Attchmt 22_Option 7-Haubrich Property Report.pdf

PDF 12 MB Posted

Attached to
Hazardous Materials Abatement, OLYM
Solicitation number
140P8318Q0051
Issued by

About this file

Attachment 22 - lead and asbestos survey report for optional Haubrich property site

View the file

Other files

Show all 23

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

LIMITED LEAD AND ASBESTOS SURVEY REPORT

NATIONAL PARKS SERVICE – OLYMPIC NATIONAL PARK

LAKE OZETTE - HAUBRICH PROPERTY

Preacher’s Point on Lake Ozette

Forks, Washington 98331

November 9th, 2017

Prepared For:

Jeff Doryland

Deputy Chief of Facility Management

Olympic National Park

600 E. Park Avenue, Port Angeles, WA 98273 ii

Limited Lead and Asbestos Survey Report

National Park Service – Olympic National Park

Lake Ozette - Haubrich Property

Preacher’s Point on Lake Ozette

Forks, Washington

EHSI Project No.: # 11035

The material and data in this report were prepared under the supervision and direction of the undersigned.

Brett Racine

Lead AHERA Building Inspector

Derica Escamilla Principal of Hazardous Materials

Services iii

TABLE OF CONTENTS

Acronym List .................................................................................... iv

1.0 EXECUTIVE SUMMARY

1.1 BACKGROUND

1.2 EXTENT OF CURRENT SURVEY

1.3 ACM MATERIALS FOUND

1.4 OPINIONS AND RECOMMENDATIONS

1.5 LIMITATIONS/DISCLAIMER

2.0 LIMITED LEAD AND ASBESTOS SURVEY REPORT

2.1 BACKGROUND

2.2 BUILDING DESCRIPTION

2.3 SAMPLING METHODOLOGY

2.3.1 Asbestos-Containing Materials

2.3.2 Lead-Containing Paint/Lead-Containing Materials

2.4 SAMPLING RESULTS

2.4.1 Asbestos-Containing Materials

2.4.2 Lead-Containing Paint and Building Materials

2.4.3 Toxicity Characteristic Leaching Procedure Sampling

2.4.4 Polychlorinated Biphenyls

2.4.5 Mercury-Containing Fluorescent Light Tubes and CFL Bulbs

3.0 LIMITATIONS

4.0 STANDARD OF CARE

5.0 CERTIFIED AHERA BUILDING INSPECTORS

APPENDICES

A........................ Asbestos Laboratory Reports and Field Data Forms

B........................ Lead Laboratory Reports and Field Data Forms

C........................ Certified AHERA Building Inspector Certificates

D ....................... Laboratory Certifications for Asbestos and Lead Analysis

E ........................ Sample Location Drawings for Asbestos, Lead, and TCLP

F ........................ Lead TCLP Laboratory Reports and Field Data Forms

G ....................... Abatement Cost Estimate iv

ACRONYM LIST

ACM.......................Asbestos-Containing Material

AHERA ................... Asbestos Hazard Emergency Response Act AIHA ...................... American Industrial Hygiene Association

CFL ........................ Compact Fluorescent Light CFR ....................... Code of Federal Regulations

DOSH.....................Washington State Department of Labor and Industries, Division of

Occupational Safety and Health EA ......................... Each

Ecology .................. Washington State Department of Ecology EHSI ...................... EHS-International, Inc.

ELLAP .....................Environmental Lead Laboratory Accreditation Program Hg ......................... Mercury

LCM ....................... Lead-Containing Material LCP........................Lead-Containing Paint

L&I ........................ Washington State Department of Labor and Industries

Mg/cm2 .................. Milligrams Per Square Centimeters mg/L......................Milligrams Per Liter

N/A ........................Not Applicable ND.........................None Detected

NVL ....................... NVL Laboratories, Inc.

NVLAP .................... National Voluntary Laboratory Accreditation Program

OD.........................Outside Diameter OSHA ..................... US Occupational Safety and Health Administration

ORCAA ................... Olympic Region Clean Air Agency

Pb ......................... Lead PCBs ...................... Polychlorinated Biphenyls

PLM ....................... Polarized Light Microscopy ppm.......................Parts per Million

QA ......................... Quality Assurance RCW ...................... Revised Code of Washington

SAT ....................... Seattle Asbestos Test, LLC SF ......................... Square Feet

SVF........................Sheet Vinyl Flooring

TCLP ...................... Toxicity Characteristic Leaching Procedure WAC ...................... Washington Administrative Code

WT ........................ Weight w/ ......................... With

XRF ....................... x-ray fluorescence

NPS – Lake Ozette - Haubrich Property

EHSI Project 11035 November 9th, 2017

1.0 EXECUTIVE SUMMARY

1.1 BACKGROUND

The National Parks Service (NPS) plans to demolish the existing structures at the Haubrich

Property located at Preacher’s Point on Lake Ozette, Forks, Washington. The NPS has contracted EHS-International, Inc. (EHSI), a hazardous materials and industrial hygiene consulting firm, to conduct a Limited Lead and Asbestos Survey of the Haubrich Property in preparation for this project. The intent of the survey is to specifically identify and quantify asbestos-containing building materials (ACM), lead-containing paint (LCP), other lead-containing building materials (LCM), to collect a lead toxicity characteristic leaching procedure

(TCLP) sample representative of all materials that may be in the assumed waste stream, and to inspect and quantify fluorescent light fixtures that may contain polychlorinated biphenyl

(PCB)-containing ballasts, and mercury (Hg)-containing fluorescent light tubes and compact fluorescent light (CFL) bulbs, that may be impacted by the demolition.

1.2 EXTENT OF CURRENT SURVEY

EHSI inspected all accessible interior and exterior materials potentially impacted by the proposed project. Accessible suspect materials were sampled including, but not limited to:

interior and exterior wall systems, window systems, and mechanical systems. EHSI accomplished a representative destructive inspection.

1.3 ACM MATERIALS FOUND

SUMMARY OF ASBESTOS-CONTAINING MATERIALS

NATIONAL PARKS SERVICE

OZETTE LAKE – HAUBRICH PROPERTY

ASBESTOS MATERIAL DESCRIPTION LOCATION

Non-ACM red SVF (w/ broken rock pattern) on ACM off-white/gray paper backing w/ ACM beige mastic on wood [Sample # 03]

Haubrich House, Restroom

Non-ACM tan and off-white SVF (w/ cobblestone pattern) on ACM off-white/gray paper backing w/ ACM beige mastic on wood [Sample # 04]

Haubrich House, Mud Room

ACM white/off-white sink undercoat (on double sink) [Sample # 15]

Haubrich House, Kitchen

ACM black asphaltic tar (on metal gutter downspout attachment point) [Sample # 54] Outbuilding #2, Exterior

ACM black internal component (in 1’x1’, 1’x1’6”, and 1’x2’ electrical panels) [Sample # 68]

Outbuilding #1, Interior Haubrich House, Mud Room

2’x2’6” Generator w/ assumed ACM internal components Outbuilding #1, Interior KEY: ACM = asbestos containing material, bold = bold text indicates asbestos-containing layer, SVF

= sheet vinyl flooring, w/ = with

EHSI Project 11035 November 9th, 2017

1.4 OPINIONS AND RECOMMENDATIONS

The project includes demolition of the existing structures at the Haubrich Property; therefore, EHSI recommends that all impacted ACM identified in paragraph 1.3 be removed and disposed of prior to renovation and demolition activities.

