Amd_1_Exhibit_5_Asbestos_Abatement_-_Taholah _Queets_ _Chemawa_Close_Out_Report.pdf

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PUBLIC HEALTH SERVICES

CLINICS AT TAHOLAH AND QUEEtS, WA;

SJ(LEM, OR

ASBESTOS ABATEMENT PROJECT

CLOSEOUT REPORT

PBS

lHV'''O .. Mot",,,L

PBS Project No. 4626.00 PHS Project No. PDHA003C6/PD1WN007C9

January 1992

SUMMARY

Project Summary Certificate of Substantial Completion Post Abatement Drawings Photo Documentation

PROJECT COMMUNICA TlON Submittal Checklist Worksite Checklists Field Observation Reports Transmittals

AIR MONITORING

Air Sample Lab Reports Sampling Descriptions

CONTRACTOR SUBMITTALS

Worker Training and Certification Asbestos Disposal Forms DEQ Notification

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V\3S ~62--fJl~~ \S (b .6. * \ Co)

PBS

ENVIRONMENTAL

PROJECT SUMMARY

During the period from January 2 through January 19, 1992, removal of asbestos containing materials was performed at three Indian Health Clinics; Chemawa Clinic in Salem, Oregon, and the Queets and Taholah Clinics in Washington. The abatement work was performed by Certified Asbestos Abaters of Auburn, WA. Air monitoring and on site project management was provided by PBS Environmental Inc., of Portland, OR.

CHEMAWA CLINIC

Removal of asbestos-containing hard fittings from fiberglass insulated pipes and pipe insulation from inside radiators was performed at this clinic from January 2 to January 9, 1992. The insulation was removed using negative air glovebags. Workers wore protective coveralls and half-face negative pressure respirators during insulation removal.

Asbestos waste was double-bagged and labelled for proper disposal.

Pre-abatement air samples were taken throughout the Clinic before removal. Fiber concentrations ranged from below the analytical limit of detection to 0.001 flcc. Samples collected inside the various work areas during removal ranged from below the limit of detection to 0.04 f/cc. Although fiber concentrations exceeded 0.01 on several occasions, all samples remained below the OSHA action level of 0.1 f/cc .

Hard fittings suspected to contain asbestos remain above plaster or gypsum ceilings and behind wall cavities. Those which could be seen are identified in the post abatement drawing for Chemawa Clinic. During the project, PBS collected several bulk samples of the hard fittings. The sample results revealed that the non-friable substance beneath the mudded fittings contained asbestos, and in its current condition poses no significant health risk. Since it is difficult to identify which fittings contain the asbestos material , PBS recommends that it be assumed that all remaining fittings contain asbestos and proper precautions be taken if these areas are to be impacted.

TAHOLAH CLINIC

From January 10 to January 12, 1992 asbestos-containing materials were removed from the Taholah Health Clinic in Taholah, WA. Materials removed included hard-fittings on fiberglass insulated runs in the crawlspace, mechanical room and attic, and contaminated soil from the crawlspace. All asbestos materials were double-bagged and properly labelled for disposal.

11 20SW. :-'lurnson

ENVIRONMENTAL

MANAGEMENT AND

CONS ULTI NG

Portland . Oregon 9720 3 503/248·193() ')03 24H·0213 H.\

During the removal workers wore half-face negative pressure respirators and protective coveralls. Pipe insulation was removed using negative pressure glovebags. A personal decontamination chamber was constructed adjacent to the crawlspace entry. The chamber consisted of two airlocks and a shower for decontamination.

Pre-abatement samples were collected in each area and ranged from below the limit of detection to 0.002 f/cc. During removal airbome fiber concentrations ranged from below the limit of detection to 0.245 f/cc. Final air clearance samples collected in each area were below 0.005 flcc, as required by the specifications.

Asbestos-containing pipe insulation may still exist behind wall cavities. Flooring throughout the clinic is also suspected to contain asbestos. When impacting these area proper precautions should be used.

QUEETS CLINIC

From January 13 to January 19, 1992 asbestos-containing pipe fittings, flooring materials and cement asbestos board was removed from the Queets Clinic in Queets, WA.

During the removal of each material, workers wore protective coveralls and negative pressure half-mask respirators. The pipe fittings were removed using negative pressure glovebags. The flooring materials were removed under full isolation. Workers used a personal decontamination chamber for entry and exit into the work areas. Asbestos waste was double-bagged and properly labelled for disposal.

Pre-abatement samples were collected and ranged from 0.002 flcc to 0.012 f/cc. During the removal airborne fiber concentrations ranged from below the limit of detection to 0.139 f/cc. Final air clearance samples collected in each area were below 0.005 flcc, as required by the specifications.

Remaining asbestos-containing materials are noted in the post abatement drawing included with this report. The materials include flooring beneath stationary cabinets and pipe insulation above the basement suspended ceiling and inside wall cavities. Proper precautions should be taken if impact of these materials is anticipated.

CERTIFICATE OF

SUBSTANTIAL

COMPLETION

Distribution to :

OWNER

CONTRACTOR

FIELD

OTHER

PROJECT:

(name, address)

Health Centers at Taholah & Queets, WA; Salem, OR

III rn Certified Asbestos Abaters o o

CONSULTANT: PBS Environmental, Inc.

CONSULTANT'S PROJECT #: 4626.00

TO (Owner) :

DATE OF

ISSUANCE:

Public Health Service Office of Engineering Services 2201 Sixth Avenue

MIS RX-24

Seattle, WA 98121

23 January 1992

CONTRACTOR:

CONTRACT FOR:

CONTRACT DATE:

PROJECT OR DESIGNATED PORTION SHALL INCLUDE:

Asbestos Abatement in the Three Clinics as described in the PBS Specifications dated 30 July 1991

Certified Asbestos Abaters

Asbestos Abatement in Three Clinics

29 November 1989

The Work performed under this Contract has been reviewed and found to be substantially complete. The Date of Substantial Completion of the Project or portion thereof deSignated above is hereby established as 19 January 1992.

DEFINITION OF DATE OF SUBSTANTIAL COMPLETION

The Date of Substantial Completion of the Work or designated portion thereof is the Date certified by the Consultant when asbestos abatement is sufficiently complete, in accordance with the Contract Documents, and the following safety criteria are met:

a) The Contractor has removed asbestos-containing materials from each of the three clinics in substantial conformance with the intent of the specifications set forth by PBS, dated July 1991, and associated addenda.

b) Airborne fiber concentrations collected for clearance purposes were below the Environmental Protection Agency's (EPA) recommended clearance criterion of 0.01 flcc per cubic centimeter of air (flcc) based on Phase Contrast Microscopy (PCM) National Institute of Occupational Safety and Health (NIOSH) 7400 Method of Analysis of air samples.

c) Remaining asbestos-containing materials include:

CHEMEWA:

1) Pipe insulation above hard ceilings and embedded in walls .

2) Suspect floor coverings.

3) Pipe insulation inside radiator by Administration area.

TAHOLAH :

1) Suspect pipe insulation embedded in walls .

2) Suspect floor coverings.

QUEETS:

1) Floor coverings beneath stationary cabinets .

2) Pipe insulation above concelaed spline ceiling in basement and embedded in walls.

PBS Environmental, Inc.

CONSULTANT DATE

i:lwpI4626\sub·comp

LEGEND

fZJ

HARD FITTINGS ON flBERGlASS WHICH ARE VISIBLE SUT INACCESSIBLE DUE TO OBSTRUCTlON BY PLASTER

CEIUNGS, WALLS, PIPES OR HVAC SYSTEM.

PLASTER CEIUNG

NOTE

1. ONLY V1SIBLE FITTlNGS ARE SHOWN. AOOITIONAL

FITTINGS MAY EXIST BEHINO WALLS. THESE AREAS,

WITH POTENTIAL ASBESTOS-CONTAINING MAl'ERIALS.

SHOULD BE INVESTICAl[O &. NOTED PRIOR TO

DISTURBANCE.

-) ~ rr:: ty-,=

'-err

--- (3) l-'A.<.:O FI7TING:S, IN PLAGe

TYPICAL SAMPLE RESULTS

LAB

RESULT

1-57. CHRYSOTILE

MATERIAL

SAMFlLEO

HARO fiTTINGS ON fiBERGLASS

WESTERN OREGON (CHEM AWA) HEALTH CLINIC

NORTH

~ ~.L?3~~" PLANS o 5 15:30 60 .. : I 360

4626.01 462601 -4

1220 SY< ~R/IISON

POIUl..AND. Cflt<;ON

9no~

~03/2~~lQ3~ z « ....J

CL

f- Z w w u ::2 u 5 w _ 0:

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UPDATED

22JAN92

13JUNE91

SEcnON 02074

LEGEND:

o

NOTE

APPROX. NUMBER &. LOCATION OF HARO

FlTTINGS ON FIBERGLASS.

