7-4-CR27021-27131420 Hazmat Survey.pdf
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- Solicitation number
- CR27021
- Issued by
- Utah
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Limited Asbestos Inspection and Lead-Based Paint Survey Report
This document is a Limited Asbestos Inspection and Lead-Based Paint Survey Report prepared by Hill West Environmental for the State of Utah Department of Administrative Services, Division of Facilities Construction and Management (DFCM), regarding the Utah State Hospital Support Services Building located in Provo, Utah. The survey was conducted on July 21, 2026, in preparation for HVAC unit upgrades to the building. The inspection focused exclusively on areas that will be impacted during the renovation project, including examination of sheetrock wall systems and floor tiles. Hill West Environmental collected bulk samples of suspect asbestos-containing materials and conducted lead-based paint inspections using X-ray Fluorescence (XRF) analysis with a detection threshold of 0.4 mg/cm². The survey identified one asbestos-containing material: pipe thread sealant with 2% chrysotile content measuring approximately 129 square feet, with an estimated abatement cost of $5,000. All other tested materials, including new and old roof cores, various caulks, and flashing tapes, tested negative for asbestos. Lead-based paint testing found no positive readings above the detection threshold in any tested materials. No universal, hazardous, or toxic wastes were identified as being impacted by the renovation project.
The report was prepared by Claude Dahlk, CHMM, CIEC, an accredited asbestos inspector holding certification number ASB-0433 with Hill West Environmental (State Certification # ASBC-495). Analytical testing was performed by Eurofins Aerotech Built Environment Testing, LLC, an NVLAP-accredited laboratory. The survey supplemented a previous 2022 limited asbestos survey conducted by R&R Environmental, which had identified the same pipe thread sealant as containing 2% chrysotile asbestos. The report emphasizes that if contractors discover additional suspect building materials during renovation activities that were not included in this survey, work must be halted and DFCM must be notified for further sampling and analysis. All findings and conclusions are based solely on the samples analyzed and the limited scope of inspection restricted to renovation impact areas, with no warranty provided regarding the identification of all asbestos or hazardous materials that may exist elsewhere within the facility or in areas not inspected.
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LIMITED ASBESTOS INSPECTION
AND LEAD-BASED PAINT SURVEY
Utah State Hospital
Support Services Building
1300 East Center Street Provo, Utah 84606
HVAC Unit Upgrades
August 12, 2026
Prepared for:
Ms. Aubrey Stapel
Project Manager, Statewide Programs
State of Utah
Department of Administrative Services
Division of Facilities Construction and Management (DFCM)
Taylorsville State Office Building
4315 South 2700 West, 3rd Floor
Taylorsville, Utah 84606-2128
Prepared by:
Hill West Environmental
7963 Douglas Drive
Provo, Utah 84606
State of Utah Company Certification # ASBC-495
Claude Dahlk, CHMM, CIEC
(801) 450-8060
EXECUTIVE SUMMARY
On July 21, 2026, Hill West Environmental conducted a limited pre-renovation inspection for asbestos and lead-based paint of the Utah State Hospital - Support Services Building located at 1300 East Center Street, Provo, Utah 84606. The project includes upgrades to the HVAC Units within the project areas.
Ms. Aubrey Stapel, Project Manager with the State of Utah, Division of Facilities Construction and Management (DFCM) requested this inspection to identify asbestos-containing materials (ACM) and building components with lead-based paint that need to be addressed before the building is renovated.
This building was previously sampled for a roofing upgrade with the old roof being replaced at that time. With the pipe thread sealant testing positive for asbestos and the old roof being none detected for asbestos. A copy of this report is attached in Appendix B of this report.
Suspect materials sampled during the 2022 and this inspection included the new roof core, pipe thread sealant, tape, and caulking. Areas in which renovations are to occur were inspected, and all other areas were not inspected as part of this survey.
