Fireproofmg (S) _ Pipe Fitting (F) _Tank ('I) _ Chiller (H)
_Duct (CJ) _ Gasket (G) _ Firebrick (K)
Acoustical Plaster (1) _ Pipe (P) Acoustical Paint (J) Boiler (B) Hard Plaster (X) _ Breeching (R) Cement-Plaster (Y} _ Blown-In (N) o~~--------00~~-------- _ Fitting Insulation Assumed ACM
• 1-lisce!laneous lvfaterial (M) ){_
_ Ceiling Tile (C) _ F:oor Tiie (F)
Linoleum (L) _ Sheet Vinyl (Q) tic (M) = .L,,fwail, Tape & Joint Compound (D) _ Cement Board (E) _ Sound Absorption Panel (A) _ Vibration Damper M _ Wiring Insulation 0V)
9,. X 9 •
12• X 12,.
2' X 2'
2' X 4'
Steam _ Htg. Hot Water
Dom. Hot Water Cold Wai.er Chilled Wati:r Drain/Sewer Roof Drain Other
_ Lay-in _ Spline
_ Suspended Glued-on
/). Roofing (CJ) _ Built-Up _ Shingles Flashincr
- 0
Other (0) ilJRTHER
)ESCRIPTION:
"RI ABILITY:
HJANTIIT:
.OCATION:
:OMMEN'TS:
06 lOO i . ~[2-.{
Friable ---t,,,(<]X) Square Feet
Aoow¥ Ro3P
....)L_ Non-Friable
Linear Feet -- __ (Items)
H01\.'10GENEOUS AREA DEFINITION SHEET
FACILITY: \:--"'S Al\lf P LED ASSffi.t!ED ACM
.AR_.--\ CODE: DATE: lf /r;/ro SAMPLES: 1 2 Q 4 5 6 7
COLLECTED
INSPECTOR:
ACM (> 1 % asbestos)?:
MATERIAL TYPE:
• Surfacing :Material (S) _ • Thermal System Insulation ('I')_
_ Spray-Applied Fireproofmg (S) _ Pipe Fitting (F) _Tank (T) _ Chiller (R) _Duct (0) _ Gaslc.et (G) _ F:u-ebrick (K)
Acoustical Plaster (I) _ Pipe (P) Acoustical Paint (J) Boiler (B) Hard Plaster (X) _ Breeching (R) Cement-Plaster (Y) _ Blown-In (N) Other (0) ________ Other (0) _ ______ _
_ Fitting Insulation Assumed ACM
• lvfisceilaneous Material (M) l _ Ceiling Tile (q
Floer Tile (F) X Linoleum (L) _ Sneet Vinyl (Q) tic (M) = 1..,,ywall, Tape & Joint Comp<)Ulld (D) Cement Board (E) = Sound Absorption Panel (A) Vibration Damper M = Wiring Insulation (W)
_ Roofing (U)
Other (0)
9" ;c 9• 12" X 12"
2' X 2' 2' X 4'
_ Shingles
Steam _ Htg. liot Warer
Dom. Hot Water C-Old Water Chilled Water Drain/Sewer RoofDrain Other
_Lay-in _Spline
Suspended ,4.. Glued-on
~~THER '_l_a _n __ t1_x~1 __ fu_,_,__n~_0 )_l_-f_·~_JJ_~_~_n1~1_· ________ _
)ESCRIPTION:
'RIABILITY:
)UAN1ITY:
,OCA.TION:
:OMt\1Ei'.TS:
Friable ---ciSO )(' Square Feet
L Non-Friable
Linear Feet
I . tj j
Owe C1mp ft1l-A-3D
FACILITY: L~C fr! 6'~ l~E? -t- SAMPLED ASSUMED ACM Bid:, B
Af.__ __ _;,_ CODE : SAMPLES: 1 2 1 ~ 4 5 6 7
COLLECTED V
INSPECTOR:
ACM(> 1 % asbestos)?: NO
1vfA TE RIAL TYPE:
e Surfaci.1g }...iaterial (S) _ • Thennal System Insulation (T) _
_ _ Spray-Applied Fi.reproofing (S) _ Pipe Fitting (F) _Tank (T) _ Chiller (H) _Duct (U) _ Gasket (G) _ Firebrick (K)
Acoustical Plaster (I) _ Pipe (P) Acoustical Pa.int (J) _ Boiler (B}