Any suspect materials not identified as having been surveyed in this report must be treated as an ACM until determined otherwise by a Certified Asbestos Building Inspector and NVLAP certified laboratory.

Washington State Department of Labor and Industries (L&I) Division of Occupational Safety and Health (DOSH) and the US Occupational Safety and Health Administration (OSHA) require employers to conduct a hazard assessment and take appropriate worker protection precautions whenever building materials are disturbed that have detectable quantities of lead. Since the type of work planned (e.g., demolition) will disturb the LCP, the contractor should perform an initial exposure assessment to determine if the additional personal protective measures and work practices are required beyond that of initial assessment. Special care should be taken to reduce potential employee exposure to lead when demolishing porcelain bathroom fixtures and painted metal, including reducing airborne dust (eq., water misting and use of hand tools, and/or local exhaust ventilation).

Fluorescent light fixtures inspected have electronic ballasts which may be disposed as general construction debris. Any magnetic ballast found, which are assumed to contain greater than two parts per million (> 2 ppm) PCB-dielectric fluid, must be removed from fixtures and disposed of as Washington Department of Ecology (Ecology) Dangerous Waste. All fluorescent tubes and lamps contain mercury; any fluorescent lamps/tubes to be disturbed during the project must be recycled as (Ecology) Universal Waste.

1.5 LIMITATIONS/DISCLAIMER

This report does not represent a comprehensive hazardous materials investigation for the subject property. This investigation has been conducted by EHSI under a specific scope of work authorized by the NPS for a specific purpose. Generator internal components were not sampled but were assumed to have ACM based on the inspector’s experience with similar systems on other projects. This report and accompanying appendices include the supporting information for this executive summary.

EHSI Project 11035 November 9th, 2017

2.0 LIMITED LEAD AND ASBESTOS SURVEY REPORT

2.1 BACKGROUND

The NPS plans to demolish the existing structures at the Haubrich Property. In conjunction with the planned demolition, the NPS has contracted EHSI to accomplish a pre-demolition limited lead and asbestos survey of the existing structures and to collect a lead-TCLP sample representative of the anticipated demolition debris. For the limited lead and asbestos survey, EHSI was tasked to use applicable federal, state, and local guidelines in the accomplishment of its survey. EHSI was further tasked to provide a written survey report including:

identification of all suspect materials; a determination of whether suspect materials were:

ACM, LCP, and LCM, and to provide analytical reports indicating the presence and quantity of the hazardous materials.

On October 5th and 6th, 2017, EHSI conducted a Limited Lead and Asbestos Survey Report meets the Washington State “Good Faith Survey” requirements as cited in Revised Code of

Washington (RCW) 49.26.016 and implemented by L&I DOSH regulation, Washington Administrative Code (WAC) 296-62-07721, and Regulation Section 570 of the Olympic Region

Clean Air Agency (ORCAA).

2.2 BUILDING DESCRIPTION

The Haubrich Property is located at Preacher’s Point on Lake Ozette, Forks, Washington.

Structures on the property include a lofted single-story single occupancy residential house, two outbuildings, a free standing simple lean-to style structure and a floating dock.

The house is a wood-framed structure with a post and pier foundation. The building has a wood shingle roof with wood exterior siding. Interior floor finishes include: sheet vinyl flooring (SVF), and carpet. Interior wall finishes include: wood panels and wood fiberboard panels.

Interior ceiling finishes are all wood paneling. Windows are mostly aluminum however several have wood frames. Some but not all windows are operable. Hot water is provided by a domestic gas hot water tank. Heating is provided by the living room wood burning stove. The wood burning stove also has the capability of being operated as a boiler. Interior lighting consists of incandescent and fluorescent ceiling fixtures and natural light from the windows.

Outbuilding #1 is a single-story single room wood-framed structure being used as a storage/work-shed/generator house with a post and pier foundation and wood shingle roofing.

The building has wood exterior siding and unfinished interior walls and ceiling. The interior had a single light fixture. No heating and no plumbing present.

Outbuilding #2 is a single-story two room wood-framed structure being used as a storage shed and pit toilet bathroom. The structure has no foundation and wood shingle roofing. The building has wood shingle exterior siding and unfinished interior walls and ceiling in the storage room and vinyl laminated fiberboard panels on walls and ceiling in the bathroom. The flooring in the storage room is bare plywood and the flooring in the bathroom is sheet vinyl.

One wood framed non-operable window provides some natural light into the bathroom. Both interior rooms had no heating and no plumbing.

EHSI Project 11035 November 9th, 2017

The free standing lean-to style structure consists of four (4) natural log beams supporting a sloped corrugated metal roof. This structure has no walls, no floor, and no foundation. There is no electricity, plumbing, or heating for this structure.

2.3 SAMPLING METHODOLOGY

2.3.1 Asbestos-Containing Materials

The EHSI field inspectors are asbestos Building Inspectors, certified under the requirements of the United States Environmental Protection Agency (USEPA) AHERA regulation 40 Code of

Federal Regulations (CFR) 763, Subpart E. Copies of their certificates are provided in Appendix C. The number of bulk samples collected and their locations are based on the AHERA regulation and the guidelines provided by the USEPA Document 560/5-85-030a, October 1985, Asbestos in Buildings: Simplified Sampling Scheme for Friable Surfacing Materials.

EHSI collected samples and obtained analytical data for suspect ACM identified on the property. Once collected, each bulk sample was sealed in an unadulterated plastic bag to eliminate the possibility of cross-contamination. “Chain-of-Custody” tracking was followed to maintain sample integrity during handling and data reporting at EHSI and the analytical laboratory. As specified in 40 CFR Chapter 1 (1-1-87 edition) Part 763, Subpart F, and Appendix A, each sample was analyzed using polarized light microscopy (PLM) / dispersion staining techniques, in accordance with USEPA Method 600/R-93/116. Samples were analyzed for asbestos content by Seattle Asbestos Test, LLC (SAT) located in Seattle, Washington. SAT participates in the National Institute for Standards and Technology (NIST) National Voluntary

Laboratory Accreditation Plan (NVLAP). Only materials containing more than 1% total asbestos were classified as “asbestos-containing” based on USEPA, state, and local regulations.

Samples in the report labeled as ##QA are quality assurance (QA) samples. Split samples were taken from the same location and they were sent to separate laboratories. QA samples were submitted to, NVL Laboratories, Inc. (NVL) in Seattle, WA, another NVLAP laboratory.

Copies of both laboratories’ NVLAP certifications are included in Appendix D.

2.3.2 Lead-Containing Paint/Lead-Containing Materials

EHSI used an Olympus Delta-Pro x-ray fluorescence (XRF) Spectrum Analyzer to measure lead content on interior and exterior paint coatings and other suspect LCM. Measurements were representative of all layers of paint and/or LCM. A summary of Lead Paint XRF results is provided in Table 3. Bulk quality assurance samples were taken for a representative number of LBP and LCM and were sent to NVL located in Seattle, Washington, an accredited laboratory for Atomic Absorption Spectroscopy (USEPA Method-7000B) by the American Industrial Hygiene Association (AIHA) under the Environmental Lead Laboratory Accreditation Program

(ELLAP). Copies of laboratory reports and field data forms for lead are in Appendix B.