Hill West has identified the following asbestos-containing materials (ACM) and lead-based paint during this inspection:
Asbestos-Containing Materials
Homogeneous Area Number
Material Description
Asbestos Content
Amount
Cost Estimate
M008 Pipe Thread Sealant 2% Chrysotile 129 ft2 $5,000
Building Components with XRF Lead readings ≥ 0.4 mg/cm2
Material Type Reading (mg/cm2)
Lead surfaces on the roof were previously tested in 2022 and were none detected for the painted equipment and other surfaces.
N/A
Universal, Hazardous, and Toxic Wastes
Material Type Quantity
No Universal, Hazardous, and Toxic Wastes will be impacted during this renovation project. N/A
Conclusions
ACM – Asbestos Containing Materials (ACM) were identified within the pipe thread sealant as identified in the 2022 report with all other materials testing negative for asbestos. These materials are regulated by the Occupational Safety and Health Administration (OSHA) and should be properly managed for abatement if these materials are to be impacted during renovation activities.
If the renovation or demolition contractor discovers additional suspect building materials that were not sampled as part of this inspection, they shall stop working and notify DFCM so that the materials can be sampled.
Lead – Based on the 2022 report, lead was not detected in any of the materials tested on the roof of this structure. If the renovation or demolition contractor discovers additional suspect building materials that were not sampled as part of this inspection that will be impacted, they shall stop working and notify DFCM so that the materials can be sampled.
Universal, Hazardous and Toxic Wastes – No Universal, Hazardous, and Toxic Wastes will be impacted during this renovation project.
1.0 INTRODUCTION
As per DFCM’s instructions, Hill West Environmental conducted a limited asbestos and lead-based paint inspection of the Utah State Hospital - Support Services Building located at 1300 East Center Street, Provo, Utah 84606. Due to the remodel and upgrades to the HVAC Unit upgrades, Hill West was instructed to only inspect areas that will be impacted during the renovation project.
The purpose of this survey was to identify the existence, extent, and condition of both friable and non-friable asbestos-containing materials (ACM) and lead-based paint/lead materials within the renovation areas.
2.0 SITE VISIT /OBSERVATIONS
2.1 Asbestos Inspection
On July 21, 2026, Hill West Environmental visited the site to survey the renovation areas of the building. A complete asbestos inspection of the areas that will be impacted during renovations was made to determine conditions and develop a sampling scheme for the areas. The materials that will be impacted during this upgrade project include sheetrock wall system and floor tile. Table 1 summarizes the asbestos inspection results.
Table 1 – Asbestos Materials
Homogenous Area Number
Material Description/Location Asbestos Content Amount Cost Estimate
M008 Pipe Thread Sealant 2%Chrysotile 129 ft2 $5,000
Appendix A photographs of samples collected by Hill West Environmental.
Appendix B contains analytical results from samples collected and certifications.
Appendix C contains R&R Environmental Limited Asbestos Survey and assessment Report dated May 24, 2022.
2.2 Lead-based Paint Inspection
On April 21, 2022, R&R Environmental conducted a limited lead-based paint inspection of the Utah State Hospital – Support Services Building on equipment and other painted surfaces located on the roof. Direct measurements of lead in paint/dust were made using a Niton XLp 300 X-ray Fluorescence (XRF) Spectrum Analyzer. The Niton XRF non-destructively measures lead concentrations of painted surfaces, regardless of the number of layers present.
According to the manufacturer, the detection limit (lower limit of reliable measurement) for this instrument is 0.1 milligrams per square centimeter (mg/cm2) ±0.3 mg/cm2 with the instrument set on the “quick” measuring mode.
The quick mode provides 95% confidence that the lead concentration in the paint is above or below the set point of the instrument which, for this survey is 0.4 mg/cm2. For this survey, measurements below 0.4 mg/cm2 were not reported as lead containing.
The Niton XRF sometimes reports negative values. According to the manufacturer, negative values should be expected and interpreted as zero lead content due to the statistical variability of XRF measurement technology. Both HUD and the EPA recognize the statistical variability of XRF technology and the possibility of obtaining negative values where the lead content is near zero.