Hard Plaster (X) _ Breeching (R) Cement-Plaster (Y) _ Blown-In (N) Other (0) ________ Other (0) _______ _
• .tviisceUaneous }...{aterial (M) X Ceiling Tile (C) Floor Tile (F)
-:::-7 T • 1 (L) A ..... ino.eum -_ Sheet Vinyl (Q) tic (1,-()
_ Fitting Insulation Assumed ACM
9" X 9• 12" X 12•
2' X 2' 2' X 4'
_ 1.,,fWall, Tape & Joint Compound (D)
Ce:nent Board (E) = Sound Absorption Panel (A) _ Vibration Damper M _ Wiring Insulation Cw)
Steam _ Htg. Hot Water
Dom. Hot Water ColdW~ Chilled Water Drain/Sewer Roof Drain Other
_Lay-in _Spline
_ Suspended -)f,. Glued-on
_ Roofing (0) _ Built-Up _ Shingles Flashina-
- 0
Other (0)
~lJRTHE R , wt, r\e L-f - Lf 11 Pone 1 Lt (j:")) e ii' rf1 ·
)ESCRIPTION:
"RI ABILITY:
)UA:'·trITY:
.OCATION:
:OM;\-fENTS:
Friable
Square Feet
L Non-Friable
HOI\t!OGENEOUS AREA DEF1NITION SHEET
FACILITY: 1__sAJ.\1PLED ASSUMED ACM I fu~_.-i.. CODE: JV1 0f: DATE: lt/G SAMPLES: 1 2 W 4 5 6 7
COLLECTED
INSPECTOR: Torn Colwe}1 ACM (> 1 % asbestos)?:
MA TERI AL TYPE:
• Surfacing lvfaterial (S) _ • Thermal System Insulation (I) _
_ Spray-Applied Fireproofing (S) _ Pipe Fitting (F) _Tank (1) _ Chiller (H) Acoustical Plaster (I) _ Pipe (P)
_ Acoustical Pa.int (J) _ Boiler (B) Hard Plaster (X) _ Breeching (R) Cement~Plaster (Y) _ Blown-In (N)
_Duct (U) _ Gasket (G) _ Firebrick (X)
Other (0) __________ Other (0) _______ _
_ Fitting Insulation Assumed ACM
11 :tvf.iscdlaneous :Material (M) 4" _ Ceiling Tile (C)
Floor Tiie (F) Linoleum (L) Sheet Vinyl (Q)
.tic (M) X l.--,;rwall, Tape & Joint Compound (D) Cement Board (E) = Sound Absorption Panel (A)
_ Vibration Damper M Wiring Insulation (W)
9- X 9- 12• X 12*
2' X 2' 2' X 4'
Steam
_ Htg. Hot Water Dom. Hot Water Coid Waler Chilled Water Drain/Sewer Roof Drain Other
_Lay-in _ Spline
_Suspended Glued-on
Roofing (CJ) _Built-Up _ Shingles _Flashing
Other (0)
11:.JRTHER ,
)ESCRIPTION:
"RI ABILITY:
}UANTITY:
.OCATION:
:OM:VfEi'ffS:
Friable X Non-Friable --- "-f 9) Square Feet --- Linear Feet -- (Items)
HOMOGENEOUS AREA DEF1NITION SHEET
FACILITY: Lni~c Mel\) I ":'- />
Bl~~~ ~c:
-X SAivfPLED ASSUMED ACM
Ak_.i. CODE: {'fir-,4 DATE:~ SAMPLES : 1 2 0) 4 5 6 7
INSPECTOR: !~ G:Alnf(f) )
COLLECTED
ACM (> 1 % asbestos)?: YES
MATERIAL TYPE:
o Surfacing :Material (S) _ • Thermal System Insulation (I)_
_ _ Spray-Applied Fireproofing (S) _ Pipe Fitting (F) Acoustical Plaster (I) _ Pipe (P) Acoustical Paint (]) _ Boiler (B) Hard Plaster (X) _ Breeching (R) Cement-Plaster (Y) _ Blown-In (N)
_Tank (T) _ Chiller (H) _ Duct (U) _ Gasket (G)
Firebrick (K) Other (0) ________ Other (0) _______ _
_ Fitting Insulation Assumed ACM
• ~fiscellaneous :Material (JYfJ Jr-.