EHSI Project 11035 November 9th, 2017

2.4 SAMPLING RESULTS

2.4.1 Asbestos-Containing Materials

Sixty-eight (68) bulk samples of suspect ACM were collected as part of the survey. Four (4) of those samples were split for quality assurance analyses. Limited destructive inspection was conducted to identify hidden and/or concealed materials. Copies of the asbestos analytical laboratory results are included in Appendix A. Asbestos and lead sample location drawings are provided in Appendix E. Asbestos sampling information including: sample number, material description, sample location, and analytical results are summarized in Table 1. The ACM and assumed ACM identified during this survey, including the quantity and location, is summarized in Table 2. Suspect materials not sampled were assumed to be ACM.

TABLE 1

SUMMARY OF ASBESTOS BULK SAMPLING AND ANALYTICAL RESULTS

NATIONAL PARKS SERVICE

LAKE OZETTE – HAUBRICH PROPERTY

SAMPLE

NUMBER

SAMPLE

LOCATION

MATERIAL DESCRIPTION

ASBESTOS

TYPE OF

ASBESTOS

HAUBRICH HOUSE

11035-HAU-

Living Room

Layer 1: Orange multi-colored carpet Layer 2: Off-white mastic

Layer 3: Brown mesh backing Layer 4: Yellow foam carpet pad

Layer 5: White mastic (on wood)

L1: ND

L2: ND

L3: ND

L4: ND

L5: ND

N/A

N/A

N/A N/A

N/A

11035-HAU-

Kitchen

Layer 1: Beige SVF (w/ broken rock pattern)

Layer 2: Gray paper backing w/ tan/yellow mastic

Layer 3: Wood Layer 4: Trace white powdery material

L1: ND

L2: ND

L3: ND

L4: ND

N/A

N/A

N/A N/A

11035-

HAU-

03QAX

Restroom

Layer 1: Red SVF Layer 2: Off-white/gray paper backing w/ beige mastic

Layer 3: Wood

L1: ND

L2: 52%

L3: ND

N/A Chrysotile

N/A

11035-

HAU-04

Mud Room

Layer 1: Tan and off-white SVF (w/ cobblestone pattern)

Layer 2: Off-white/gray paper backing w/ beige mastic

Layer 3: Trace wood

L1: ND

L2: 54%

L3: ND

N/A

Chrysotile

N/A

EHSI Project 11035 November 9th, 2017

TABLE 1

SUMMARY OF ASBESTOS BULK SAMPLING AND ANALYTICAL RESULTS

NATIONAL PARKS SERVICE

LAKE OZETTE – HAUBRICH PROPERTY

SAMPLE

NUMBER

SAMPLE

LOCATION

MATERIAL DESCRIPTION

ASBESTOS

TYPE OF

ASBESTOS

11035-HAU-

Bedroom

Layer 1: Brown multi-colored carpet

Layer 2: Yellow mastic Layer 3: Off-white mesh backing Layer 4: Yellow foam carpet pad

Layer 5: Green mastic (on wood)

L1: ND

L2: ND

L3: ND

L4: ND

L5: ND

N/A

N/A N/A

N/A

N/A

11035-HAU-

Living Room

Layer 1: Red brick

Layer 2: Gray mortar

(associated with fireplace)

L1: ND

L2: ND

N/A

N/A

11035-HAU-

Living Room

Layer 1: Orange multi-colored carpet

Layer 2: Off-white mastic Layer 3: Tan/brown mesh backing (w/ beige mastic) Layer 4: Wood

L1: ND

L2: ND

L3: ND

L4: ND

N/A

N/A N/A

N/A

11035-HAU-

Restroom

Layer 1: Off-white FRP backsplash Layer 2: Beige/yellow mastic

(on wood paneling)

L1: ND

L2: ND

N/A

N/A

11035-HAU-

Mud Room

Layer 1: 4” Brown wood patterned vinyl cove base

Layer 2: Gray rubber Layer 3: Tan/yellow mastic (on wood)

L1: ND

L2: ND

L3: ND

N/A

N/A N/A

11035-HAU-

Living Room

Layer 1: Silver foil Layer 2: Tan paper vapor barrier w/ black mastic Layer 3: Yellow fiberglass batt insulation

Layer 4: Green paper

L1: ND

L2: ND

L3: ND

L4: ND

N/A N/A

N/A

N/A

11035-HAU-

Kitchen

Layer 1: Off-white wood patterned FRP

Layer 2: Clear yellow mastic (on counters, backsplash and window sill)

L1: ND

L2: ND

N/A

N/A

11035-HAU-

Living Room

Black window glazing gasket (on 4’x6’6” windows in sliding double doors)

ND N/A

11035-HAU-

Hot Water Closet

White/off-white pipe dope (on 1” OD water lines)

ND N/A

EHSI Project 11035 November 9th, 2017

TABLE 1

SUMMARY OF ASBESTOS BULK SAMPLING AND ANALYTICAL RESULTS

NATIONAL PARKS SERVICE

LAKE OZETTE – HAUBRICH PROPERTY

SAMPLE

NUMBER

SAMPLE

LOCATION

MATERIAL DESCRIPTION

ASBESTOS

TYPE OF

ASBESTOS

11035-HAU-

Living Room

Black window glazing gasket (on 5’x8’ metal-framed windows)

ND N/A

11035-

HAU-15

Kitchen White/off-white sink undercoat (on double sink)

3% Chrysotile

11035-HAU-

Kitchen

Layer 1: Black rubber sink drain gasket Layer 2: White/brown paper gasket

L1: ND

L2: ND

N/A

N/A

11035-HAU-

Living Room

Black window glazing gasket (on 5’x10’ metal-framed window)

ND N/A

11035-HAU-

Kitchen

Layer 1: White and brown paper (w/ rock pattern)

Layer 2: Clear mastic (used as drawer liner)

L1: ND

L2: ND

N/A

N/A

11035-HAU-

Kitchen

Layer 1: White and brown paper

(w/ rock pattern) Layer 2: Clear mastic (used as cabinet liner)

L1: ND

L2: ND

N/A

N/A

11035-HAU-

Kitchen

Layer 1: Beige SVF (w/ broken rock pattern)

Layer 2: Gray paper backing w/ tan mastic

Layer 3: Wood (used as cabinet liner)

L1: ND

L2: ND

L3: ND

N/A

N/A

N/A

11035-HAU-

Restroom

Layer 1: Gray window glazing gasket

Layer 2: Yellow mastic (on 3’x3’ metal-framed window also associated w/ 3’x8’ & 2’6”x3’ metal-framed windows)

L1: ND

L2: ND

N/A

N/A

11035-HAU-

Restroom

Layer 1: Black rubber sink drain gasket Layer 2: White/off-white putty

(on sink drain)

L1: ND

L2: ND

EHSI Project 11035 November 9th, 2017

TABLE 1

SUMMARY OF ASBESTOS BULK SAMPLING AND ANALYTICAL RESULTS

NATIONAL PARKS SERVICE

LAKE OZETTE – HAUBRICH PROPERTY

SAMPLE

NUMBER

SAMPLE

LOCATION

MATERIAL DESCRIPTION

ASBESTOS

TYPE OF

ASBESTOS

11035-HAU-

Loft

Layer 1: Orange multi-colored carpet

Layer 2: Clear plastic mesh backing

Layer 3: Yellow mastic Layer 4: Brown mesh backing

Layer 5: Yellow foam carpet pad

Layer 6: Blue mastic Layer 7: Silver foil seam tape

(on wood)