Table 2 summarizes the lead-based paint inspection results. Measurements are reported in milligrams of lead per square centimeter (mg/cm2). All the coatings tested during this inspection were in good to fair condition. Only positive readings (>0.4 mg/cm2) are summarized in Table 2. Appendix B contains all XRF readings for this survey.
Table 2 – Positive Lead-Based Paint/Lead Dust Readings
Building Component Material Description/Location Lead Content (mg/cm2)
No lead was detected within any of the items tested during the survey.
3.0 RESULTS
Table 3 summarizes the analytical results for the asbestos samples collected.
Table 3 – Asbestos Analytical Results
Sample Number
Homogeneous Area Number
Material Sampled Sample
Location Estimated Quantity*
Analytical Results
SS – 01A M001 New Roof Core Roof 9,575 ft2 None Detected
SS – 01B M001 New Roof Core Roof 9,575 ft2 None Detected
SS – 01C M001 New Roof Core Roof 9,575 ft2 None Deteccted
S – 01 M002 Old Roof Core Roof 9,575 ft2 None Detected
S – 02 M002 Old Roof Core Roof 9,575 ft2 None Detected
S – 03 M002 Old Roof Core Roof 9,575 ft2 None Deteccted
S – 04 M002 Old Roof Core Roof 9,575 ft2 None Detected
S – 05 M002 Old Roof Core Roof 9,575 ft2 None Detected
S – 06 M002 Old Roof Core Roof 9,575 ft2 None Deteccted
S – 07 M002 Old Roof Core Roof 9,575 ft2 None Detected
S – 08 M003 White Caulk Roof 9,575 ft2 None Detected
S – 09 M003 White Caulk Roof 9,575 ft2 None Deteccted
S – 10 M004 Black Caulk Roof 38 ft2 None Detected
Homogeneous Area Number
Material Sampled Sample
Location Estimated Quantity*
S – 11 M004 Black Caulk Roof 38 ft2 None Detected
S – 12 M005 Gray Caulk Roof 111 ft2 None Deteccted
S – 13 M005 Gray Caulk Roof 111 ft2 None Detected
S – 14 M006 Flashing Tape Roof 85 ft2 None Detected
S – 15 M006 Flashing Tape Roof 85 ft2 None Deteccted
S – 16 M007 Gray AHU Caulk Roof 12 ft2 None Detected
S – 17 M007 Gray AHU Caulk Roof 12 ft2 None Detected
S – 18 M008 Pipe Thread Sealant Roof 129 ft2 None Deteccted
S -- 19 M008 Pipe Thread Sealant Roof 129 ft2 2% Chrysotile
* Estimated Quantity is based on amount to be disturbed during the upgrade project.
Samples collected by Hill West Environmental
4.0 DISCUSSION/CONCLUSIONS
In Utah, EPA asbestos regulations are administered by the Utah Division of Air Quality. Utah Occupational Safety and Health Administration (UOSHA) has adopted the Federal OSHA regulations. In addition, the Salt Lake Valley Health Department (SLVHD) regulates demolition activities in Salt Lake County. The SLVHD regulations for pre-demolition building inspections require an asbestos inspection, but also required building owners to inspect the building for other hazardous materials such as universal wastes, hazardous and toxic wastes and lead-based paint. Similar to asbestos, these wastes, if present must be removed prior to demolition/renovation.
A copy of this report should be on-site during all renovation activities.
This limited asbestos and lead-based paint inspection was conducted on the project area that will be impacted during renovation activities. Only items that are believed to be impacted during renovation activities were inspected during this survey. This survey is not intended to represent an exhaustive research of all asbestos or other hazards or conditions which may exist within other buildings located at this project site.
This report does not purport to represent future indoor conditions or events.
Situations or activities which transpire subsequent to this report, which result in adverse environmental, construction and/or engineering impacts, are not to be construed as relevant to this study.
This report is intended for the sole use of Hill West's client. This report may not be used or relied upon by any other party without the written consent of Hill West.
The scope of services performed in execution of the evaluation may not be appropriate to satisfy the needs of other users, and the use or re-use of this document or the findings, conclusions, or recommendations is at the risk of said user. Appendix B contains all Company certifications and individual inspector certifications.