Ceiling Tile (C) x= Floor Tile (F)
_ · Linoleum (L) _ Sheet Vinyl (Q) tic (M) = 1..,.JV,lall, Tape & Joint Compound (D) Cement Boa:d (E)
_ Sound Absorption Panel (A) Vibration Damper M = Wiring Insulation (W)
9" X 9" X 12" x 12·
2' X 2' 2' X 4'
Steam _ Htg. Hot Water
Dom. Hot Water Cold Water Chilled Water Drain/Sewer Roof Drain
_ Lay-in _Spline
Other
V _ Suspended A- Glued~n
Roofing ((J) _Built-Up _ Shingles _Flashing
Other (0)
"RIABILTTY: 50 Friable
)UAr"frITI:
,OCATION:
:OM;\,fEl'fTS:
06 l 00i. ~(E',{
--- Square Feet
_L_ Non-Friable
FAC ILITY: l..a~e t11©i~ l~e -.,.\-SAMPLED ASSUMED ACM
A.1._ . .:.. CODE: /{I F-B DATE: lf (r;/,o ,.-._
SAMPLES: 1 2(i) 4 5 6 7
COLLECTED
INSPECTOR:
ACM(> 1 % asbestos)?: YES
M A TERI AL TYPE:
• Surfacing lvfaterial (S) _ • Thermal System Insul.ition (1) _
_ _ Spray-Applied Fireproofing (S) _ Pipe Fitting (F) _Tank (1) _ Chiller (H) Acoustical Plaster (I) _ Pipe (P)
Acoustical Paint (J) _ Boiler (B) -· _Duct (U) _ Gaslcet (G) _ Firebrick (K)
Hard Plaster- (X) _ Breeching (R) Cement-Plaster (Y) _ Blown-In (N)
_ Other (0) ________ Other (0) _______ _
_ Fitting Insulation Assumed ACM
• .M.iscdianeous Material (M)l -V- Ceiling _Tile (C) A F1oor Tile (F)
Linoleum (L) _ Sheet Vinyl (Q) tic (M) = L,,yv.rall, Tape & Joint Compound (D) _ _ Cement Board (E) _ Sound Absorption Panel (A) _ Vibration Damper (V) _ Wiring Insulation 0V)
__ Roofing (U)
Other (0)
_ Built-Up
9" X 9•
~ 12" X 12" 2' X 2'
2' X 4'
_ Shingles
Steam _ Htg. Hot Water
Dom. Hot Water Cold Wat.er Chilled Water Drain/Sewer Roof Drain Other
_Lay-in _Spline
Susoended ½ Glued-o~
,(JRTHER ,
)ESCRIPTION:
I f X \ 1 ]9 f"1 EkeCn'\ ~') vv/ :-,('Ylgl / Hue/±ao Ch,',o '? i'1 ,,, :( ,, pqlfe'r I)
'RIABILITY':
)UANTITY:
,OCATION:
:OMMEN1S:
C6!00i.).!E"1:
Friable --- SO Square Feet
-4- Non-Friable
HOrvfOGENEOUS AREA DEF1NITION SHEET
FACILITY: LP/ie M~1Xl lo~e ~SAMPLED ASSUMED ACM
Al\._) .. CODE: :te:f\ DATE: lf /6 /Ju SAMPLES: 1 2 t 3\ 4 5 6 7
COLLECTED V
INSPECTOR:
ACM (> 1 % asbestos)?: NO
M A TERI AL TYPE:
• Surfacing Ivfaterial (S) _ • Thermal System Insu~on (I') X _ Spr:iy-Applied Fireproof111g (S) Pipe Fitting (F)
Acoustical Plaster (I) V Pipe (P) 2 11di_ J 11 _Tank (I') _ Chiller (H)
_Duct (U) _ Gasket (G) _ FU"Cbrick (K)
= Acoustical Paint (J) _-A-_ Boiler (B) Hard Plaster (X) _ Breeching (R)
- Cement-Plaster (Y) _ Blown-In (N) Other (0) ________ Other (0) _______ _
_ Fitting Insulation Assumed ACM
• l'vfisceUaneous Ivfaterial (M) _
_ Ceiling Tile (C) _ Floor Tile (F)
Linoleum (L) Sheet Vinyl (Q) tic (M) = 1.,,ywail, Tape & Joint ComPQund (D) Cement Board (E) = Sound Abso17tion Panel (A) Vibration Damper (Y) = Wiring Insulation ry,1';
9n X 9" 12" X 12"
2' X 2' 2' X 4'
Steam Htg. Hot Watu
X- Dom. Hot Water X Cold Wat.er
. Chilled Water Drain/Sewer Roof Drain Other
Lav-in - ' _ Spline
- · Suspended Glued--0n
_ Roofing (U) _Built-Up _ Shingles _Flashing
Other (0)
,lJRTHER
)ESCRIPTION:
"RIABILITY: ___j{_ Friable
)UA1'HT1x:
.OCATION:
:OMMEl'-ffS:
06 iG0 7.).{2.{
___ Square Feet
BIJ
Non-Friable -- /~ D Linear Feet __ (Items) h=i--J_fl'.!fo:>~<::'