L1: ND

L2: ND

L3: ND

L4: ND

L5: ND

L6: ND

L7: ND

N/A

N/A

N/A N/A

N/A

N/A N/A

11035-HAU-

Loft Black/gray window glazing gasket (on 4’x2’6” window)

ND N/A

11035-HAU-

Mud Room

Layer 1: Beige wood filler

Layer 2: Wood wall paneling

L1: ND

L2: ND

N/A

N/A

11035-HAU-

Mud Room

Beige/brown paper (between roof joists & roof decking and behind joist brackets)

ND N/A

11035-HAU-

Living

Room

White braided fiberglass gasket

(on fireplace door)

ND N/A

11035-HAU-

Living

Room

Layer 1: Wood wall paneling Layer 2: Dark brown/brown wood filler

L1: ND

L2: ND

N/A N/A

11035-HAU-

Exterior, Roof

Black asphaltic vapor barrier ND N/A

11035-HAU-

30QA

Exterior

Layer 1: Black asphaltic rolled down roofing w/ sand Layer 2: Black asphaltic vapor barrier

Layer 3: Black asphaltic tar (used as vapor barrier at post & pier foundation contacts)

L1L ND

L2: ND

L3: ND

N/A

N/A

N/A

11035-HAU-

Exterior Brown paper vapor barrier (behind wood siding, on wood)

ND N/A

11035-HAU-

Exterior

Dark brown/brown window glazing putty (on 5’x8’ storm window w/ metal frame)

ND N/A

11035-HAU-

Exterior

Gray window glazing gasket (on

5’x8’ metal-framed window)

ND N/A

11035-HAU-

Exterior

Layer 1: Clear/brown window sealant/mastic

Layer 2: 5’x7’ Wood window frame w/ paint

L1: ND

L2: ND

N/A

N/A

11035-HAU-

Exterior

Black window glazing gasket

(on 5’x8’ metal-framed window)

EHSI Project 11035 November 9th, 2017

TABLE 1

SUMMARY OF ASBESTOS BULK SAMPLING AND ANALYTICAL RESULTS

NATIONAL PARKS SERVICE

LAKE OZETTE – HAUBRICH PROPERTY

SAMPLE

NUMBER

SAMPLE

LOCATION

MATERIAL DESCRIPTION

ASBESTOS

TYPE OF

ASBESTOS

11035-HAU-

Exterior Black/gray window screen gasket (on 1’6”x5’ windows)

ND N/A

11035-HAU-

Exterior

Black asphaltic paper

(associated w/ concrete forms)

ND N/A

11035-HAU-

Exterior Stiff white paper (inside 3”x5” electric meter)

ND N/A

11035-HAU-

Exterior

Black rubber gasket (on conduit by the 3”x5” electric meter)

ND N/A

11035-HAU-

Exterior

3” OD black gasket w/ paint (on propane valve)

ND N/A

11035-HAU-

Exterior Yellow foam (around sliding glass door)

ND N/A

11035-HAU-

Exterior

Beige caulking/sealant w/ paint

(inside sliding glass door)

ND N/A

11035-HAU-

Exterior

Black/brown foam insulation (around 5’x8’ metal-framed windows)

ND N/A

11035-HAU-

Exterior, Deck

Black asphaltic rolled down roofing (used as anti-skid)

ND N/A

11035-DIN-

Kitchen

Layer 1: Light gray/off-white/tan vinyl coating (w/ wood pattern)

Layer 2: Plywood Layer 3: Trace tan mastic (on kitchen walls and window frame)

L1: ND

L2: ND

L3: ND

N/A

N/A N/A

11035-DIN-

NE Exterior

Tan/brown/yellow carpet w/ dark gray mesh backing (used as weed barrier on pathways)

ND N/A

11035-DIN-

SW Exterior

Off-white and light gray/brown carpet w/ blue mesh backing

(used as weed barrier on pathways)

ND N/A

11035-DIN-

Dock Gray nylon straps w/ gray sealant (fastened to dock)

ND N/A

LEAN-TO

11035-HAU-

Exterior

White cloth (used as pony wall barrier)

ND N/A

OUTBUILDING #1

11035-HAU-

Exterior Roof

Black asphaltic vapor barrier (under wood shingles on wood)

ND N/A

11035-HAU-

Exterior

Gray window glazing gasket (on

3’x8’ metal-framed window)

EHSI Project 11035 November 9th, 2017

TABLE 1

SUMMARY OF ASBESTOS BULK SAMPLING AND ANALYTICAL RESULTS

NATIONAL PARKS SERVICE

LAKE OZETTE – HAUBRICH PROPERTY

SAMPLE

NUMBER

SAMPLE

LOCATION

MATERIAL DESCRIPTION

ASBESTOS

TYPE OF

ASBESTOS

11035-HAU-

Exterior

Layer 1: Beige/gray sealant (around 2” OD pipe penetration) Layer 2: Wood

L1: ND

L2: ND

N/A

N/A

11035-HAU-

47QA

Exterior

Black asphaltic vapor barrier

(between foundation post/piers & wood floor)

ND N/A

11035-HAU-

Interior

Layer 1: Light brown wood filler

Layer 2: Wood

L1: ND

L2: ND

N/A

N/A

11035-HAU-

Interior Layer 1: Red/brown/light brown wood filler

Layer 2: Wood

L1: ND

L2: ND

N/A

N/A

11035-HAU-

Interior Brown paper vapor barrier (and plastic, between plywood floor and 2”x6” wood board subfloor)

ND N/A

11035-

DIN-68

Interior Black internal component (inside 1’x1’ electrical panel)

20% Chrysotile

OUTBUILDING #2

11035-DIN-

Exterior Black asphaltic vapor barrier (beneath wood shingles)

ND N/A

11035-

DIN-54

Exterior

Black asphaltic tar (on metal gutter downspout attachment points)

3% Chrysotile

11035-DIN-

Exterior

Black asphaltic vapor barrier

(behind wood shingle siding)

ND N/A

11035-DIN-

Exterior

Layer 1: Light brown/brown sealant

Layer 2: Wood soffit (seams)

L1: ND

L2: ND

N/A

N/A

11035-DIN-

Exterior

Layer 1: Beige/brown window glazing putty

Layer 2: Gray foam (on 4’6”x1’6” window)

L1: ND

L2: ND

N/A

N/A

11035-DIN-

Exterior

Gray/tan cementitious board (at base of exterior wall)

ND N/A

11035-DIN-

Exterior

Layer 1: Clear yellow caulking

Layer 2: Dark brown/brown sealant Layer 3: Black asphaltic vapor barrier (behind wood shingle siding around doorway to bathroom)

L1: ND

L2: ND

L3: ND

N/A

EHSI Project 11035 November 9th, 2017

TABLE 1

SUMMARY OF ASBESTOS BULK SAMPLING AND ANALYTICAL RESULTS

NATIONAL PARKS SERVICE

LAKE OZETTE – HAUBRICH PROPERTY

SAMPLE

NUMBER

SAMPLE

LOCATION

MATERIAL DESCRIPTION

ASBESTOS

TYPE OF

ASBESTOS

11035-DIN-

Bathroom

Interior

Layer 1: White SVF (w/ floral pattern)

Layer 2: Off-white/gray paper backing w/ tan mastic

Layer 3: Plywood

L1: ND

L2: ND

L3: ND

N/A

N/A

N/A

11035-DIN-

61QA

Bathroom

Interior

Layer 1: Off-white/white vinyl veneer w/paint

Layer 2: Plywood (mechanically fastened to walls)

L1: ND

L2: ND

N/A

N/A

11035-DIN-

Bathroom Interior

Layer 1: Clear yellow/orange window frame caulking Layer 2: 4’6”x1’6” Wood window frame

L1: ND

L2: ND

N/A

N/A

11035-DIN-

Bathroom

Interior

Layer 1: White plastic Layer 2: Wood fiberboard

(mechanically fastened to ceiling)

L1: ND

L2: ND

N/A N/A

KEY: bold = bold text indicates asbestos-containing layer, FRP = fiberglass reinforced panels, ND = non-detect, N/A = not applicable, OD = outer diameter, w/ = with, SVF = sheet vinyl flooring, X When QA lab and primary lab sample results differed, EHSI reported the most restrictive (e.g., highest % asbestos) in Table 1. Analytical results for all analyses are provided in

Appendix A.