Claude Dahlk, CHMM, CIEC Asbestos Inspector ASB-0433
Appendix A
Photographs of Samples
Support Services
1300 East Center Street
Provo, Utah
SS– 01A Roof Core
SS – 01B Roof Core
SS – 01C Rood Core
End of Photographs.
Appendix B
Certifications
Approved by:
Approved Signatory Renee Luna-Trepczynski
Report for:
Claude Dahlk Hill West Environmental, LLC 7963 Douglas Drive Park City, UT 84098
Regarding:
Eurofins Aerotech Built Environment Testing, LLC Project: Utah State Hospital; 1300 E Center Street, Provo, UT
EML ID: 4638664
All samples were received in acceptable condition unless noted in the Report Comments portion in the body of the report. The results relate only to the samples as received and tested. The results include an inherent uncertainty of measurement associated with estimating percentages by polarized light microscopy. Measurement uncertainty data for sample results with >1% asbestos concentration can be provided when requested.
Eurofins Aerotech Built Environment Testing, LLC ("the Company"), a member of the Eurofins Built Environment Testing group of companies, shall have no liability to the client or the client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall the Company be liable to the client with respect to the Test Results except for the Company's own willful misconduct or gross negligence nor shall the Company be liable for incidental or consequential damages or lost profits or revenues to the fullest extent such liability may be disclaimed by law, even if the Company has been advised of the possibility of such damages, lost profits or lost revenues. In no event shall the Company's liability with respect to the Test Results exceed the amount paid to the Company by the client therefor.
Dates of Analysis:
Asbestos PLM: 07-30-2026
Service SOPs: Asbestos PLM (EPA 40CFR App E to Sub E of Part 763 & EPA 600/R-93-116, EBET-PLM-SOP83921) NVLAP Lab Code 500031-0
EMLab ID: 4638664, Page 1 of 3Eurofins Aerotech Built Environment Testing, LLC
Eurofins Aerotech Built Environment Testing, LLC 1501 West Knudsen Drive, Phoenix, AZ 85027
(800) 651-4802 www.eurofinsus.com/BuiltClient: Hill West Environmental, LLC C/O: Claude Dahlk Re: Utah State Hospital; 1300 E Center Street, Provo, UT
Date of Sampling: 07-21-2026 Date of Receipt: 07-27-2026 Date of Report: 07-30-2026
ASBESTOS PLM REPORT
Total Samples Submitted: 3 Total Samples Analyzed: 3
Total Samples with Layer Asbestos Content > 1%: 0
Location: SS-01A, Roof Core Lab ID-Version‡: 23414477-1
Sample Layers Asbestos Content Gray/White Roofing Material (Membrane) ND
White Drywall ND Composite Non-Asbestos Content: 10% Synthetic Fibers Sample Composite Homogeneity: Moderate
Location: SS-01B, Roof Core Lab ID-Version‡: 23414478-1
Sample Layers Asbestos Content Yellow Foam ND
Gray/White Roofing Material (Membrane) ND Black/White Roofing Material (Membrane) ND
White Semi-Fibrous Material ND White Drywall ND
Composite Non-Asbestos Content: 15% Synthetic Fibers 5% Glass Fibers
Sample Composite Homogeneity: Poor
Location: SS-01C, Roof Core Lab ID-Version‡: 23414479-1
Sample Layers Asbestos Content Gray/White Roofing Material (Membrane) ND
Gray/White Roofing Material (Membrane) 2 ND Black/White Roofing Material (Membrane) ND
White Drywall ND Composite Non-Asbestos Content: 20% Synthetic Fibers Sample Composite Homogeneity: Poor
EMLab ID: 4638664, Page 2 of 3Eurofins Aerotech Built Environment Testing, LLC
The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government. The Company reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified.
All components not quantified as asbestos content and non-asbestos content are considered to be non-fibrous matrix components. Matrix components may include, but are not limited to, gypsum, paint, silicate minerals, vinyl, binder, calcium carbonate, tar, and foam.