FACILITY: ~(\~e Jt_ sAMPLED I
ASSilltfED ACM
Ah_.-\ CODE: DATE: Lf /GI Jo
• r
SA.¼PLES: 1 2 ~ 4 5 6
COLLECTED
INSPECTOR:
ACM(> 1 % asbestos)?: NO lVfATERIAL TYPE:
• Surfacing :Material (S) _ • Thermal System Insulation (T) X -· _ Spray-Applied Fireproofing (S) _x Pipe Fitting (F) _ Tank (T) Steam
Acoustical Plaster (I) _ , Pipe (P) _ Chiller (H) Acoustical Paint (J) _ Boil.er (B) _ Duct (0)
Htg. Hot Water X Dom. Hot Water
Hard Plaster (X) _ Breeching (R) _ Gasket (G) Cement-Plaster (Y) _ Blown-In (N) _ Firebrick (K}
_ Other (0) _ _______ _ _ Other (0) _______ _
_ Fit.ting Insulation Assumed ACM
, rviisce!laneous Material (M) _
__ Ceiling Tile (C) Floor T] e (F) Linoieum (L)
__ Sheet Vinyl (Q) .tic Ovf)
- 1.,,yv.,all, Tape & Joint Compound (D)
Cement Boa:d (E) _ Sound Absorption Panel (A)
Vibration Damper (V) ~ Wiring Insulation (W)
9" X 9• 12" X 12"
2' x2' 2' X 4'
~ Cold Wat.er Chilled Water Drain/Sewer Roof Drain Other
_Lay-in _ Spline
_ Suspended Glued-on
_ Roofing (\J) _ Built-Up _ Shingles Flashin~
- 0
Other (0)
,-cJRTHER , )ESCRIPTION:
'RIABILlTY:
)lJANTITY:
,OCATION:
: O!Yf MEN7'S :
-16 l00i.M2.{
.K Friable Non-Friable - - Square Feet --- Linear Feet -- 3~ (Items)
FACILITY: L~e Me~~ L:J~~e )isAMPLED ASSUMED ACM
.t\.R._ • ...._ CODE: /VIL(~,, DATE: c{/~!J'v SAMPLES: 1 2 ~ 4 5 6 7
COLLECTED
INSPECTOR:
ACM (> 1 % asbestos)?:
i'vfA TERI AL TYPE:
• Surfacing Material (S) _ • Thermal System Insulation (I') _
_ Spray-Applied Fireproofing (S) _ Pipe Fitting (F) _Tank: (I) _ Chiller (H) _Duct (U) _Gaslcet (G) _ Firebrick (K)
Acoustical Plaster (I) _ Pipe (P) Acoustical Paint (1) _ Boiler (B) Harci Plaster (X) _ Breeching (R) Cement-Plaster (Y) _ Blown-In (N) Other (0) __________ Other (0) _______ _
_ Fitting Insulation Assumed ACM
• 1-iiscdlaneous Material (M) l Ceiling Tile (C) Floor Tile (F)
,X Linoieum (L) _ _ Sheet Vinyl (Q)
-tic (}.,f) = 1.,,ywall, Tape & Joint Com~und (D) Cement Board (E) = Sound Absorption Panel (A)
_ Vibration Damper M Wiring Insulation CN';
9" X 9" 12" X 12"
2' X 2' 2' X 4'
Steam _ Htg. Hot Water
Dom. Hot Water Cold Water Chilled Water Drain/Sewer RoofDr:un Other
_Lay-in _ Spline
Suspended 4 Glued--0n
Roofing (U) _ Built-Up _ Shingles Fla.shin"'
- C, Other (0)
"RIABTLIIT:
)UANTIIT:
.OCATION:
: o MY1Ei'rrs:
06iOO7 .:.f2-.{
Friable
7 $..., Square Feet grfthv:,__,~n s
L Non-Friable
FACILITY: -1 SA.t\.1PLED ASSUMED AC}lf
A....\._.-1.. CODE: DATE: l((G/,O SAMPLES: 1 2 1 I~ 4 5
COLLECTED V
6 7
INSPECTOR: 'f orrJ Co }c,ve) ) ACM (> 1 % asbestos)?: YES ~ \.Y
1\IIA TERI AL TYPE:
• Surfacing Material (S) _ • Thermal System Insulation (I')_
_ Spray-Applied Fireproofing (S) _ Pipe Fitting (F) _Tank (T) _ Chiller (H) _Duct (U) _ Gask:et (G)
Acoustical Plaster (I) _ Pipe (P) Acoustical Paint (J) _ Boiler (B)
_ Hard Plaster (X) _ Breeching (R) Cement-Plaster (Y) _ Blown-In (N) Fi.rebrick (K) OL½er (0) __________ Other (0) _______ _
• .i\iiscellaneous Material (l.vf) X- Ceiling Tile (C)
_ Floor Tile (F) _ Li noleum (L)
- Sh,!<!C Vinyl (Q) tic (1vf)
_ Fitting Insulation Assumed ACM