ASBESTOS-CONTAINING SHEET FLOOR

COIlERING &. MASTIC (UNDER COUNTERS)

CONCEALED SPLINE CEILING 'MTl-! AS8 ESTOS

CONTAINING PIPE FITTINGS ABOVE

1. ONLY V1SIBLE FITTINGS ARE SHO'NN. ADDiTIONAL FITllNGS MAY EXIST BEHIND WAllS. THESE AREAS, 'MTH POTENnAL ASBESTOS-CONTAINING MATERIALS.

SHOULD 8E IN VESnGATED & NOTED PRI OR TO orS1URBANCE.

o IFURNA~1

QUEETS HEALTH CLINIC

NORTH

~ ~~:,~~ENT PLAN

TYPICAL SA~PlE RESULTS

LA,

RESULT

4070 CHRYSO TILE

15% CHRYSQTJlE

&. 27. AMOSITE

"'ATERI.o.L

","PL£D

SHEET FLOOR COVERING

HARD FITTINGS ON FIBERGLASS

o 2 <I- 8 16

I '" I 96

4626.01 462601-1

1220 SIr 1l0000SOli PCflTl.NID. ORtCOH

Q7205

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f Z W w ::> u w 5 f- U 0:

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UPDATED

22JAN92

13JUNE91

OF 4

SECTION

LEGEND:

NOTE

CABINETS 'MTH SUSPECT FLOOR n LE

LQCA TED BENEA TH

1. ONLY VISIBLE FtTnNGS ARE SHOWN . ADDITIONAL FlTllNGS MAY EXIST 8EHIND WAllS. THESE AREAS, I'I1TH POT(NllAL ASSESTOS-CONTAINING MATERIALS, SHOULD BE INVESTIGA ltD & NOTED PRIOR TO OISTlJRBANCE.

QUEETS HEALTH CLINIC

NORTH

~ ~~ I~_o_FLOOR PLAN

TYPICAL SAMPLE RESUL 15

LAB

RESUlT

MAl!RIAL S"I-IPlft)

17. CHRYSOTll E FLOOR TILE

T o 2 ~ 8 16 I ;;; I 96

46 26.01 462601 -2

1220 $W 1I0RFUSON

POll~O. ~CO>I

97205

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UPDATED

22JAN92

13JUNE91

SECTION

CLIENT : PUBLIC HEALTH SERVICE

A:

C:

ASBESTOS-CONTAINING HARDFIT

TINGS ON FIBERGLASS PIPE

RUNS; PRIOR TO REMOVAL

CAA WORKER GLOVEBAGGING PIPE

INSULATION INSIDE RADIATOR

BUILDING: CHEMEWA CLINIC

B:

D:

PHOTO DOCUMENTATION

ASBESTOS-CONTAINING PIPE IN

SULATION INSIDE RADIATOR

UNITS; PRIOR TO REMODEL

FITTI NGS ABOVE CEILING FOL

LOWING REMOVAL

SECTION TWO PAGE 3 . 1

CLIENT: PUBLIC HEALTH SERVICE

C:

EXTERIOR ELEVATION

CAA WORKER GLOVEBAGGING AS

BESTOS CONTAINING PIPE FIT

TINGS INSIDE CRAWLSPACE

BUILDING: TAHOLAH CLINIC

B :

D:

PHOTO DOCUMENTATION

PERSONAL DECONTAMINATION

CHAMBER OUTSIDE CRAWLSPACE

ENTRANCE

FITT INGS INSIDE CRAWLSPACE

FOLLWING REMOVAL

SECTION TWO PAGE 3.2

CLIENT: PUBLIC HEALTH SERVICE

C:

EXTERIOR ELEVATION

, d

CAA WORKER REMOVING ASBESTOS

CONTAINING FLOOR TILE; FIRST

FLOOR OF CLINIC

BUILDING: QUEETS CLINIC

B:

B:

PHOTO DOCUMENTATION

PERSONAL DECONTAMINATION

CHAMBER OUTSIDE CLINIC

ENTRANCE

CAA WOKERS REMOVING MASTIC

AND UNDERLAYMENT; FIRST FLOOR

OF CLINIC

SECTION TWO PAGE 3.3

I '

CLIENT: PUBLIC HEALTH SERVICE

A:

C:

FIRST FLOOR OF CLINIC FOLLOW

ING FLOOR TILE & UNDERLAYMENT

REMOVAL

BASEMENT FLOOR FOLLOWING RE

MOVAL OF FLOOR COVERING

BUILDING: QUEETS CLINIC

B:

D:

PHOTO DOCUMENTATION

ASBESTOS-CONTAINING SHEET

FLOOR COVERING IN BASEMENT

PRIOR TO REMOVAL

ASBESTOS-CONTAINING WASTE

DOUBLE-BAGGED & LABELLED FOR

DISPOSAL

SECTION TWO PAGE 3.4

SUBMITTAL CHECKLIST

This form is for Th e cxelusil'c lise of PBS Ellvironmcllrni.

Coordillafe (his lis! WillI the Asbestos Abmement Specifications, and inc/ude submittals thal are unique to the project.

Sp~ClfJCJ110n

Reference Brief Description

02075 1.04 Worker Certificat ion

02075 1.04 DEQ , MSD Notifica tIOn - 10 Days Prior \0 Sta rl ing Work

02075 £.04 Transpona tion/Disposal Approval from MSD, el al.

Project Name: Three Clinics

PHS

Project No.: 4626. 00 Da te: 1/ 1/92

Included & Included & No t Accepta ble Not A:xeplable Included

~ 0 0

GJ 0 0

~ 0 0

02075 £.04 Contractor's Work Plan ( wi II correct Taholah )~ 0 0 02075 l.N Emergency Control and Clean-up Plan !Xl 0 0 02075 1.04 Respirtllor Program [ill 0 0 O~075 1.04 Air Monitoring Program 0 0 0 i5 1.04 Manufacturer Certification of Equipment ~ 0 0 020:5 1.04 Medical Exam Program [2£J 0 0 OZ075 1.04 Product lnformal ion on Contractor-Requested Changes 0 0 0 02075 1.0. Asbestos Liabili ty Insu rance Policy 0 0 0 020i5 1.04 Superviso(s Resume and E>:perience ~ 0 0

0 0 0 0 0 0 0 0 0

0207 .5 1.0-1 :\.')bcs\()s Disp(l~(!J Form (Job Completion) !Xl 0 0 02075 I (), P(l~Toll Rcpons (Job Completion) 0 0 0 020i5 J.(!..j W(.r~:sJle Entry Logbook (Weekly or Job Compklion) [2£J 0 0 (120:5 I.U-I Equipml!nt 10);5 (Job Completion) 0 0 ~

Prin t Na me , Tille and Firm

Dave Keck, Field Technician

1/27/92

Signature Date

3/91 t:\wpflles\ronns\~ubc:hcck.lst

~'ot

RequIred bJ Q

[19

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VISUAL INSPECTION CHECKLIST

(USE fOR VJSUAl INSPECTION, PR[ - (NCAPSUtATIOH 6: FINAL INSP(Ci ION)

Contra ct o r: Certified Asbestos Abaters Proiect Name: Three Clinics

P BS S i leO b s e rver: _-"O",a"-v"--,=e~K,-,e",c,,,k,,---______ _ Proiect Number: 4626.00

Proie ct Manager: Tulla Stocker Abatement Area: Chemawa Clinic

Ow n ere 0 ni a ci: __ M=acot:..:t=---"'Ocei"x:co=n _ _ _ _____ _ Atlac h ed Reporl No.: ______ ---p;---,;-...,-_

DAM

Air Mo ni!. Pe rso nn e l en Site: PBS , Keck Do l e: 1/9/92 Tim e: _ __ 0 PM

Contractor On Site Personnel Foreman: Gary Parks Olher Personnel o n Sile: _ _____ _ ______ __ _

Number of Workers: 3 Page of

Type of InspeC! ion: 0 Visual Inspec!ion, 0 Pre Encapsulation, 119 Fina l Inspection, 0 Olher

REMOVAL COMPLETE:

( DU'l't &: Sul k AC)'( Removed)

0 Decks

0 Beams e; Pipes 0 Edges of f loors

INSIDE WORK AREA:

o Fixiures cleaned o Crilical barriers wiped clean o Conduii cleaned o Owner's equipment cleaned o Wa ll s free of ACM streaks

EOUIPMENT:

o Scaffo lds & la dde rs wiped c lean [J Framew o rk wiped c lea n o Neg al ive ai r uni t f iJi ers clean o Nego live oir unit gri lls & wheels free of AC I.1 residue .