Inhomogeneous samples are separated into homogeneous subsamples and analyzed individually. ND means no fibers were detected. When detected, the minimum detection and reporting limit is less than 1% unless point counting is performed. Floor tile samples may contain large amounts of interference material and it is recommended that the sample be analyzed by gravimetric point count analysis to lower the detection limit and to aid in asbestos identification.
‡ A "Version" indicated by -"x" after the Lab ID# with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of "x".
Eurofins Aerotech Built Environment Testing, LLC 1501 West Knudsen Drive, Phoenix, AZ 85027
(800) 651-4802 www.eurofinsus.com/BuiltClient: Hill West Environmental, LLC C/O: Claude Dahlk Re: Utah State Hospital; 1300 E Center Street, Provo, UT
Date of Sampling: 07-21-2026 Date of Receipt: 07-27-2026 Date of Report: 07-30-2026
ASBESTOS PLM REPORT
PROJECT ANALYST AND SIGNATORY REPORT
Project Analyst
The test report shall not be reproduced except in full, without written approval of the laboratory. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government. The Company reserves the right to dispose of all samples after a period of thirty (30) days, according to all state and federal guidelines, unless otherwise specified.
‡ A "Version" indicated by -"x" after the Lab ID# with a value greater than 1 indicates a sample with amended data. The revision number is reflected by the value of "x".
Analyst: Kayla Heinen
EMLab ID: 4638664, Page 3 of 3Eurofins Aerotech Built Environment Testing, LLC
Appendix C
Limited Asbestos Survey and Assessment May 24, 2022
A LIMITED ASBESTOS, LEAD-BASED PAINT AND HAZARDOUS MATERIALS
INSPECTION, SURVEY AND ASSESSMENT
FOR THE
UTAH STATE HOSPITAL
SUPPORT SERVICES BUILDING ROOF
1300 EAST CENTER STREET
PROVO, UTAH 84606
A LIMITED ASBESTOS SURVEY AND ASSESSMENT
FOR THE
UTAH STATE HOSPITAL
SUPPORT SERVICES BUILDING ROOF
Mr. Jon Vance
Project Manager
State of Utah
Department of Administrative Services
Division of Facilities Construction and Management (DFCM)
State Office Building Room 4110
Provo, Utah 84114
PH: (801) 686-4422
R & R Environmental, Inc. (R & R)
47 West 9000 South, Suite #2
Sandy, Utah 84070 dave@rrenviro.com
Phone (801) 541-1035
Table of Contents
ASBESTOS
1.0 INTRODUCTION
2.0 EXECUTIVE SUMMARY
3.0 SAMPLING METHODS
4.0 SURVEY RESULTS
5.0 CONCLUSIONS
6.0 LIMITATIONS AND EXCLUSION OF WARRANTY.……………………………………………………8
List of Appendices
Appendix A Sample Log
Appendix B Laboratory Report
Appendix C Photo Log
Appendix D Floor Plans
Appendix E State of Utah Certifications
Utah State Hospital Limited Asbestos Survey Report Support Services Building Roof Page 1
R & R Environmental, Inc. (R & R) was contacted to conduct a limited asbestos survey for the Utah State Hospital Support Services Building Roof located at 1300 East Center Street in Provo, Utah 84606. The roof is scheduled to be replaced. The survey consisted of a visual assessment of the roof for suspect asbestos containing materials (ACM) and bulk sampling of the materials. The fieldwork component of this survey was conducted by Mr. Jamison Moss who is a Utah Accredited Asbestos Building Inspector.
This report presents the conditions and observations noted on the visit dates.