9" X 9" 12" X 12"
2' X 2' 2 ' X 4' = 1.,,ywall, Tape & Joint Compound (D)
Cement Board (E) __ Sound Absorption Panel (A) _ Vibration Damper (V) _ Wiring Insula tion (W)
Steam _ Htg . .Hot Water
Dom . .Hot Water Cold Wattt Chilled Water Drain/Sewer Roof Drain
Li.y-in _ Spline
Other
_ Suspended Glued-on
2{_ Roofing (U) _ Built-Up _ Shingles _ Flashing
Other (0)
~trRTHER
)ESCRIPTION:
'RIABILITY:
)UANTITY:
.OCATION:
,')Qi 007 .:.-r3{
Friabie ---r; 1[j5:) Square Feet
~ Non-Friable
FACILITY: -/4- sAMPLED ASSUMED ACM
Ah_), CODE: SA.i.\1PLES: 1 2 G) 4 5 6 7
COLLECTED
INSPECTOR:
ACM (> 1 % asbestos)?: YES
MA TERI AL TYPE:
• Surfacing ~f.atecial (S) )/_ • Thermal System Insulation (I') _
_ Spray-Applied Fireproofing (S) _ Pipe Fitting (F) Tank (T) _ Chiller (H)
_Duct (U) _Gasket (G)
Acoustical Plaster (I) _ Pipe (P) Acoustical Paint (J) _ Boiler (B)
-k- F..ard Plaster (X) _ Breeching (R) Fu-cbrick (K) )t Cement-Plaster (Y) _ Blown-In (N)
- Other (0) __________ Other (0) _______ _
1J tvfisce!laneous Material (M) _
_ Ceiling Tile (C) Floor Tile (F) Linoleum (L)
_ Sheet Vinyl (Q) :tic (M)
_ Fitting Insulation Assumed ACM
9" X 9" 12" X 12•
2' X 2' 2' X 4-'
= 1.,,fWail, Tape & Joint Compound (D) Cement Board (E)
_ Sound Absorption Panel (A) _ Vibration Damper M _ Wiring Insulation CN)
Steam _ Htg. Hot Water
Dom. Hot Water Cold Wat.er Chilled Water Drain/Sewer Roof Drain Other
_Lay-in _ Spline
_Suspended Glued--0n
Roofing (U) _ Built-Up _ Shingles Flashincr
- 0
Other (0) l JRTHER
)ESCRIPTION:
"RIABILITY:
)UAl'l'TITY:
.OCATION:
:OMMENTS:
06 1007.~(2,{
Friable --- _x_ Non-Friable
HOMOGENEOUS AREA DEJ?INITION SHEET
FACILITY: A_ SAi'vf PLED ASSUMED AC:M
Al\._.-\. CODE:
J 'i '{} --·1 _A )C~ DATE: '" 1 I
SAMPLES : 1 2 (j 4 5 6 7
COLLECTED
INSPECTOR: ~rJ (c;\v,(e) ) ACM (> 1 % asbestos)?: YES ~
MA TERI AL TYPE:
• Surfacing :Material (S) _ • Thermal System Insulation (T) _
_ Spray-Applie<l Fireproof1.11g (S) _ Pipe Fitting (F) _Tank (T) _ Chiller (H) _Duct (U) _ Gasket (G) _ Firebrick (K)
Acoustical Plaster (I) _ Pipe (P) Acoustical Paint (J) _ Boiler (B) Hard Plaster (X) _ Breeching (R) Cement-Plaster (Y) _ Blown-In (N) Other (0) __________ Other (0) _______ _
_ Fitting Insulation Assumed ACM
• 1-f.isceilaneous Nfaterial (lv1) ){_
,~ Ceiling Tile (C) / F.oor Tiie (F) L:noleum (L)
_ Sheet Vinyl (Q) tic (1,f) = L,,fWail, Tape & Joint C-Ompound (D)
_ Cer.:ent Board (E) _ Sound Absorption Panel (A) _ Vibration Damper M _ Wiring Insulation (W)
9" X 9• 12." X 12•
2' X 2"
Steam _ Htg. Hot Wa~r
Dom. Hot Water Cold Wat.er Chilled Warer Dnun/Sewer Roof Drain Other jc'Liy-in _· _· Spline
_Suspended Glued-on
Roofing (U) _ Built-Up _ Shingles Fla.shin"
- 0
Other (0)
,""(JRTHER
)ESCRIPTION:
"RIABILITY: _);_ Friable
)UA:\'TITY:
.OCATION:
:OMMEN'TS:
·J<5l007.M.E¼
Non-Friable --
H01\i10GENEOUS AREA DEflNITION SHEET
FACILITY: L-0\~e M~ ld!oe _k SA.ivfPLED ASSUMED ACM
Ah_J_ CODE:
BIJ9, C ., Mra 1 o d(, ct r(\D::}. DATE: j}J__ SAMPLES: 1
COLLECTED
INSPECTOR:
ACM (> 1 % asbestos)?:
ivfA TERI AL TYPE:
• Su::-facing Material (S) _ • Thermal System Insubition (I) _