Table 2 summarizes materials identified by EHSI as containing greater than 1% asbestos fibers during its survey, and un-sampled materials assumed to be ACM. The Table 2 Summary of Asbestos Containing Materials is for engineering cost estimating purposes and is not intended for bid quantifications.

TABLE 2

SUMMARY OF ASBESTOS-CONTAINING MATERIALS

NATIONAL PARK SERVICE

LAKE OZETTE – HAUBRICH PROPERTY

ASBESTOS MATERIAL DESCRIPTION LOCATION QUANTITY

Non-ACM red SVF (w/ broken rock pattern) on ACM off-white/gray paper backing w/

ACM beige mastic on wood [Sample # 03]

Haubrich House, Restroom 75 SF

Non-ACM tan and off-white SVF (w/ cobblestone pattern) on ACM off-white/gray paper backing w/ ACM beige mastic on wood [Sample # 04]

Haubrich House, Mud Room 110 SF

ACM white/off-white sink undercoat (on double sink) [Sample # 15] Haubrich House, Kitchen 1 EA

EHSI Project 11035 November 9th, 2017

TABLE 2

SUMMARY OF ASBESTOS-CONTAINING MATERIALS

NATIONAL PARK SERVICE

LAKE OZETTE – HAUBRICH PROPERTY

ASBESTOS MATERIAL DESCRIPTION LOCATION QUANTITY

ACM black asphaltic tar (on metal gutter downspout attachment point) [Sample # 54] Outbuilding #2, Exterior 5 SF

ACM black internal component (in 1’x1’, 1’x1’6”, and 1’x2’ electrical panels) [Sample #

68]

Outbuilding #1, Interior Haubrich House, Mud Room

1 EA

2 EA

2’x2’6” Generator w/ assumed ACM internal components

Outbuilding #1, Interior 1 EA

KEY: ACM = asbestos containing material, bold = bold text indicates asbestos-containing layer, EA = each, SF = square feet, SVF = sheet vinyl flooring, w/ = with

ACM identified in this survey should not be disturbed unless handled by personnel who are properly trained and certified in asbestos work. Demolition and/or renovation activities by contractors may expose concealed suspect ACM. Contractors should be aware of the potential for concealed suspect ACM and have pre-planned contingencies for the handling of suspect ACM discovered during renovation and/or demolition work. Any concealed suspect ACM material that was not sampled or was assumed to be ACM and included in this report, must be treated as ACM until proven otherwise by a Certified AHERA Building Inspector and a certified laboratory. Contingency plans should include stopping work on identification of concealed suspect ACM, evacuation of the area, and sampling by a Certified AHERA Building

Inspector. Concealed suspect material may include, but is not limited to: non-fiberglass pipe or roof drain insulation; spray-applied coatings; cementitious board; asphalt or paper vapor barriers; vinyl floorings and mastics.

2.4.2 Lead-Containing Paint and Building Materials

Fifty-one (51) samples were analyzed for lead using the X-Ray fluorescence (XRF) analyzer.

Results marked with “< LOD” are less than the limit of detection. XRF paint sample results ranged from 0.09 milligrams of lead per square centimeter (mg Pb/cm2) to < LOD mg Pb/cm2.

Bolded results indicate materials coated with “lead-based paint” (e.g., 1.0 mg/cm2) as defined by USEPA regulation 40CFR745 and Washington State Commerce regulation WAC 365-230. The results are provided in Table 3 of this report.

Table 3 summarizes XRF lead samples, including sample number, material description, substrate, color, location and analytical results.

TABLE 3

XRF SAMPLING

SUMMARY OF PAINTED COMPONENTS AND MATERIALS

NATIONAL PARKS SERVICE

LAKE OZETTE – HAUBRICH PROPERTY

Read

Component Substrate Color Building Room Lead Conc.

(mg/cm2)

1 NIST Check Wood Red Haubrich

Property N/A 0.93

2 NIST Check Wood Red Haubrich

Property N/A 0.92

EHSI Project 11035 November 9th, 2017

TABLE 3

XRF SAMPLING

SUMMARY OF PAINTED COMPONENTS AND MATERIALS

NATIONAL PARKS SERVICE

LAKE OZETTE – HAUBRICH PROPERTY

Read

Component Substrate Color Building Room Lead Conc.

(mg/cm2)

3 NIST Check Wood Red Haubrich

Property N/A 0.93

4 Structural Beam Wood Brown Haubrich House Living Room <LOD

5 Structural Beam Wood Brown Haubrich House Kitchen <LOD

6 Closet Door Wood Brown Haubrich House Kitchen <LOD

7 Door Trim Wood Brown Haubrich House Kitchen <LOD

8 Cabinet Wood Brown Haubrich House Kitchen <LOD

9 Fume Hood Metal Black Haubrich House Kitchen 0.02

10 Wall Fiber Board Off White Haubrich House Kitchen <LOD

11 Wall Wood Dark Brown Haubrich House Bedroom <LOD

12 Wall Wood Brown Haubrich House Bathroom <LOD

13 Door Frame Wood Brown Haubrich House Mud Room <LOD

14 Wall Wood Brown Haubrich House Mud Room <LOD

15 Floor Brick Red Haubrich House Living Room <LOD

16 Guard Rail Metal Black Haubrich House Loft <LOD

17 Stair Rail Wood Brown Haubrich House Loft <LOD

18 Structural Beam Wood Brown Haubrich House Exterior <LOD

19 Soffit Wood Brown Haubrich House Exterior <LOD

20 Gutter Metal Dark Brown Haubrich House Exterior <LOD

21 Downspout Metal Light Brown Haubrich House Exterior 0.01

22 Wall Metal Light Brown Haubrich House Exterior <LOD

23 Wall Trim Metal Light Brown Haubrich House Exterior <LOD

24 Door Trim Wood Light Brown Haubrich House Exterior <LOD

25 Deck Railing Wood Light Brown Haubrich House Exterior <LOD

26 Wall Wood Dark Brown Haubrich House Exterior <LOD

27 Wall Skirt Wood Light Brown Haubrich House Exterior <LOD

28 Door Wood Light Brown Haubrich House Exterior <LOD

29 Door Frame Wood Brown Haubrich House Exterior <LOD

30 Door Frame Wood Gray Haubrich House Exterior 0.02

31 Wall Wood Light Brown Outbuilding #1 Exterior <LOD

32 Door Wood Light Brown Outbuilding #1 Exterior <LOD

33 Soffit Wood Light Brown Outbuilding #1 Exterior <LOD

34 Fasia Wood Light Brown Outbuilding #1 Exterior <LOD

35 Gutter Metal Dark Brown Outbuilding #1 Exterior <LOD

36 Downspout Metal Dark Brown Outbuilding #1 Exterior <LOD

EHSI Project 11035 November 9th, 2017

TABLE 3

XRF SAMPLING

SUMMARY OF PAINTED COMPONENTS AND MATERIALS

NATIONAL PARKS SERVICE

LAKE OZETTE – HAUBRICH PROPERTY

Read

Component Substrate Color Building Room Lead Conc.