~ 80se of co lumns o Floor is dry o Hand i oo ls removed f rom work area

.J Ledges 00 Waste removed 0 Ho rizonta l surfaces DECONTAMINATION UNIT: N / A o Air locks clean o Wasle re m oved o Floor dry o Shower clean o Wa !ls free of AC),i o Equ ipment clean & removed

Co ndil ion of Regulated Work Area appears: :g Salisfoclary o Unsa1isfaciory

FIELD OBSERVATION NOTES: I nclud~: 1) Work Proclice:s, 2) De leys, 3) !!eml Discussed w/Controclor, 4) Scope Che nges , 5) Project Concerns

Contractor removed 476 asbestos-containipg hard fittings from fiberglass insulated pipes using negat i ve air glavebags . vlorkers wore 1/2 mask negative pressure respirators and protective coveralls.

_ _ Ap~raximat_e~ __ ~~2~,:rd !ittings were in con~::,:~~or ~ s __ :.c;~~~ _ ? f~o:~L ____ . __ _

304 fittings were removed in addition to this.

NOTE: ANY DEFICIENCIES MUST BE CORRECTED BEFORE CLEARANCE MAY BE STARTED

The individual signing has visually inspected this area and found that the above information is complete and accurate.

Name: ~D~a~'~'ee~Kue~c~k ______________________________ __ Authorized Signature:

cc : Cont ra cl or Tille : Field Technician

VICU $ T

:u :

(US( FOR VISUAL INS P[CTION, PR(-(NCAPSULATION /( fiNAL IHSP(CTlOH)

Contractor: certified Asbestos Abaters

PBS Site Observer: Dave Keck ----------------------- Pro i e c t Man age r: _____ 'I\l_l_la_ S-'-t_o_c_k_e_r ______ _

Nome: Three Clinics

Proiee! Number: 4626.00

Abatement Area: Taholah Clinic

Own e rCa ntact: ___ Ma_t_t_D_i_x_o_n ________ _ Attached Report

Dote: 1/12/92 No. : ------------r;--;-;-.-----

DAM

Air Man it. Per so n n e IOn Sit e: -=Pc:BccSC!,-cK=-e=-c=-k-'---__ __ Time: ___ _ o PM

Contractor On Site Personnel Foreman: Bob Gurtler other Personnel on Site: _______________ _

Number of Workers: 3 Page 1 of

Typ e of Inspection: 0 Visual In spection, 0 Pre-Encapsu lation, 129 Final inspeciion, 0 Other

REMOVAL COMPLETE:

(Dust & Sulk ACM Removed)

0 Decks 0 Beams 12! Pipes 0 Edges of f loors

INSIDE WORK AREA:

o Fixiures cleaned o Crilica ) barriers wiped clean o Conduit c leaned o Owner's equipment cleaned o Walls free of ACM streaks

EQUIPMENT:

o Scaffo ld s & ladders wiped c lean o Framework wipe d clean o Negative air unir filters clean o Negative air unit gri ll s & wheels free of ACM residue.

'] Base of columns o Floor is dry ~ Hond iools removed from work area .] Ledges t:§ Wasle removed 0 Horizontal surfaces DECONT AMINA TION UNIT:

o Air locks clean [2g Was1e removed ~ Floor dry 0" Shower clean f1 Walls free of ACM ~ Equ ipm ent clean & removed

Condition of Regulated Work Area appears: ~ Sofisloctory o Unsa1isfaciory

FIELD OBSERVATION NOTES: Include: 1) Work ProcHces, 2) Delays , 3) l1em s Discussed w/Conlrocior, 4) Scope Changes, 5) Projecl Concerns contractor removed a total of 190 hard fittings from the crawlspace, mechanical rCX)m and attic areas and 75 sq. ft. of debris from the crawlspace. Of the 190 fittings removed, 40 were beyond the scope of work. A personal decontamination chamber was used as entry and exit access for the crawlspace. Workers wore

1/2 mask respirators and protective coveralls.

NOTE: ANY DEFICIENCIES MUST BE CORRECTED BEFORE CLEARANCE MAYBE STARTED

The individual information is signing has visually inspected this area and found that the above complete and accurate . Q

VICU$T

· ua

(USC rOil VlSU,I,L INSP(CTION, PRt-(NCAPSUlATIDH tc fiNAL I!'iSPECTivH)

Controctor : Certified Asbestos Abaters Proiect No me : __ 'Ih_ r _e_e_C_l _i_n_ic_s _ _ ____ _

PBS Sit e 0 b s e rver: _ Da'-'--v_e'----K_ec.::..::.k"'-________ _ Pro iect Number:

Pro i ect Man ag e r: __ Tll_ l_l_a_ S_t _=_ k_e_r ______ _ Abatement Area: Queets Clinic

Own e rCa n t act : ___ Mc:.a--=t--=t-=c0:::i:..:x:::on=, _P:..:H::S=--____ _ Attached Report No .: --------n,.. .... -

/ / 0 AM

Air Man i t. P e rs ann e IOn Sit e: __ P_BS---','---K_e_c_k ___ _ Date: 1 19 92 Time : ___ 0 PM

Contractor On Site Personnel Foreman: Bob Gurtler Other Personnel on Site: ________________ _

Number of Workers: 3 Page 1 of

Type of Inspection: 0 Visu a l Inspection . 0 Pre - Enca psula tion. e:l Fina l Inspec tion . 0 Othe r

REMOVAL COMPLETE:

(Dust &. Bulk ACI.! Remov ed )

0 Decks

0 Beams ill Pipes

&il Edges of floors

INSIDE WORK AREA:

o Fix tures cleaned ~ Critical barriers wiped clean o Conduit cleaned

EQUIPMENT:

o Scoffolds & lad d ers wiped clean o Framework wiped c lean [}l Nega tive oir unit fi lters clean ~ Negative air unit grills & wh eels free o f ACM residue.

'J Bose of columns

!Sa Owner's equipment cleaned ~ Walls free of AC M stre aks

~ Floor is dry ~ Hand 100ls removed from work area ;a Ledges 0" Waste removed llJ Horizontal surfaces DECONTAMINATION UNIT:

~ Was1e removed III Floor d ry Ki Air locks cl ea n

XI Shower cleo n ~ Walls free of ACM [2g Equipment c lean & removed

Cond itio n of Re g u lated Work Area appears: rn: Solisfocfory o Unso1isfact ory

FiELD OBSERVATION NOTES: In clude; 1) Work Proc1ice s , 2) Deloys, 3) li ems Oi :>cus:> ed w/Coniroctor, 4) Scope ChanglS , 5) Proje ct Concerns

The follolving materials were removed : 1,070 sf floor tile /mastic ( 620 beyond contractor

90 hard fittings scope of work)

20 sf cement asbestos board

380 sf sheet floor covering & mastic

All flooring was removed under full isolation and hard fittings were removed using negati ve pressure glovebags . Workers wore 1/2 mask negative pressure res pirators and protective coveralls. Clearance results collected in each area revealed fiber concentrations less than 0.005 f/cc .

NOTE: ANY DEFICIENCIES MUST BE CORRECTED BEFORE CLEARANCE MAY BE STARTED

The individual i nformation is s igning has visually inspected thi s area and found that the a b ove complete and accurate . n cc: Co~tractor

Authori zed Signature: /3)o.u{ tLk'Ck.;0 Tit l e: __ Fi_· e_l_d_ Te_ c_h_n_i_c_i_a_n ______ _

ViCU ST

Dave Keck Name: __________________________________________ __

PBS 2.2

r.ill

ENVIRONMENTAL

BU ILDING

CONSULTANTS

FIELD OBSERVATION REPORT

Contractor

I PBS Site Obsen'er (s) (~.J2~ t£-ct--IHO --- ;2..2---3 () Project No.L/6 '2-[; . 0 I Date ! - 3- 9 J-

! L( 3, 0 - /51..(0

Conrractor on Site Personnel : (7 (i() -vrGO Proiect h1ana2"er

Workers

Yes

(!J~ No

Foreman (jjs No

How Many?