_ Spray-Applied Fireproofing (S) _ Pipe Fitting (F) Acoustical Plaster (I) _ Pipe (P) Acoustical Paint (J) _ Boiler (B) F..ard Plaster (X) _ Breeching (R) Cement-Plaster (Y) _ Blown-In (N)
_Tank (T) _ Chiller (H)
_Duct (U) _ Gasket (G) _ Fu-ebriclc (K)
OLl-ier (0) __________ Other (0) _______ _
_ Fitting Insulation Assumed ACM
• ~fisce!laneous Material (M),¥_ _ Ceiling Tile (C)
F1oor Tile (F) _ Linoleum (L) __ Sheet Vinyl (Q) t ic (M) :X 1,,;wall, Tape & Joint Compound (D)
_ Cement Board (E) _ Sound Absorption Panel (A)
Vibration Damper (Y) = Wiring Insulation 0V'J
9,. X 9" 12,. X 12"
2' x4'
Stea.m _ Htg . .Hot Water
Dom. Hot Water Cold War.er Chilled Water Drain/Sewer Roof Drain
_ Lay-in _Spline
Other
_ Suspended Glued-on
Rooting (U) _Built-Up _ Shingles Flash.in"
- e, Other (0)
1l.TRTHER
)ESCRIPTION:
"RIABILITY:
)UANTITY:
.OCATION:
:OMME1'fTS:
Friable --- ~0:x> Square Feet
Jbrv1 v./!t
-4- Non-Friable
HOMOGENEOUS AREA DEE1NITION SHEET
FACILITY: ½fe Nl(l)Jl Lv~e -X- sAMPLED ASSUMED ACM
AA_..(_ CODE: DATE: t,(/)
TW1 Cdvven
SAMPLES: 1 2 0 4 5 6 7
COLLECTED
INSPECTOR:
ACM (> 1 % asbestos)?: (9 NO
MA TERI AL TYPE:
• Surfacing Material (S) _ • Thermal System Insulation (I)_
_ _ Spray-Applied Fireproofmg (S) _ Pipe Fit"..ing (F) Acoustical Plaster (I) _ . Pipe (P) Acoustical Paint (J) _ Boiler (E) Ha.rd Plaster (X) _ Breeching (R) Cement-Plaster (Y) _ Blown-In (N)
_Tank (I) _ Chiller (H) _Duct (U) _ Gasket (G) _ Firebrick (K)
Othe:." (0) __________ Other (0) _______ _
_ Fitting Insulation Assumed ACM
• :Miscellaneous :Material (M) X Ceiling Tile (C)
:]'. Ftoor Tile (F) Linoleum (L) Sheet Vinyl (Q) tic (M) = 0,ywall, Tape & Joint Compound (D) Cement Board (E)
_ Sound Absorption Panel (A) Vibration Damper M = Wiring Insulation ('N'J
9" X 9• X 12· x 12· ,,,. 2y X 2~
2' X 4'
Steam _ Htg, Hot Water
Dom. Hot Water Cold Water Chilled Water Drain/Sewer RoofDrun
_Lay-in _Spline
Other
V _ Suspended r- Glued-<in
_ Roofing (U) _ Built-Up _ Shingles Flash.in"'
- c:, Other (0) i(JRTHER
)ESCRIPTION:
'RI ABILITY:
)UAt'fTITY:
.OCATION:
:OMMEi'fl .. S:
06 , GO 7. ~C::v{
Friable ---
--- Square Feet
_).{_ Non-Friable
FACILITY: X SMf PLED ASSUMED ACM
Bt:c =in=:r-o , Ai_), CODE: sri DATE: <(/1 SMfPLES: 1 2 1i' 4 5 6 7
COLLECTED V I
INSPECTOR: l0tr1 Cd vwJ 1 ACM (> 1 % asbestos)?: (~ NO l\tfATERIAL TYPE:
• Surfacing 1faterial (S) X- • Thermal System Insulation (I) _
Spray-Applied Fireproofing (S) _ Pipe Fitting (F) :X: Acoustical Plaster (I) _ Pipe (P) _Tank (T) _ Chiller (H) _Duct (U) _Gasket (G) _ Fu-ebrick: (K)
_, _ Acoustical Paint (J) _ Boiler (B) Hard Plaster (X) _ Breeching (R) Cement-Plaster (Y) _ Blown-In (N)
_ Other (0) _______ ·- Other (0) _______ _
_ Fitting Insulation Assumed ACM
• .rviiscellaneous Material (M) _
Ceiling Tile (C) Floor Tile (F) Linoleum (L)
_ Sheet Vinyl (Q) tic (M) = 1.,,f'Nall, Tape & Joint Compound (D)
Cement Board (E) __ Sound Absorption Panel (A)
Vibration Damper M
- Wiring Insulation (W)
Roofing (U')
Other (0)
,l_,fRTHER
)ESCRIPTION:
_ Built-Up
.RI ABILITY: ~ Friable
2• ,,.
X ..