(mg/cm2)

37 Door Trim Wood Light Brown Outbuilding #1 Exterior <LOD

38 Wall Vent Frame Wood Light Brown Outbuilding #1 Exterior <LOD

39 Door Wood Brown Outbuilding #1 Interior <LOD

40 Floor Wood Brown Outbuilding #1 Interior 0.09

41 Door Frame Wood Brown Outbuilding #1 Interior <LOD

42 Structural Beam Wood Brown Haubrich

Property Lean To <LOD

43 Roof Metal Silver Haubrich

Property Lean To 0.06

44 Soffit Wood Dark Brown Outbuilding #2 Exterior <LOD

45 Fasia Wood Dark Brown Outbuilding #2 Exterior <LOD

46 Wall Skirt Concrete White Outbuilding #2 Exterior <LOD

47 Wall Wood Dark Brown Outbuilding #2 Exterior <LOD

48 Door Metal Dark Brown Outbuilding #2 Exterior <LOD

49 Door Frame Wood Dark Brown Outbuilding #2 Exterior <LOD

50 Door Trim Wood Dark Brown Outbuilding #2 Exterior <LOD

51 Gutter Wood Dark Brown Outbuilding #2 Exterior <LOD

52 Door Metal White Outbuilding #2 Interior <LOD

53 Window Frame Wood Light Brown Outbuilding #2 Exterior <LOD

54 Soffit Wood Light Brown Outbuilding #2 Exterior <LOD

55 NIST Check Wood Red Haubrich

Property N/A 0.93

56 NIST Check Wood Red Haubrich

Property N/A 0.92

58 NIST Check Wood Red Haubrich

Property N/A 0.9

In addition to the XRF samples, EHSI collected two (2) bulk QA samples for laboratory analysis. The bulk sample results ranged from <0.0035 percent lead by weight to <0.0074 percent lead by weight. Building materials and paint containing detectable levels of lead are considered regulated by DOSH. Any contractors disturbing materials with detectable amounts of lead should conduct training and a negative exposure assessment in accordance with DOSH regulations.

Table 4 summarizes bulk QA lead samples, including sample number, material description, substrate, color, location, and analytical results.

Copies of the analytical laboratory report and field data forms for lead paint are included in

Appendix B of this report.

EHSI Project 11035 November 9th, 2017

TABLE 4

SUMMARY OF LEAD BULK SAMPLING AND ANALYTICAL RESULTS

NATIONAL PARKS SERVICE

LAKE OZETTE – HAUBRICH PROPERTY

SAMPLE

NUMBER

LOCATION

COMPONENT/

SUBSTRATE

COLOR

RESULTS

% Pb by

WT

11035-HAU-

Pb01 Living Room Fireplace/ Brick

Red & Dark

Red <0.0035

11035-HAU-

Pb02

Outbuilding #2, Interior Window Trim, Frame &

Walls/ Wood Off-white/Beige <0.0074

Key: Pb = lead, WT = weight

DOSH requires employers to conduct a hazard assessment and take appropriate worker protection precautions whenever disturbing materials that have detectable quantities of lead.

Since the type of work planned (e.g., demolition) will disturb the lead-containing materials, the contractor should perform an initial exposure assessment to determine if additional personal protective measures and work practices are required beyond the initial exposure assessment.

2.4.3 Toxicity Characteristic Leaching Procedure Sampling

Ecology requires testing using the “toxicity characteristic leaching procedure” (TCLP) and segregation of construction debris if it is potentially contaminated with dangerous waste (e.g., lead-containing paint/lead-containing materials). Ecology has set a dangerous waste threshold for leachable lead at 5.0 milligrams of lead per liter (mg/L).

At the request of the NPS, a TCLP was conducted by EHSI as part of the Limited Lead and Asbestos Survey. The results of that lead-TCLP analysis indicate leachable lead present in the anticipated demolition waste stream at a concentration of <0.5 mg/L. A detailed list of the materials included in the TCLP sample are provided in Appendix F.

It should be noted that this TCLP was done on behalf of NPS for disposal cost estimating purposes. It is recommended that the contractor take their own TCLP test of their demolition waste stream including the option to not TCLP specific materials based on the ability to recycle metal and concrete painted building materials.

2.4.4 Polychlorinated Biphenyls

Ballasts EHSI inspected the fluorescent light fixture for PCB-containing ballasts. The fixture inspected was found to contain a magnetic ballast and must be assumed to contain PCB-containing dialectic fluid; therefore, they must be disposed/recycled as Ecology Dangerous Waste. A

Summary of ballasts and Hg-containing light tubes/bulbs is provided in Table 5.

2.4.5 Mercury-Containing Fluorescent Light Tubes and CFL Bulbs

All fluorescent light tubes/bulbs quantified in Table 5 contain Hg. Hg wastes are regulated as

“universal wastes” under Ecology’s regulation WAC 173-303. Hg-containing building materials must be recycled or disposed of as hazardous waste. No Hg-containing switches or thermostats were identified in the structures.

EHSI Project 11035 November 9th, 2017

TABLE 5

SUMMARY OF LIGHT FIXTURE INSPECTION RESULTS

NATIONAL PARKS SERVICE

OZETTE LAKE – HAUBRICH PROPERTY

LIGHT TYPE FIXTURES

BULBS/

TUBES

MAGNETIC

BALLASTS

1’x4’ Mounted light fixture w/ 2 bulbs and 1 magnetic ballast 1 2 1

Light fixture w/ 1 CFL bulb 1 1 0

Total Haubrich Property 2 3 1 Key: CFL = compact fluorescent light, w/ = with

3.0 LIMITATIONS

This survey was limited to those materials accessible using standard survey methods. Limited representative destructive inspection was accomplished; however, generator internal components were not sampled but were assumed to have ACM. All suspect materials present were accessible for sampling.

This survey was limited to the chemicals and materials identified herein. No effort was made to identify hazardous materials in soil, water, or air, other than those listed herein. Any survey regardless of how extensive can miss concealed materials. Contractors should be aware of the potential that demolition activities may expose concealed suspect ACM and should have preplanned contingencies for handling these materials when discovered during demolition work. Any concealed, suspect ACM material that was not sampled or that was assumed to be

ACM by this survey report when encountered must be treated as ACM until sampled by a Certified AHERA Building Inspector and analyzed by a certified laboratory.

4.0 STANDARD OF CARE

The recommendations and conclusions contained in this report represent the professional opinions of EHSI. These opinions are derived in accordance with federal, state, and local environmental and health and safety laws and regulations. This survey was accomplished in accordance with applicable federal, state, and local regulations and industry standards in effect at the time. Other than this, no other warranty is implied or intended.

5.0 CERTIFIED AHERA BUILDING INSPECTORS

The Certified AHERA Building Inspectors listed below surveyed the Haubrich Property on

October 5th and 6th, 2017, in accordance with federal, state, and local requirements.