The following general information is included in this survey report:
• Executive Summary (Section 2.0)
• Sampling Methods (Section 3.0)
• Analytical Results (Section 4.0)
• Conclusions (5.0)
Support Services Building Roof Page 2
2.0 EXECUTIVE SUMMARY
Material/ Homogenous Area
Sample Location
Quantity
Lab Result (%/Type)
Photo #
Assessment
Pipe Thread Sealant Roof ~129 ft 2% Chrysotile 2 Undamaged
Support Services Building Roof Page 3
UTAH STATE HOSPITAL
SUPPORT SERVICES BUILDING ROOF
PROVO, UTAH
DATE OF SURVEY: APRIL 21, 2022
NESHAP - REGULATED
ASBESTOS-CONTAINING MATERIALS (R-ACM)
1. Friable asbestos material (>1% asbestos and can be crumbled, pulverized or reduced to powder by hand pressure)
Thermal system insulation (TSI)*
Textured ceiling material (TCM)*
Spray-on insulation or fireproofing*
Blown-in insulation*
Ceiling tiles/panels*
Plaster, gypsum board, gypsum board joint compound*
Cloth materials* (Boiler Flue Gasket)
Paper materials* (HVAC Paper Tape and Insulating Board)
Electrical wiring insulation*
Sink undercoating (loose)*
Other*
2. Category I ACM which has become friable
Packings
Gaskets
Resilient floor coverings (floor tile and sheet vinyl)
Asphalt roofing products (Dust Debris, Roofing Underlayment Debris, Flashing Material)
3. Category I ACM that will be or has been subjected to sanding, grinding, cutting or abrading
Packings
Gaskets
Resilient floor coverings (floor tile and sheet vinyl)
Asphalt roofing products
4. Category II ACM that has a high probability of becoming or has become friable in the course of demolition or renovation operations
Asbestos cement materials (transite)*
Asphalt, tar and rubber-base ACM products other than roofing products*
Non-asphalt and non-paper roofing products*
Paint*
Fire brick and/or mortar*
Stainless steel sink undercoating (solid)*
Encapsulated TCM*
Encapsulated TSI*
Mastic for floor tile, ceiling tile, cove molding, etc.*
Other
Support Services Building Roof Page 4
PROVO, UTAH
DATE OF SURVEY: APRIL 21, 2022
NESHAP NON-REGULATED
ASBESTOS-CONTAINING MATERIAL (N-R-ACM)
1. > 1% asbestos
2. Category I Non-friable (cannot be crumbled, pulverized, or reduced to powder by hand pressure) ACM with >1% asbestos by new PLM procedure
Packings
X Gaskets (Pipe Thread Sealant)
Resilient floor coverings (floor tile)
Asphalt roofing products
3. Category II Non-friable ACM with >1% asbestos by new PLM procedure (Category includes items meeting Category I definition but not specifically listed in that category)
Asbestos cement materials (transite)* (Fume hoods, counter tops, and window panels)
Asphalt, tar and rubber-base ACM products other than roofing products*
Non-asphalt and non-paper roofing products*
Paint* (Silver Paint Sealant)
Fire brick and/or mortar*
Sink undercoating (solid)*
Mastic for floor tile, ceiling tile, cove molding, etc.*
Other* (Window Glaze)
Notes:
1. (*) denotes R & R’s interpretation of materials included in this category.
2. New PLM procedure is outlined in Appendix A, Subpart F, 40 CFR, Part 783, Section 1, Polarized Light
Microscopy.
3. The Environmental Protection Agency (EPA) National Emission Standard for Hazardous Air Pollutants
(NESHAP) asbestos revision as outlined in 40 CFR, Part 61, became effective November 20, 1990. The asbestos classification system outlined in the revision and included in this section is dynamic in nature.
Asbestos materials classified as “NON-REGULATED” at the time of the survey may become “REGULATED” due to ongoing or planned maintenance, renovation, or demolition actions, which can transform a material containing greater than 1% asbestos from a “non-friable” and NON-REGULATED to a friable and REGULATED condition. Classification of ACM in this section and in the executive summary of this report is, therefore, based on the observations of the surveyor at the time of the survey and may or may not be appropriate at later dates.
4. Maintenance, renovation, demolition, weathering, normal wear, water or other damage can alter the “NON- REGULATED” status of materials, and necessitate precautions required for handling them as “REGULATED” asbestos-materials.