2' X 4'
_ Shingles
Non-Friable -- Linear Feet --HJAN11TY:
.OCATION:
/ ]OJ square Feet l: /Vlee,,n-e) Rp,x()
:OMMENTS:
O<S i007.~fEM
<> I
Steam _ Htg. Hot Water
Dom. Hot Water Cold Water Chilled Water Drain/Sewer Roof Drain Other
Lw-in - , _ Spline
- · Suspended Glued--0n
FACILITY: Ld1e IV' ✓ , L:1: ASSUMED ACM
.A.k_.-11. CODE: DATE: SAMPLES: 1 2 ® 4 5 6 7
COLLECTED
INSPECTOR:
ACM (> 1 % asbestos)?:
ivfATERIAL TYPE:
• Surfaci..1g :Material (S) _ • Thermal Sysu:m Insulation ~
_ Spray-Applied Fi.reproofing (S) _ P:ipe Fitting (F) _Tank (T) _ Chiller (H) _Duct (U) _ Ga.sleet (G) _ Firebrick (K)
Acoustical Plaster (1) _ P:ipe (P} Acoustical Paint (J) _ Boiler (]3) Hard Plaster- (X) -b Breeching (R) Cement-Plaster- (Y) -fr. Blown-In (N) Other (0) __________ · Other (0) _______ _
• rvfiscdlaneous :Material (M) _
_ Ceiling Tile (C) _ F1oor Tile CF)
Linoieum (L) _ Sh(!et Vinyl (Q) tic (M)
_ Fitting Insulation Assumed ACM
9" ;c 9• 12" X 12"
2' X 2' 2' X 4'
_ 1., , jv-lall, Tape & Joint Compound (D) Cement Board (E) = Sound Absor-ption Panel (A)
__ Vibration Damper (V) _ Wiring Insulation Cw)
St=m _ Htg. Hot Water lx,m. Hot Water Cold Wat.er Chilled Water Drain/Sewer Roof Drain Othe:-
_Li.y-in _Spline
_Suspended Glued-<m
_ Roofing (U) _Built-Up _ Shingles _Flashing
Other (0)
,(JRTHER ,
)ESCRIPTION:
"RIABILITY: --4- Friable
)UANTITY:
.OCATION:
: 0 M:VfEi\ 11S:
,~6 i OG 7 ~(2,{
=< 1OJJSquare Feet
A bve \.~oJ (;a)
Non-Friable - -
Linear Feet -- (Items)
FACILITY: 'L SA.i.\1PLED I ..
ASSUMED ACM
Ah_.-... CODE: /V1 ~t) DATE: (,,J-z SAMPLES: 1 2 i ; , 4 5 6 7
COLLECTED V
INSPECTOR: :t~ Gh,10), ACM (> 1 % asbestos)?: (iy NO ivfA TERI AL TYPE:
• Surfacing Material (S) _ • Thermal System Insulation (T) _
_ Spray-Applied Fireproofmg (S) _ Pipe Fitting (F) _Tan.le (T) _ Chiller (H) Acoustical Plaster (I) _ Pipe (P)
Acoustical Paint (J) _ Boiler (B) _ Duct (U) _ Gasket (G) _ Fu-cbrick (K)
Hard Plaster (X) _ :Breeching (R) Cement-Plaster (Y) _ Blown-In (N) Other (0) __________ Other (0) _______ _
_ Fitting Insulation Assumed ACM
• lvf.isce!ianeous lvfaterial (M) ~
Ceiling Tile (C) :X Floor Tile (F) _ Linoleum (L) _ S~eet Vi.nyt (Q)
,tic (M) = 1..,,fV'all, Tape & Joint Compound (D) Cement Board (E)
_ Sound Absorption Panel (A) Vibration Damper M = Wiring Insulation (w)
9~ X 9• t 12" X 12" 7 2' x2'
2' x. 4•
Steam _ Htg, .Hot Wau:r
Dom . .Hot Water C-O!d W a1.e:1:
Chilled Wa~r DrainlSewer Roof Drain Other
_Lay-in _Spline
Suspended ,.¥:. Glued-on
_ Roofing (U) _Built-Up _ Shingles _ Flashing
0the: (0)
"RI ABILITY:
)UANTITY:
.OCATION:
:OMMENTS:
Friable
£CD Square Feet
_){_ Non-Friable
HO1\11OGENEOUS AREA DEE1NITION SHEET
FACILITY: LJ{em~~ isMfPLED ASSUMED AC~f
Ak_.-\. CODE:
SMfPLES: 1 2 V 4 5 6 7
COLLECTED
INSPECTOR:
ACM (> 1 % asbestos)?: NO
MA TERI AL TYPE:
e Surfacing Material (S) _ • Thermal System Insul;.t:ion (T) _
_ Spray-Applied Fireproofing (S) _ Pipe Fitting (F) Acoustical Plaster (I) _ Pipe (P) Acoustical Paint (]) _ Boiler (B)
_ Harci Plaster (X) _ Breeching (R) Cement-Plaster (Y) _ Blown-In (N)
_Tank(n _ Chiller (H)
_ Duct (U) _ Gasket (G) _ Firebrick (K)
Other (0) __________ Other (0) _______ _
_ Fitting Insulation Assumed ACM
• tf.iscellaneous Material (M) 4-
-\:;- Ceiling Tile (C) }\ F1oor Tile (F) ,- Linoieum (L) _ Sheet Vinyl (Q) tic (M) = L,ywall, Tape & Joint Compound (D) Cement Board (E)
_ Sound Absorption Panel (A) _ Vibration Dan:per M
Wiring fosu!ation (N) x 9• x 9• . 12" X 12"
2' ;c 2' 2' ;c 4'
Steam _ Htg. Hot Water
Dom. Hot Water Cold Wat.er Chilled Wat.er Drain/Sewer Roof Drain Other
_Lay-in _ Spline
Suspended .,.k:Glued-on
_ Roofing (U) _Built-Up _ Shingles Flashin°
- 0
Other (0)
·t TRTHER
)ESCRIPTION:
·RIABILITY:
)UANTITY:
,OCATION:
:OMMENTS:
06 l007.M2,{
Friable ---i Ow Square Feet
£yrre d
_){__ Non-Friable
FACILITY: ~~~ BL§ l · )n ce --!- SAMPLED ASSUMED ACM
Ak_.-t CODE: tliV--ft DATE:-4:J___ SAMPLES : 1 2 w 4 5 6 7
INSPECTOR: 1 :71';~ Cd "',op
COLLECTED
ACM (> 1 % asbestos)?: YES ~
MATERIAL TYPE:
e Surfacing Material (S) _ • Thermal System Insulation (T) _
_ Spray-Applied Fireproofing (S) _ Pipe Fitting (F) _Tank (T) _ Chiller (H) _Duct (0) _ Gasket (G) _ Firebrick (K)
Acoustical Plaster (I) _ Pipe (P) Acoustical Paint (J) _ Boiler (B) Hard Plaster (X) _ Breeching (R)
- Cement-Plaster (Y) _ Blown-In (N) Other (0) __________ Other (0) _______ _
• :r.fiscellaneous Material (M) ,x_ C.::iling Tile (C)
__ Floor Tile (F) Linoleum (L) Sheet Vinyl (Q) t ic (M)
_ Fitting Insulation Assumed ACM
9" X 9" tz • X 12"
2• ..,.