Air Monitoring Personnel on Site '(rt-0 ~ 213>

Items Discusse<l with Contractor

Report No. /) L.- z....- Time am / pm

/ od Weather CrlJZ.,2..C{}.; -r Temoerarure F

Summary Projw StatuS Cf4r4 !r)B~ 'S-tr:te IU(~/!r2-r1T1 G1-1, i3?r.A.1h'-1f ( d'1. 0J r.!r:::/::c, i'rJ (h/it,tAt'lf(1/

/ V [: /, Other Personnel on Site

1 __________________________________ __

Scope Chan ges

I Pro'ect Concerns/O onunities

Jo (<R r3Jt~'-wtj ( oC;r, / 6/ lV-u~

(...(/-4» {J .-Cy

The individual signing certi fies thal the above information is correCl and accurate.

8;89

Authorized Siplature Date

PBS 2.2 - --

L.LD

ENVIRONMENTAL

BUILDING

CONSULTANTS

ON.: ,

FIELD OBSERVATION REPORT

Contraclor on Site ?ersonnel: ~l/[;C - ('Z-fXJ, 1"500 -/730 Page

Pro'eCl Manaeer Yes No Foreman No

Workers Ye No BowMan?

Items Observed 'Work Praclices & Procedures

Delays (Causes) llems Discussed wilh ContraclDr

Scope Changes

/ of

Pro ieCl Concerns/OpPoflunities a~~t-t,)I.af5 ~/'f-t~1--J2d lUI 83.> ~ slY!- l-J--f, Sft1.vL df (c tJ/YI- j1.2i 4 l<£ let IV(' i i V "'-"-''--'''--;/I--.l...-"<=--:::.=-=--.!='-'''--...!::.:=----

) P ' /~,-~ 111e individual signing certi fies lhol lhe above informalion is nnt.,or Type, Name and Title CCJ lY',LY/7'" carreel and accurate. L5f \1 :J( . /::.·CC ...... (C- / 1 / / t kpv-' cV /£Ir--- / -tj-1lV Authorized Signalure Dale

8/59

PBS 22 - -

rllJ

ENVIRONMENTAL

BUILDING

CONSULTANTS

FIELD OBSERVATION REPORT

Contractor

Project Manacer Yes ~ Foreman ~ No c=::::=- or-

How Many? 3 = Workers d'G7 No Summary Project Status t< r:r(;

~ (1'2f/I (£#L 'r'tl2..

Air Monitorifl2 Personnel on Site />;fvV t Other Personnel on Site I /~kJ U:5S//Vr' ;r;

Items Discussed with Contractor (dt~;::; tvf.,ee ~;jl.$J io s ~v Cet.<--;rJl~ --tVt--!---f !/VLt! ;P4lZr?- tilt"'? ~;:J.£ t{.0e." /1 /;";5'1&:r,;.-v- (t!/tlu./~, Scope Changes q l .JL-~'" f j/c:L/_ 11 ~At( -Jj I~r/,I ' / Proiect Concems/Opportunioes //1 I'r r0J 1,.1 1-1 n{/-i!1r-- f1P-v-f. ~r'" ?cS( ,· ,Ul y')~, S--:'~'

(J/!= L·,viltl? r'rJ'YuI,j;A '~ IA<-J i/J to-F/( If&~e.. aw'A iz(~1-t-4~ d ft~ C(?J~iYC.

r ' V ~

The individ ual signing certifies thal the above information is Print or T ' e Narn 'd Till, ~...£~J6t:(/ correct and accurate, ' -;1 l ' - ~ c.~

Y(' ~ < t-I ;;e:;;..- (- <)-9''2.--

Authorized Signature Date

8/89

PBS ~ .2

Indicate Category and Continue Discussion

PBS

ENVIRONMEN1,\L

BUILDING

COr,SUL1ANTS

NO

Proicct No. i? 'J-& Report No. () 1::··5-

Page Z. of 1-

The individual signing certifies that the above information is correct and accurale.

Print or Type Name and Title, 0-t~t1 +

Authorized Signature Da~

BUILDING

CONSULTANTS

FIELD OBSERVATION REPORT

COntraclor CA-it Project Name C f/etlA At.".fi-

PBS Site Observer (s) Otto - 0 ').0 0 Project No.

Rcport No. Q~ - 0.---'.T"'im.:.::ec......... __ -'!:am"-!..../ p",m"-.

Contractor on Site Pmonnel! 7 00 - () ( () 0 Page / of

Weather f}.i'~(/ u;c..c,:'; Temperature {(...(/ F Project ManaQer Yes (:"0 ) = Workers !':o

Foreman @ How Many? ~

No

Summary Project Status ;I ((:::;; 2qv.."_~~( r/v t)t2-t- ,~ e/1 1> ct",d ]); f/r..'r.4:'1' !k'{!c:.S '

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Items Obsen'cd (Work Practices & Procedures