Brett Racine Mike Ruark Certified AHERA Building Inspector Certified AHERA Building Inspector

Certificate Number: 1628680 Certificate Number: 163007

Expiration Date: July 26, 2018 Expiration Date: September 6, 2018

Appendix A

APPENDIX A

Asbestos Analytical Laboratory Report and Field Data Forms

Lori Tseng, Laboratory Analyst

Client Project: 11035-03

Location: Haubrich Property

Dear Mr. Peterson, Enclosed please find test results for the 4 sample(s) submitted to our laboratory for analysis on

10/10/2017.

Examination of these samples was conducted for the presence of identifiable asbestos fibers using polarized light microscopy (PLM) with dispersion staining in accordance with both EPA 600/M4-82-020, Interim Method for the Determination of Asbestos in Bulk Insulation Samples and EPA 600/R-93/116

Method for the Determination of Asbestos in Bulk Building Materials.

For samples containing more than one separable layer of materials, the report will include findings for each layer (labeled Layer 1 and Layer 2, etc. for each individual layer). The asbestos concentration in the sample is determined by calibrated visual estimation.

For those samples with asbestos concentrations between 1 and 10 percent based on visual estimation, the EPA recommends a procedure known as point counting (NESHAPS, 40 CFR Part 61). Point counting is a statistically more accurate means of quantification for samples with low concentrations of asbestos.

The detection limit for the calibrated visual estimation is <1%, 400 point counts is 0.25% and 1000 point counts is 0.1%

Samples are archived for two weeks following analysis. Samples that are not retrieved by the client are discarded after two weeks.

Thank you for using our laboratory services. Please do not hesitate to call if there is anything further we can assist you with.

Sincerely, Enc.: Sample Results

October 11, 2017

Lori T Labo to A lyst

Rory Peterson

EHS International

1011 SW Klickitat Way. Suite 104

Seattle, WA 98134

RE: Bulk Asbestos Fiber Analysis; NVL Batch # 1717979.00

< Client:

Address:

Attention: Mr. Rory Peterson

Haubrich Property

Client Project #: 11035-03

Samples Received: 4

By Polarized Light Microscopy

Bulk Asbestos Fibers Analysis

EHS International

1011 SW Klickitat Way. Suite 104

Seattle, WA 98134

Method: EPA/600/R-93/116

& EPA/600/M4-82-020

Samples Analyzed: 4

Project Location:

Batch #: 1717979.00

Date Received: 10/10/2017

17098201Lab ID: Client Sample #:

Location: Haubrich Property

11035-HAU-03QA

Layer 1 of 2 Description: Red sheet vinyl

Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %

Vinyl/Binder, Synthetic foam NDNone Detected None Detected ND

Layer 2 of 2 Description: Off-white fibrous backing with mastic and wood

Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %

Binder/Filler, Mastic/Binder, Calcareous particles 31%Cellulose Chrysotile 42%

Wood flakes 4%Wood fibers

17098202Lab ID: Client Sample #:

Location: Haubrich Property

11035-HAU-30QA

Layer 1 of 1 Description: Black asphaltic fibrous material

Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %

Asphalt/Binder, Binder/Filler, Mica 44%Cellulose None Detected ND

17098203Lab ID: Client Sample #:

Location: Haubrich Property

11035-HAU-47QA

Layer 1 of 1 Description: Black asphaltic fibrous material

Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %

Binder/Filler, Asphalt/Binder 68%Cellulose None Detected ND

17098204Lab ID: Client Sample #:

Location: Haubrich Property

11035-HAU-61QA

Layer 1 of 1 Description: Off-white soft mastic with paint and wood

Non-Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %

Mastic/Binder, Paint/Vinyl, Wood flakes 76%Wood fibers None Detected ND

Note: If samples are not homogeneous, then subsamples of the components were analyzed separately. All bulk samples are analyzed using both EPA

600/R-93/116 and 600/M4-82-020 Methods with the following measurement uncertainties for the reported % Asbestos (1%=0-3%, 5%=1-9%, 10%=5-15%, 20%=10-30%, 50%=40-60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL

Laboratories, Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government

Client

Jacob LaugesonAnalyzed by:

Lori TsengReviewed by:

10/11/2017 Date:

10/11/2017Date:

Sampled by:

Lori Tseng, Laboratory Analyst

EHS International 1717979.00

Company NVL Batch Number

Total Number of Samples

Haubrich Property

5 DaysTAT

10/17/2017Due Date 9:25 AMTime

(206) 254-4279Fax roryp@ehsintl.comEmail

Project Manager Mr. Rory Peterson

(206) 381-1128

(425) 766-8342Cell

Phone

Rush Samples

Rush TAT

NoAH

11035-03Project Name/Number: Project Location:

Sample ID Description A/RLab ID

ASBESTOS LABORATORY SERVICES

Subcategory

Item Code

PLM Bulk

Metals

ASB-02 EPA 600/R-93-116 Asbestos by PLM <bulk>

1011 SW Klickitat Way. Suite 104

Seattle, WA 98134

Address

11035-HAU-03QA1 A17098201

11035-HAU-30QA2 A17098202

11035-HAU-47QA3 A17098203

11035-HAU-61QA4 A17098204

Office Use Only Print Name Company Date TimeSignature

Faxed Emailed

Company Date TimeSignature

ClientSampled by

Umer KhanReceived by

ClientRelinquished by

Jacob LaugesonAnalyzed by

Results Called by

NVL

NVL

10/10/17

10/11/17

Print Name

Entered By: Mohammed Jamal

Date: 10/10/2017

Time: 9:42 AM

Special

Instructions:

Appendix B

APPENDIX B

Lead Laboratory Reports and Field Data Forms

RE: Metals Analysis; NVL Batch # 1717975.00

Dear Mr. Peterson, October 13, 2017

EHS International

Rory Peterson

1011 SW Klickitat Way. Suite 104

Seattle, WA 98134

Enclosed please find the test results for samples submitted to our laboratory for analysis.

Preparation of these samples was conducted following protocol outlined in EPA Method SW 846

-3051 unless stated otherwise. Analysis of these samples was performed using analytical instruments in accordance with U.S. EPA, NIOSH, OSHA and other ASTM methods.

For matrix materials submitted as paint, dust wipe, soil or TCLP samples, analysis for the presence of total metals is conducted using published U.S. EPA Methods. Paint and soil results are usually expressed in mg/Kg which is equivalent to parts per million (ppm). Lead (Pb) in paint is usually expressed in mg/Kg (ppm) , Percent (%) or mg/cm by area. Dust wipe sample results are usually expressed in ug/wipe and ug/ft . TCLP samples are reported in mg/L (ppm). For air filter samples, analyses are conducted using NIOSH and OSHA Methods. Results are expressed in ug/filter and ug/m . Other matrix materials are analyzed accordingly using published methods or specified by client. The reported test results pertain only to items tested and are not blank corrected.

For recent regulation updates pertaining to current regulatory levels or permissible exposure levels, please call your local regulatory agencies for more details.

This report is considered highly confidential and will not be released without your approval.

Samples are archived for two weeks following analysis. Samples that are not retrieved by the client are discarded after two weeks.

Thank you for using our laboratory services. if you need further assistance please feel free to call us at 206-547-0100 or 1-888-NVLLABS.