x-
2' X 4'
= L-L;wail, Tape & Joint C-Ompound (D) Cement Board (E) = Sound Abwrption Panel (A)
_ Vibration Dam.per M _ Wiring Insulation CW)
Steam _Htg. Hot Water
Th>m. Hot Wat.er Cold Waiu Chilled Wa.rer Drain/Sewer Roof Drain
_Lay-in _Spline
Other
_ Suspended Glued-on
~ Roofin g (U) _ Built-Up ,X_ Shingles _ Flashing
Other (0)
•uRTHER BJJ. Tei &f'\d l!l'lJer Sh,;,,,}e<, )ESCRIPTION:
"RIABILITY:
)UANTITY:
.OCATION:
06i 00 7.).{2.,{
Friable --- ~u Square Feet
&f
)( Non-Friable
H01V10GENEOUS AREA DEFINITION SHEET
FACILITY: j_ SAlv!PLED ASSUMED ACM
.Ah_). CODE: lfl PA DATE: m_ SAMPLES: 1 2 0 4 5 6 7
COLLECTED
INSPECTOR: ~ ~h/\~ll ---..
ACM (> 1 % asbestos)?: e) NO
MA TERI AL TYPE:
• Surfacing lvfat.erial (S) _ • Thermal System Insulation (T) _
_ Spray-Applied Fireproofing (S) _ Pipe Fitting (F) Acoustical Plaster (1) _ Pipe (P) Acoustical Pa.int (J) _ Boiler (B) Hard Plaster (X) _ Breeching (R) Cement-Plaster (Y) _ Blown-In (N)
_Tank (T) _ Chiller (H) _Duct (U) _ Gasket (G) _ Fll'Cbrick CK)
Other (0) __________ Other (0) _______ _
_ Fitting Insulation Assumed ACM tt lvfisce!laneous Material (M),)( , Ceiling Tile (C) )( Floor Tile (F)
Linoleum (L) Sheet Vinyl (Q)
:ic (M) = L,.jWall, Tape & Joint Compound (D) Cement Boa:d (E)
_ Sound Absorption Panel (A) Vibration Damper M = Wiring Insulation ('N)
2' X 4'
Steam _ Htg. Hot Water
Dom. Hot Water Cold Wat.er Chilled W arer Drain/Sewer Roof Drain Other
_Lty-in _ Spline
Susoended ..¥, Glued-o~
_ Roofing (U) _ Shingles F1ashincr
- 0
Other (0)
1T.TRTHER
)ESCRIPTION:
"RIABILITY:
)UANTITY:
.OCATION:
:OMME?'.fTS:
06 iOOi.MEv{
I
I :x; \ ' Br::vv f'i Pofte(J) F1-Jo r ·.I)~} e
Friable ---
--- Square Feet
_)_ Non-Friable
FACILITY: -A SAJvf PLED ASSUMED ACM
J
AR_.-( CODE: JYl l') ft DA TE: !i[J__ SAMPLES : 1 2 {_~ 4 5 6 7
INSPECTOR: 1i?m CdwQ))
COLLECTED
ACM (> 1 % asbestos)?:
M A TERI AL TYPE:
• Surfacing }.{aterial (S) _ • Thermal System Insulation (1) _
_ Spray-Applied Fireproofing (S) _ Pipe Fitting (F) Tank (1) _ Chiller (H} _Duct (U) _ Gaslr.:ct (G) _ Firebrick (K)
Acoustical Plaster (I) _ Pipe (P) Acoustical Paint (J) _ Boiler (B} Harci Plaster (X) _ Breeching (R) Cement-Plaster (Y) _ Blown-In (N) Other (0) __________ Other (0) _______ _
_ Fitting Insulation Assumed ACM
•…
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