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(! ,f--r.JC {-c--c

~~~ ~CC8- ('/('

Scope ChanQes pas 2.2 ill)

ENVIRONMENTAL

BUILDING

CONSULTANTS ,..,.

FIELD OBSERVATION REPORT

Contractor Proi.,,,t Name

PBS Site Observer (5) 1xiv-<-~ 1&>'3 D -(1 (S- ;l.occ> -()2 .. f() -r: ~~'L ('e,'/b--

. LJt7-? ,U( Proje.ct No, I I:' Date

I ( /',//-7 RCpDn No. L.J r-- _ Time am/pm

Contractor on Site ?ersonnel: /700-0r Ou ( ______________________ ~P~a~ge~ ________ ~o~f !

Project Manager Yes No Foreman 62 No Weather Temperarure F

Workers No How Many?

Delavs (Causes)

I Items Discussed wilhContractor '1"'- s'4cic,t:-5. ," ;'~1/, , ' ;0...-.,/ 'A /",_,} ~ 5 c/ c:/J :::,,"->' ,/ j (Yl--- 1-1. '-'r'~ #..f-::;(22r.£,-tk~/ h 0 J}..,e 1:"5 (l/l-:4 - CC h~ I'::. ,£}:>-

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Project Concerns/Opportuni ties Irfl'~/ &-C""'-f1.Jl U i(i,Jc?t...<..r2F2£lc/ ;-Lrr:r;;

D(;"V-- 7io::"/v!..LL /fV ;CJ.C:J2q,Uc.J ;"'t·~",- i':;J,~'C !(~j C:!//iv i

The individual signing certifies that the above information is correct and accurate.

I 8/89

(C/~ H(,-- ·~J I'JY

S+,f1 ~'S.sh-) >~e-1;

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Contractor rlX)

ENVIRONMENTAL

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CONSUl1ANTS

I~.

FIELD OBSERVATION REPORT

C;4 f Project Name

PBS Site Observer (s) ,~i)-e ktcL 1''6 QV - 07(70 Proiect No. L(&~0 , (J I DateO /- 0 S - 'i z.

'I.. /_ Lt'

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NC.

PBS 1.2

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NO.

FIELD OBSERVATION REPORT

C ,., A- {' I;;, , ';f ?/J(( __ I 'e ~ Project Name (~ , '--k" ( ,rv1

PBS Site Observer (s) Project No, I..f&)-~ Dale (~ 1- 1 V

Repan No, Dj?-0 Time am fpm

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Air Monitoring Personnel on Site r3r0'-fl- Authorized SlgnalUre Dale l..LJJ

ENVIRONMENTAL

BUILDING

CONSULTANTS

FIELD OBSERVATION REPORT

Contractor CAp· " - ' "V - (P/E} , Project Name : ·c/"R<- H

PBS Site Observer (s)

Report No_ Time

ContraciOr on Site Personnel: Pa~e

Project ]l.flmager Yes I~-~) Foreman Yes Weather Temperature

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Air Monitoring Personnel on Site Other Personnel on Site ;Z <{;e ;! f..et-: Foe Cr(+S

Items Discussed with Cor.tractm

Scope Chan~es

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The individual signi ng certifies that the above information is correct and accurate.

8/89

, I rID

ENVIRONMENTAL

BUILDING

CONSULTANTS

FIELD OBSERVATION REPORT

. r-:-( /. /1/

Project Name ( f1 (.f-.(J , f1- L// ' J1/ I c.

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Delays (Causes)

Scope Changes we;:Ji"c ~~b~-tlv"~I+'fr~. . 16dR/lwpA, C[f~-:/IJ f!<-eSfTEtl A <; P-K-L r(j1!j/'-?>~j Of f\J:{i:,d:\1 ~L C-d c.v-t hAC, ~ AltJ fi.1bti f" 71Pt' (t ~(' . u . I /' oft"" I, ( 1 The individual signing c'ertifies thatthJabove information is PhO[ or TeN e and TItle . UJv-S't __ ' _'_' ___ _ correct and accurate. j)-:{\ , ,'J.. J ( -t-r - II-i I

ENVIRONMENTAL

BUILDING

CONSULTANTS

NC.

FIELD REPORT: ADDITIONAL PAGE .

,--;- /1_ ( fl// .

Project Name / I <-rt' ,:4 '-C f /1: I C

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dicate Category and Continue Discussion Page z..-of

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The individual signing certifies that the above information is correct and accurate.

1 . .. -c ' / (I'T. -" ' 1 // .1. 11/ ' I - .~t-'S~. {'-' V ''-"1 x7~ ({ iCJ i""V01/1 ! I r·

I-!l · n Authorized Signature Dale

ENVIRONMENTAL

BUILDING

CONSULTANTS

FIELD OBSERVATION REPORT

..--:-( .;. l~. /..:-Projeci Name _ I (-11. I '

PBSSileObservcr(s) Cnll. to leEel (l7! -)- ,.-::,1..('-; Projeci No."-; {j. (.' Dale i - !1.. - '/~ , I!..,' '-1 5 - i<i) [iV Repor[ No, D L 1/ Time am / pm

, .' I - 11 /"I! -, Contractor on Sile Personnel: L ·,<c 1 L: - / -:;.,t (I, ' (c.- -', -'re:»"' Page of ,/

Projeci Manager ({is) No Foreman 60 No Weailler () U...t;'..(/(ff Temperalure F

Workers @ No How Many? '-( C..; , J~ Summ Pro 'eel Stalus ~ :::I iSf!:'v-v- it! 3 _ ________ --;-__ ---,-,,---;_- ,J((C (llkvC ~1Ju. (q i-f (k /l~"';Cj" $) q ue ;?u: L Oiller Personnel on Si l: II f r C j0{/J c I Air MonilOrin Personnel on Sile

\PAv I i lemsObserved VorkPractices & Procedures c'Llc - ).- "u,ti'·,~::.S' / '1Ah /k:JZ .

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~;{t'~:V(,j-.:_ '~---t /'.}' I/~ /-(/I-,e. :.~.~~L p-ehA-,c(v.cJ,i / -II-til (;'CI')C:' -i;.(~,i6(.

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Dela"s (Causes) (j T-S () - OeY IJ-,' , Tf!\ n fTi ) 02tLL <;1, I! ){{,rt,-" ! Iv tJ P; c

I {0:1::/:' t!J{ ' // S/;v...C/ ~fj.('~1! i ~V / ,u';'?.0" /q4:/ 6-1--- I S:l:-~ .& ..... / t.//lf-Z } ~ /' I J I

(].' {L- '-,s, J1...;1~j' . C)(.;H-- f~c C2:t;£j ;J '1/-~tL k~:!.!,t.1:"e/·

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Cc-'-LAe. c; , ~~~~~~~~~~-+.tPy~~~~~_J r,-ua~c-~~~~~~~~~~!~-1)1~

Projeci Concerns/Opportunities

The individual signing certifies Ihal the above informalion is concc( and accura le.

8/,9

Prim or Tvpe Name and Tille ~:)tflC, (

Authorized Signalure Dale

):~ . \ P-B'~· '

ENV,RONMEi'HAL

BUILDING

CONSULlANTS

PBS :2.2

FIELD REPORT: ADDITIONAL PAGE

.--r!~ II J i

Projcct N3J11C ( ~ 1 ~ \

/ I -~ ,.

Projcct No. Lf L.~ .>-{;- Repan No . 0 I:.' . z.

Page J- of ;2-.

/ &;]')- - } CC£,':11/?/{. (l /£~ft-ft.'vU ;1-11... ~ fc:'-0?cJ' R-e0{~;/ -!--o l:5 , 6'u-v.Ju.v , C/ r -:!- t3 l'>lfd/e ft~j i>r1? ((..;£u/i: v-) i).eC,.6'~ (#i,J 1I:s16 r~dJ '

I (,;; 50 - a~1A ~¥-{ icc;'. (?f4.fh, t,)! {0'U.J( y,T'[,,;

The individual signing certifies wa1 the above information is correct and accurate.

Aut..~orizcd Signature Dale

Pili

ENVIRONMENTAL

BUILDING

CONSULTANTS

><0.

FIELD OBSERVATION REPORT

ContraclOr cAf.. PrOjeC I N~e C&~ts

PBS Sile Observer (s)

COnlTaClOr on Sile Personnel: 01)00 - {( &-<J

Projecl No. l/6 z- t Repon No. ble - (

Dale

Time

Page ( Project Manar:er Yes No Fvreman @ No Temperature

Workers ad No How Many? Summary Projecl SUIiUS T?et

Air Moni loM2 Personnel on Sile ksztv~· {{i;d/ Other Personnel on Sile

I items Observed \lork Practices & Proc.edures am/pm of

F

I r ( 21LlKL~'=-I~9-fJ1~~...2......-.ill~--.idLClf±:~~~~:;;L~~~~-..!2..::...!B~

~~r ~~~f~~~==~~~~~~~=-~~---

, Delays (c auses/'(/\? - fA-,'I iA e-e --b O&+ftjJ LiZt 'b,d 3u/)p1US (~I r t'jht<;.M s'fo/ W#f: r£-I.u-~ r0.IINtWit 7eb? ?¥fe. (,4'[)f'J1U~'

Jlems DiSC USSed wilh Con II3C lo,o'f'~,o ~VfAk1.tv1d -fo (. I/X/(/A-tMt5 --(t..iI etM ~(i.f.,41. (tv' 1 ' ~({lCf4t~~ ~ III {,It ~

Scope Changes (95 ~ ?!;;,.R.. CrttA.v~'j?4f{~ 1(,.de- ~,?lT /wlici/;

l/.41' t ~'c r ~ AI r; dP,.;J&/ tfS v.Jf(L (~d SF: /IIUte-