Sincerely, Shalini Patel, Laboratory Analyst

Analysis Report Total Lead (Pb)

Haubrich Property

EHS InternationalClient:

1011 SW Klickitat Way. Suite 104

Seattle, WA 98134

Mr. Rory PetersonAttention:

Address:

Project Location: Samples Received: 2

Samples Analyzed: 2

Client Project #: 11035-03

Batch #: 1717975.00

Date Received: 10/10/2017

Lab ID Client Sample #

Sample

Weight (g)

Results in mg/Kg

Results in percent

RL in mg/Kg

Matrix: Paint

Method: EPA 3051/7000B

17098194 11035-HAU-Pb01 0.2886 35 < 35 0.0035<

17098195 11035-HAU-Pb02 0.1360 74 < 74 0.0074<

ClientSampled by:

Yasuyuki HidaAnalyzed by:

Shalini PatelReviewed by:

10/13/2017Date Analyzed:

10/13/2017Date Issued:

Bench Run No: 2017-1013-2 mg/ Kg =Milligrams per kilogram RL = Reporting Limit

Percent = Milligrams per kilogram / 10000 '<' = Below the reporting Limit Note : Method QC results are acceptable unless stated otherwise.

Unless otherwise indicated, the condition of all samples was acceptable at time of receipt.

Shalini Patel, Laboratory Analyst

EHS International 1717975.00

Company NVL Batch Number

Total Number of Samples

Haubrich Property

5 DaysTAT

10/17/2017Due Date 9:25 AMTime

(206) 254-4279Fax roryp@ehsintl.comEmail

Project Manager Mr. Rory Peterson

(206) 381-1128

(425) 766-8342Cell

Phone

Rush Samples

Rush TAT

NoAH

11035-03Project Name/Number: Project Location:

Sample ID Description A/RLab ID

LEAD LABORATORY SERVICES

Subcategory

Item Code

Flame AA (FAA)

Metals

FAA-02 EPA 7000B Lead by FAA <paint>

1011 SW Klickitat Way. Suite 104

Seattle, WA 98134

Address

11035-HAU-Pb011 A17098194

11035-HAU-Pb022 A17098195

Office Use Only Print Name Company Date TimeSignature

Faxed Emailed

Company Date TimeSignature

ClientSampled by

Umer KhanReceived by

ClientRelinquished by

Yasuyuki HidaAnalyzed by

Results Called by

NVL

NVL

10/10/17

10/13/17

Print Name

Entered By: Umer Khan

Date: 10/10/2017

Time: 9:36 AM

Special

Appendix C

APPENDIX C

Certified AHERA Building Inspector Certificates

Appendix D

APPENDIX D

Laboratory Certifications for Asbestos and Lead Analysis acknowledges that

NVL Laboratories, Inc.

General Requirements for the Competence of Testing and Calibration Laboratories

LABORATORY ACCREDITATION PROGRAMS

INDUSTRIAL HYGIENE

ENVIRONMENTAL LEAD

ENVIRONMENTAL MICROBIOLOGY

FOOD

UNIQUE SCOPES

Scope of Accreditation

Scope of Accreditation

William Walsh, CIH

Chairperson, Analytical Accreditation Board

Cheryl O. Morton

Managing Director, AIHA Laboratory Accreditation Programs, LLC

NVL Laboratories, Inc. 101861

Industrial Hygiene Laboratory Accreditation Program (IHLAP)

Initial Accreditation Date: 04/01/1997

IHLAP Scope

Category

Field of Testing (FoT) Technology sub-type/

Detector

Published Reference

Method/Title of In-house Method

Method Description or Analyte for internal methods only)

Spectrometry Core

Asbestos/Fiber

Microscopy Core

Miscellaneous Core

NVL Laboratories, Inc. 101861

Environmental Lead Laboratory Accreditation Program (ELLAP)

Initial Accreditation Date: 02/07/1997

Field of Testing (FoT) Technology sub-type/

Detector Method

Method Description for internal methods only)

Paint

Soil

Settled Dust by Wipe

Airborne Dust

Appendix E

APPENDIX E

Sample Location Drawings for Asbestos, Lead, and TCLP

LIVING ROOM

KITCHEN

RESTROOM

BEDROOM

MUD ROOM

SL-1

HAUBRICH

HOUSE

PROJECT NORTH

HAUBRICH HOUSE

NOT TO SCALE

EHSI PROJECT #:

SCALE:

SURVEY DATES:

DRAWN BY:

INSPECTORS:

PROJECT MANAGER:

ISSUE DATE:

H A

U B

R

IC

H P

R O

P E

R

TY

P R

E A

C H

E R

'S P

O

IN

T

LA

K E

O

ZE

TT

E

U S

D E

P A

R

TM

E N

T O

F

TH

E

IN

TE

R

IO

R

N P

S P

O R

T A

N G

E

LE

S , W

A

GENERAL NOTES SAMPLE LEGEND

1. DRAWING IS SCHEMATIC AND SAMPLE LOCATIONS ARE

APPROXIMATE.

2. REFER TO REPORT FOR MORE INFORMATION ABOUT

THE SAMPLED MATERIALS.

1011 SW Klickitat Way, Suite 104

Seattle, Washington 98134

Ph: 206.381.1128

Fax: 206.254.4279

EHS-International, Inc.

BULK ASBESTOS SAMPLE LOCATIONS11035-HAU-XX

P R

O

JE

C T

P R

O P

E R

T Y

I D

S A

M P

L E

# PROPERTY ID:

HAU = HAUBRICH

KLE = KLEIVA

BULK LEAD SAMPLE LOCATIONS11035-HAU-PbXX

BULK TCLP SUB-SAMPLE11035-HAU-TCLP-XXA

11035-HAU-TCLP-01A

11035-HAU-3011035-HAU-12

11035-HAU-42

11035-HAU-41

11035-HAU-29

11035-HAU-43 11035-HAU-TCLP-01C

11035-HAU-03

11035-HAU-32 11035-HAU-09

11035-HAU-07 11035-HAU-40

11035-HAU-34

11035-HAU-02

11035-HAU-26

11035-HAU-14

11035-HAU-38

11035-HAU-TCLP-01G 11035-HAU-04

11035-HAU-28 11035-HAU-TCLP-01C

11035-HAU-Pb01

11035-HAU-25

11035-HAU-33

11035-HAU-TCLP-01B11035-HAU-01

11035-HAU-05

11035-HAU-27

11035-HAU-13

11035-HAU-31

11035-HAU-37

11035-HAU-TCLP-01A

11035-HAU-TCLP-01J

11035-HAU-TCLP-01E

11035-HAU-36

11035-HAU-17

11035-HAU-35

11035-HAU-06

11035-HAU-TCLP-01D

11035-HAU-10

11035-HAU-11

11035-HAU-22

11035-HAU-08

11035-HAU-21

11035-HAU-TCLP-01F

11035-HAU-TCLP-01A

11035-HAU-64

11035-HAU-19

11035-HAU-TCLP-01H

11035-HAU-15

11035-HAU-20

11035-HAU-TCLP-01C

11035-HAU-18

11035-HAU-39

11035-HAU-1611035-HAU-65

11035-HAU-67

11035-HAU-66

11035-HAU-TCLP-01K

11035-HAU-TCLP-01K

11035-HAU-TCLP-01H

11035-HAU-TCLP-01I

11035-HAU-51

11035-HAU-24

11035-HAU-23

11035-HAU-TCLP-01B

IN LOFT

IN LOFT

IN LOFT

GENERATOR

SL-2

HAUBRICH

MISC STRUCTURES

PROJECT NORTH

OUT BUILDING 2

NOT…

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it.