The individual sign ing certifies lh,l Loe above informalion is Print ~e anQ. Ti~ ~ r correct l:lnd accurate. f(;1~ hi4VL'-d f£$-- (- (3-1'2- Authorized Signa lure Dale

8;89

BUILDING

CONSULTANTS

ltV:, PBS 2.2

FIELD OBSERVATION REPORT

Contractor

PBS Site Observer ($) ~ {it,/; 0700 I

I Contractor on Si te Personnel: 01 trO Pro 'ect Mana~er e No Foreman No

I Workers t( I.,J/" No How Man ? vv/i't-

I Air" Monitoring Personnel on Si te ~ ted--

01f)O Items Discussed with Contractor

Scope Changes

Project No.tfrz -zrb Date ( - [Cf.--tfZ-- Report No. Of? -1--- Time am / pm

Pa~e ( of 2-- -w-ea-~-~--O-v-~---~--~-r~----~Te~m~w-r-at-~~e----~F

Summary Project Status ~ l' ?~. ff ff ();

O~er Personnel on Site

Au~orized Signature

ENVIRONMENTAL

BUILDING

CONSULTANTS

ON(;

Project Name

Project No. tf(p ~ ReponNo.

~1=dicFate~C=al=eg~o0~' ~~d~C~on=tin~ue~===-________________________ ~Pa=ge~~~o~f _ty __ iF

The indi\'idual signing certifies that the above infonnation is correct and accurate.

I PBS 2.2

rID

ENVIRONMENTAL

BUILDING

CONSULTANTS

FIELD OBSERVATION REPORT

Contractor

PBS Site Observer (5) Pro ject No, Date

1 7 ." / } : ........... ReponNo, O? Time

, '/C'O~ ,,-. ~ , ' ,~ (i " '- (/ " j Contractor on SHe Personnel :O (' ' c ,,- , ') v -

Page

Foreman No Weather Temperature

Summary Project Status

Air Monitoring Per:onnel on Site ~IZ- kcL Other Personnel on Sile

Jtems Observed York Practices & Procedures) (}7C"'-r..· - CAfl /) '5Gv111.if /[-1.tST ji-r!G

Project Concems/Opportun i ties

The individual signi ng certifies th3tlhe above information is correct and accUJate.

Print or

Authorized Signature Date am/pm of t

F

I I

PBS: :2

PBS

ENVIRONMEr-JTAL

BUILDING

CONSULTANTS

FIELD REPORT: ADDITIONAL PAGE

The individual signing cenifies that the above information is corrCCl and accurate.

B/89

Print or T Name and Ttle

Authorized Signature

Repor! :\0.

Page Z-- of 1_

Dut.e

ENVIRONMENTAL

BUILDING

CONSULTANTS

NO.

I FIELD REPORT: ADDITIONAL PAGE

Project Name [1 [{j!.(.X- c, Project No. ci 0'.) /; Repon :-<0.

[jndicate Category and Continue Discussion Page ;:"/Of :/ ( I ot)~· ,-U>v-2/ /~ ct-\ l I /7-(;0 - l<.- '-t-t::&;."r}, .;.<..(:(v..c 5;/fu· U i ')'1. 't'

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/(P<;o- J 0 50

. The indh'idual signing cenifies that the above infonnation is correct and accurate, Authorized Signarure

. / -(("92

PBS 2.1

BUILDING

CONSULTANTS

INC.

FIELD OBSERVATION REPORT

Contractor CA-;4 Project Name Q&..pfi &kr'c

PBS Site Observer (5)

Contractor on Site Personnel:

, Project Manager Yes & I Workers cr;i? No

I Air MonilOring Personnel on Site

Delays (Causes)

Project Concerns/O pponunities

Foreman @ No

How Many? ~

Tne individual signing certifies that the above information is correct and accurate, 8/89

Project No. <'{6 Z-tp Date (-(7 - 1V

ReponNo. Time am/pm

Page ( of

Weather Duet-OOI//2ktc,J Temperature F

Summary Project SUllUS tfe.M4wcA.. (~/1A.tu.-t Sf(; ~¥ ttf/njJ f(()t1? t/t1{!UrJ-t3"ir (;rvt:;(v.l(

7 7) r

Other Personnel on Sire

Authorized Signature Dare

I PBS 2.2

BUILDING

CONSULTANTS

FIELD OBSERVATION REPORT

~a n~ 4/,~

Contractor ( tr'" I Project Name ,---(U-ffLf'S 0/( vv-

PBS Sile Observer (s) "0-4ue t< J D C6G-O 10 30 I

IZt.{<) (b 3;0 ( cls= d-;r3S· , ) I

Repor! No. Time am / pm

I Cono-actor on Sile Personnel: Qq(JO -(go () Page ( of 2..-

Project Manager Yes @2 Foreman Yes No Weather olJR-t.{/J1S 1 < Temperalure F

I Workers @ No How Many? <( Summary Project Status VB; M-/e- I f Su hs ~ _ ____ ----.-_ _ ~~_ flw..f)~ ;-1#( § e~ (?6HJU4

Air Monitoring Personnel on Sile ~e..- ~ p~S I

AU.e A~1-i, ~ ~ e.g

'C -f . fr-.d~ IA/AIC- ;?e51/~tL'f-M-5

Delays (Causes)

The individual signing certifies lhal rhe abo\'e information is correct and accurate.

8/89

Other Personnel on Si le

Authorized Signature fa b- ~e).

. ~ t.<.s?M-e..

t ~~ (W ,f/z...

~ ~0 fiCA-<, Dare

ENVIRONMENTAL

BUILDING

CONSULTANTS

NC.

The individual signing certifies that the above information is correct and accurate.

8/89

Projcct No. L( r; U Repon No.

Page Z-- of ~

TO Cd~ A-1+;\/ '

PBS

ENVIRONMENTAL

BUILDING

CONSULTANTS ,,"

.) J i)//IC' -r !aj t){)·) '-- I ... , I __

~ " 9c/"·" (("'/:(l I ,~ ":;o

RE : (c ifF21:' C~1~/;

I .

/fV

0 BULK

n DUST

0 AIR

Amount

Amount

Amount

-7~,;/ - Y. :;./ • _ . 1 J z:o~.

0 CALL WITH RESULTS

0 CALL WITH RESULTS

0 CALL WITH RESULTS ----

o TRANSMITIAL 0 LAB ANALYSIS REQUEST 3'"MEMO o TELCON 0 CONFERENCE D

PROJECT 7i1 ;''''F~ C!' >jtC< { ;HI-c (-1 at t £:!( r;

JOB NO.

FROM

WITH

TURNAROUND METHOD

.'7 -, . . , 0 2 HOUR 0 PLM - Dispersion Staining

0 24 HOUR 0 PCM

0 REGULAR 0 0 TEM 0

SPEC!AUSTS IN AS8ESTOS ABAiEMENT PROGRAtI.S 122:) sw t.1Om~SON PO:lTI.AND. O~,:;ON 972:)5 5~3/2'B· 1 939

AIR SAMPLING PROCESS

Air samples are taken to determine representative fiber levels in the air, as an index to the potential asbestos content of the air. This is done to insure the safety of the abatement workers, other personnel in the building, and to decide if the building is safe for public use after asbestos removal.

The sampler is a pump and filter arrangement through which the air is pulled. The fibers in the air are then deposited on the filter where they can be subsequently analyzed under a microscope.

EQUIPMENT

High volume air sampling pumps are a.c. - powered and used when large volumes of relatively clean air need to be sampled. These pumps typically operate at flow rates of about 10 liters per minute. Low volume pumps are battery operated and are primarily used for personal monitoring. They operate at

1.0 to 2.5 liters per minute flow rates.

PERSONAL EXPOSURE MONITORING

According to the OSHA code, an employer must perform monitoring to determine the exposure level for each employee, or at least the exposure for each type of task on the abatement project. Breathing zone air samples are collected to represent full shift exposure. This could be one sample or a series of samples representing a period of 6 to 7 hours or more.

AREA MONITORING

Ambient air samples are collected outside of the work area to detect possible elevated fiber levels as a result of abatement, and to document that the project did not contaminate the space. "Clearance" samples are a type of ambient air sample , and are taken prior to removing plastic isolation to confirm that the space is safe to reoccupy without respiratory protection. The EPA recommended clearance level is 0.01 f/cc.

QUALITY CONTROL PROCEDURES

Air sampling pumps are calibrated before and after use to determine accurate flow rates. Microscopes are also frequently adjusted for proper operation. All equipment undergoes routine maintenance to insure optimal functioning.

PBS analysts have completed air sampling training courses and participate in an internal quality control program as well as interlaboratory and national sample exchange programs. This variety of quality control practices insures the highest possible proficiency.

"Blanks" are unused filter cassettes that are periodically analyzed to determine the level of background fibers on the filters. All samples undergo chain-of-custody documentation. Records are kept of equipment calibration and maintenance.

E;-. \ ·I RO:\\IE:-\TAL

;"ll,.~ :'GB1E:\T '-\:\D

COSSL'LTI:.<G

')03248·j039 W3 14fL(l2~31A\.

ENVIRONMENTAL, INC_

S . W. MORRISON STREET, SUITE 600

PORTLAND, OREGON 97205

(503) 248-1939

AIR SAMPLE ASBESTOS ANALYSIS

Cli ent: Public Health Service 2201 Sixth Ave. M/S RX 24 Seattle, WA 98121

Project: Chemawa Clinic

DATE, LOCATION

CLIENT ID/

PBS LAB ID

WORKER NAME, MINUTES

A4 62 6.01-0001

A4626.01-0002

A4626.01-0003

A4626.01-000 4

A4626 . 01-0005

A4 626.01-000 6

A4626. 01-0007

A4626.01-0008

A4626 .01-0009

A4 626.01-0010

~A~C~T~I~V~I~T~YL,_E~T~C~. _______ SAMPLED

1/02/92 - Blank

1/02/92 - Blank

1/02/92 - Pre-abatement

Offi ce ball/lobby

1 /02/92 - Pre -abatement

Lab/pharmacy doorway

1 /02/92 - Pre- abatement

Exam roolllS hall, r ecord s tation

1/02/92 - Pre- abatement

Infi rmary I nea r ent.rance t o r oom 4

1/03/92 - Pre - abatement

Admini stration wi ng lounge, near hal l entranca

A: . 003 B: . 002 c: . 001

1/0 3/92 - Persona l sample

Don Turner , negalr g lovebag hardf!tt ing pipe insul ation

A: .034 B: .019 c: . 0 1

1/03/92 - Excursion

Don Turner I negair glovebag hardfltting pipe i nsul at ion

1/03/92 - Glove bag area

Infirmary room 4 ent rance negair glvbg hardftng pi pe ins

A: .013 B: . 007 c: .00 1

AVE. FLOW

RATE (LPM)

10.2 LPM

10 LPM

10 LPM

10 LPM

10.1 LPM

1. 77 LPM

1. 77 LPM

10 LPM

Report Date:

Date Received:

Client Project 1D:

PBS Project No.:

Page No.:

AIR FIBERS/

VOLUME(L) FIELDS

.5/100

1/100

1938 L 4/100

1850 L 3/100

1900 L 2/100

1850 L 2/100

1869 L 5.5/100

195 L 5.5/100

53 L 3/100

1450 L 13/100

NOTE: For explanation of abbreviations - see last page

(Continued on next page)

1/23/92 1/09/92 N/A 4626 . 0 1

FIBERS

PER cc (f/cc)

.5 fibers

1 fiber

BLD

BLD

BLD

BLD

.001 f/cc

.Oll f/ce

BLD

.004 f/ee

AIR SAMPLE ASBESTOS ANALYSIS

Client: Public Health Service 2201 Sixth Ave. M/S RX 24 Seattle, WA 98121

Project: Chemawa Clinic

CLIENT 10/

PBS LAB 10

DATE, LOCATION

WORKER NAME,

ACTIVITY. ETC.

MINUTES

SAMPLED

A4626.01-0011

A4626.01-0012

A4626.01-0013

A4626.01-0014

A4626.01-0015

A4626.01-0016

A4626.01-0017

A4626.01-0018

A4626.01-0019

1/04/92 - Personal sample

Linda Lindberg, negair glovbag hardflttlng pipe insulation

A: .03B B: .021 C; .005

1/04/92 - Personal sample

Linda Lindberg, negair glovbag hardfltting pipe insulation

1/04/92 - Personal sample

Linda Lindberg, negair glovbag hardfltting pipe insulation

A: .038 B: .021 c: .006

1/04/92 - Excursion

Linda Lindberg, negalr glovbag hardfltting pipe insulation

1/04/92 - Glove bag area

Infirmary roam 4 entrance negair glvbg, hrdftng pipe ins

A: .013 B: .007 c: .001

1/04/92 - Glove bag area

Kitchen, negair glovebag, hardfitting pipe insulation

A: .009 B: .005 c: .001

1/05/92 - Personal sample

Don Turner I infirmary, negair glOVebag, hardtittng pipe ins.

A: .069 B: .038 c: .003

1/05/92 - Personal sample

Don Turner, Id tehen/new wing, nega1r glvbag, hrdf1tting p.1.

A: .091 ll: .05 c: .008

1/05/92 - Glove bag area

Kitchen, negair glovebag, hard fitting pipe insulation

A: .006 ll: .003 C: <.001

AVE. FLOW

RATE (LPM)

2 . 03 LPM

2.02 LPM

2.03 LPM

2.03 LPM

10 LPM

9.83 LPM

2.03 LPM

2.12 LPM

5.49 LPM

Report Date:

Date Received:

Client Project 10:

PBS Project No.:

Page No.:

AIR FIBERS/

VOLUME(L) FIELDS

376 L 10.5/100

162 L 5/100

335 L 9.5/100

61 L 3/100

1700 L 13.5/100

1622 L 9.5/100

568 L 26/100

254 L 16/100

2553 L 13/100

NOTE: For explanation of abbreviations - see last page

(Continued on next page)

1/23/92 1/09/92 N/A 4626.01

FIBERS

PER ee (f/ee)

.012 flee

BLD

.012 flee

BLD

.004 f/cc

.003 f/cc

.022 flcc

.029 flcc

.002 f/cc

2201 Sixth Ave. M/S RX 24 Seattle, WA 98121

Project: Chemawa Clinic

CLIENT 10/

PBS LAB ID

DATE, LOCATION

WORKER NAME,

ACTIVITY, ETC.

MINDTES

SAMPLED

A4626.01-0020

A4626.01-0021

A4626.01-0022

A4626.01-0023

A4626.01-0024

A4626.01-0025

A4626.01-0026

A4626.01-0027

A4626.01-0028

1/05/92 - Glove bag area

Field health reception area negalr glvbg, hrdftng pipe ins

A: .005 B: . 003 c: <.001

1/06/92 - Blank

1/06/92 - Blank

1/06/92 - Personal sample

Linda Lindberg, Dental Clinic;

negair glovebag, hardflttings

A: .047 II: .026 c: .003

1/06/92 - Personal sample

Linda Lindberg, lab, negair glovebag, hardfltting removal

A: .063 B: .035 c: . 006

1/06/92 - Glove bag area

Lab, during negair glovebagi hardfltting removal

A: .013 B: .007 C: .001

1/06/92 - Glove bag area

Infirmary room 4, during negair glovebag, hardflttlngs

A: .003 II: . 002 C: .001

1/06/92 - Glove bag area

Dental Clinic, during negair glovsbag, hardflttings

A: .019 B: .01 C: <.001

1/06/92 - Inside work area

Dental Clinic, post bag breech negair glovebag, hardfittings

A: .006 B: .003 c: .001

AIR SAMPLE ASBESTOS ANALYSIS

AVE. FLOW

RATE (LPM)

5.71 LPM

2.19 LPM

2.31 LPM

10.1 LPM

10 LPM

10 LPM

13.4 LPM

Report Date:

Date Received:

Client Project ID:

PBS Project No.:

Page No.:

AIR FIBERS/

VOLUME(L) FIELDS

2570 L 9.5/100

1/23/92 1/09/92 N/A 4626.01

FIBERS

PER cc (f/cc)

.002 f/cc

2/100 2 fibers

1.5/100 1.5 fibers

504 L 17.5/100 .015 f/cc

243 L 12/100 .02 f/cc

1212 L 13/100 .004 f/cc

1200 L 5.5/100 .001 f/cc

1600 L 21/100 .006 f/cc

1246 L 6/100 .002 flcc

NOTE: For explanation of abbreviations - see last page

(Continued on next page)

2201 Sixth Ave. M/S RX 24 Seattle, WA 98121

Project: Chemawa Clinic

CLIENT IDI

PBS LAB ID

DATE, LOCATION

WORKER NAME,

ACTIVITY, ETC.

MINUTES

SAMPLED

A4626.01-0029

A4626.01-0030

A4626.01-0031

A4626.01-0032

A4626.01-0033

A4626.01-0034

A4626.01-0035

A4626.01-0036

1/07/92 - Personal sample

Don TUrner, exam room station;

negair glovebag, hard fittings

A: .116 E: .064 C: .002

1/07/92 - Excursion

Don Turner, staff dressing rms nagair glovebag , hardflttings

A; .156 13: .087 c: .021

1/07/92 - Personal sample

Don Turner, staff dressing rms negair glovebag, hard fittings

A: .038 E: .021 C: .006

1/07/92 - Glove bag area

Exam room record station;

neg air glovebag, hardflttings

A: .006 B: .003 c: <.001

1/07/92 - Glove bag area

Directors office, nagair glovebag, hardfittings

A: .003 E; .002 c: <.001

1/08/92 - Glove bag area

Pharmacy, nsgair glovebag , hard fltt ings

A: .006 B: .003 C; . 001

1/08/92 - Glove bag area

Adminstratlon, negair glovebag, hardfi~~lngs

A: .009 B: .005 C: <.001

1/08/92 - Glove bag area

Lobby hall, negair glovebag, hardfit~ings

A: . 003 B: .002 C: <.001

AVE. FLOW

RATE (LPM)

2.32 LPM

2.29 LPM

2.3 LPM

9.56 LPM

9.6 LPM

9.7 LPM

9.33 LPM

9.24 LPM

Report Date:

Date Received:

Client Project ID:

PBS Project No.:

Page No.:

AIR FIBERS/

VOLUME(L) FIELDS

603 L 48/100

69 L 91100

265 L 8.5/100

1606 L 8/100

2064 L 6/100

1261 L 7/100

2053 L 14/100

2569 L 6.5/100

NOTE: For explanation of abbreviations - see last page

(Continued on next page)

1/23/92 1/09/92 N/A 4626.01

FIBERS

PER ec (f/cc)

.037 f/ee

.05 f/ce

.012 f/ec

.002 flee

.001 flee

.002 f/ee

.003 f/ce

.001 f/ee

Seattle, WA 98121

Project: Chernawa Clinic

CLIENT ID/

PBS LAB ID

DATE, LOCATION

WORKER NAME,

ACTIVITY, ETC.

MINUTES

SAMPLED

A4626.01-0037

A4626.01-0038

A4626.01-0039

A4626.01-0040

A4626.01-0041

A4626.01-0042

A4626.01-0043

A4626.01-0044

A4626.01-0045

A4626 . 01-0046

1 /0 8/92 - Excursion

Linda Lindberg, records storage

1/oe/92 - Personal sample

Linda Lindberg, adminln1stratn negatr glovebag, hardfittings

A: .041 13: .023 c: .003

1/0 8 /92 - Excursion

Linda Lindberg, medical recrde negatr glovebag, hardfittings

1/06/92 - Personal sample

Linda Lindberg , negair glovebag, hardfi ttings

A: .059 13: .033 c: .008

1 /08/92 - Personal sample

Gary Parks, various rIDS; pipe wrap removal, from radiators

1/09/92 - Blank

1 /09/92 - Blank

1/09/92 - Personal sample

Gary Parks , various rIDS; neg air glvbg, radiator hardfitngs

A: .019 B: .01 C: ,003

1/09/92 - Personal sample

Don Turner, various rIDS; neg air glvbg, radiator hardfitnga

A: .031 B: .017 c: .003

1/09/92 - Excursion

Don Turner, various rIDS; neg air glvbg, radiator hardfitngs

A: .125 B: .07 c: .035

AIR SAMPLE ASBESTOS ANALYSIS

AVE. FLOW

RATE (LPM)

o LPM

2.28 LPM

2.39 LPM

2.4 LPM

2.48 LPM

2.49 LPM

2.42 LPM

2.44 LPM

Report Date:

Date Received:

Client Project 10:

PBS Project No.:

Page No.:

AIR FIBERS/

VOLUME(L) FIELDS

1/23/92 1/09/92 N/A 4626.01

FIBERS

PER cc (f/cc) o L PUMP KALFlJIICTION

481 L 15/100 .013 f/cc

72L 5/100 BI.D

192 L 9.5/100 .019 f/cc

144 L 3/100 BI.D

1.5/100 1.5 fibers

1/100 1 fiber

660 L 9.5/100 .006 f/cc

593 L 13/100 .01 f/cc

49 L 5.5/100 .04 f/cc

2201 Sixth Ave. M/S RX 24 Seattle, WA 98121

Project: Chemawa Clinic

DATE, LOCATION

CLIENT ID /

PBS LAB ID

WORKER NAME , MINUTES

ACTIVITY, ETC . SAMPLED

A4626.01- 0047 1/09/ 92 - Pers onal s ample 225 Don Turner I final clean, hardflttings throughout bldg .

A: .038 B: . 021 c: . 00 3

A4 626.01-0 048 1/0 9/ 92 - Glove bag a rea 130 Administrati on , negair glovebag, radi ator f i ttings

A4626 . 01-0049 1/09/92 - Glove bag area 220 Ne gair glovebag , r adiator fittings

A: .003 B: ,002 c: < . 001

AVE. FLOW

RATE (LPM)

2 . 46 LPM

10 LPM

10 LPM

Time Weighted Avera ge

A4626.01 - 0011 A4626.01-0012 A4626.01-0013 A4626 . 01-0014

A462 6 .01-00 17 A4626 . 01-0018

A4626.01-0023 A4626 . 01-0024

A4626 . 01-0029 A4626 . 01- 0030 A4626 . 01 - 0031

A4626.01-0038 A4626.01-0039

A4626.01-0045 A4626.01 - 0046

1/04/92 - Pers onal sample

Linda Lindberg

1/05/92 - Pe rsonal s ample

Don Turner

1/06 /92 - Personal sample

Linda Lindberg

1/ 07/92 - Pers onal sampl e

Don Turner

1/08/92 - Pers onal sample

Linda Lindberg

1/ 09 / 92 - Pe r s onal s ample

Don T Wler

Report Date:

Date Received:

Client Pro ject I D:

PBS Project No .:

Page No.:

AIR FIBERS/

VOLUME(L) FIELDS

554 L 15/100

1300 L 5/100

2200 L 7/100

1/2 3/92 1/09/92 N/A 4626 . 01

FIBERS

PER cc (f/cc)

.012 f / cc

BLD

. 001 f / cc

. 012 f /cc

. 02 f / ce

.012 f / cc

. 026 f /cc

. 007 f / c c

. 011 f lcc

FILTER AREA (Square millimeters) 385 FIELD AREA (Square millimeters) 0.00785

INTERLABORATORY Relative Standard Deviation 0.45 INTRALABORATORY Relative Standard Deviation 0 . 45

Seattle, WA 98121

Project: Chemawa Clinic

REVIEWED BY

,, :1Jfll1 . I?.JiUjp 4 / • 2-3 ·51 d-..

Approved Signatory Date

Name /

AIR SAMPLE ASBESTOS ANALYSIS

Report Date:

Date Received:

Client Project ID:

PBS Project No . :

Page No.:

L: Litera of air LPM: Litera per minute

1/23/92 1/09/92 N/A 4626.01

A: Interlaboratory 95% Upper Confidence Limit B: Intralaboratory 95% Upper Confidence Limit C: Limit of detection BLD: Below the limit of detection

ENVIRONMENTAL, INC_

S.W. MORRISON STREET, SUITE 600

PORTLAND, OREGON 97205

(503) 248-1939

AIR SAMPLE ASBESTOS ANALYSIS

Client: Public Health Service 2201 Sixth Ave. M/S RX 24 Seattle, WA 98121

Project: Taholah Clinic

CLIENT ID/

PBS LAB ID

DATE, LOCATION

WORKER NAME,

ACTIVITY, ETC.

MINUTES

SAMPLED

A4626.02-0001

A4626.02-0002

A4626.02-0003

A4626.02-0004

A4626.02-0005

A4626.02-0006

A4626.02-0007

A4626.02-000B

A4626.02-0009

A4626.02-0010

1/11/92 - Blank

1/11/92 - Blank

1/11/92 - Pre-abatement

Mechanical room

1/11/92 - Pre-abatement cra~lspace near mechanical roam access

1/11/92 - Pre-abatement

Attic, east acceas

1 /11/92 - Pre-abatement

Main floor hall l near x-ray & pharmacy

A: .006 11: .003 c: .001

1/11/92 - Personal sample

Bob Gunther, negair glovebag, hardfittings

1/11/92 - Personal sample

Bob Gunther, neg4ir glovebag, hardtlttings

1/11/92 - Personal sample

Jag Bradley, crawlspace, neg4ir glovebag, hardfittings

A: .332 B: .184 c: .014

1/11/92 - Outside work area

Ball near x-ray , pharmacy, negair glovebag

A: .028 B: .016 c: .002

1BO

lOB

AVE. FLOW

RATE (LPM)

10 LPM

10.1 LPM

10 LPM

10 LPM

2.02 LPM

2.01 LPM

1.1B LPM

5.91 LPM

Report Date:

Date Received:

Client Project 1D:

PBS Project No.:

Page No.:

AIR FIBERS/

VOLUME(L) FIELDS

1/23/92 1/12/92 N/A 4626.02

FIBERS

PER cc (f/cc)

1.5/100 1.5 fibers

1/100 1 fiber

1700 L 4.5/100 BLD

1757 L 4/100 BLD

1BOO L 3/100 BLD

1550 L 7/100 .002 f/cc

61 L 3/100 BLD

1Bl L 4/100 BLD

127 L 29/100 .106 f/cc

B57 L 1B/100 .009 f/cc

2201 Sixth Ave. M/S RX 24 Seattle, WA 98121

Project: Taholah Clinic

CLIENT ID/

PBS LAB ID

DATE, LOCATION

WORKER NAME,

ACTIVITY, ETC.

MINUTES

SAMPLED

A4626.02-0011

A4626.02-0012

A4626.02-0013

A4626.02-0014

A4626.02-0015

A4626.02-0016

A4626.02-0017

A4626.02-0018

1/11/92 - Outside work area

Ball near main entrance crawlspace, negair glovebag

A: .019 13: .01 c: .002

1/12/92 - Personal sample

George Murfltt, crawlspacei nega1r glovebag, hardfittings

A: .106 13 : .059 c: .018

1/12/92 - Personal sample

George Murfitt, crawlspace;

negair glovebag, bardfittings

A: .131 13: .073 c: .025

1/12/92 - Excursion

George Murfitt,…