Support Services Building Roof Page 5
3.0 SAMPLING METHODS
Survey procedures were based on those outlined in Title 40 Code of Federal Regulation (CFR) Part 763, USEPA Asbestos Hazard Emergency Response Act, and the Asbestos Model Accreditation Plan (effective April 4, 1994). The procedures included visual observation, physical inspection, bulk sample collection, and condition assessment of suspect ACM. The number of samples collected was based on the amount and accessibility of each homogeneous material, with consideration given for the type, age, and condition.
Nineteen (19) samples were collected from the suspect materials to assess the presence of asbestos (or lack thereof) in building materials/systems. Each sample collected was placed into a sealable plastic bag or tub, marked with a unique sample identification code, and packaged for subsequent shipment to the laboratory for analysis. Individual sample identification consisted of a numeric code denoting the sampling media/location.
Subsequent to packaging and labeling, samples were submitted under proper chain-of-custody to Reservoirs Environmental, Inc., Denver, Colorado. The National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896 accredits Reservoirs for asbestos analysis. Samples were analyzed via Polarized Light Microscopy (PLM) utilizing EPA Method 600/M4-82-020. Please note that USEPA and OSHA regulations define an ACM as a material containing more than one (1) percent asbestos, by volume, as determined by PLM analysis. In the case of multi-layer systems (e.g., floor tile/mastic layers), the laboratory analyzed and reported each layer separately.
4.0 SURVEY RESULTS
Nineteen (19) representative samples collected were submitted for analytical determination. A summary of analytical results for samples collected and analyzed for this survey are in Appendix B (Laboratory Results) and are discussed below by building material/system type. Photographs of the buildings where samples were taken are included as Appendix C. Floor Plans of the building where samples were taken are included in Appendix D
Support Services Building Roof Page 6
5.0 CONCLUSIONS
Asbestos-containing materials were identified in the building. See Executive Summary for details.
6.0 LIMITATIONS AND EXCLUSION OF WARRANTY
This asbestos survey and assessment was performed using procedures and a level of diligence typically exercised by professional consultants performing similar services. However, asbestos-containing material (ACM) can be present in a structure, but not identified using ordinary investigative procedures.
No asbestos survey can completely, eliminate uncertainty regarding the presence of ACM. R & R Environmental, Inc.’s level of diligence and investigative procedures are intended to reduce, but not eliminate, potential uncertainty regarding the presence of ACM. The procedures used for this survey attempt to establish a balance between the competing goals of limiting investigative costs, time, and building damage, and reducing the uncertainty about unknown conditions. Therefore, the determinations in this report should not be construed as a guarantee that all ACM present in the subject property has been included in this report.
This report presents R & R Environmental, Inc.’s professional determinations, which are dependent upon information obtained during performance of consulting services. R & R Environmental, Inc. assumes no responsibility for omissions or errors resulting from inaccurate information provided by sources outside of R & R Environmental, Inc.
No warranty or guarantee, expressed or implied, is made regarding the findings, conclusions, or recommendations contained in this report. The limitations presented above supersede the requirements or provisions of all other contracts or scopes of work, implied, or otherwise, except stated or acknowledged herein.
Support Services Building Roof Page 7
OF THE
UTAH STATE HOSPITAL
PROVO, UTAH
On April 21, 2022, R & R Environmental, Inc. (R & R) of Sandy, Utah, conducted a limited asbestos survey and assessment of the Utah State Hospital Support Services Building Roof located at 1300 East Center Street in Provo, Utah 84606. Bulk samples of suspect asbestos-containing materials were collected and analyzed. The condition of all friable and non-friable asbestos-containing materials was, assessed. The following accredited inspector conducted the survey and assessment.
Inspected by:
Jamison Moss Date State of Utah, Division of Air Quality Inspector Certification Number: ASB-6674 State of Utah Company Certification: ASBC-237
This report was reviewed by:
David C. Roskelley, MSPH, CIH, CSP Date State of Utah, Division of Air Quality Inspector Certification Number: ASB-1370 AHERA Inspector #5 PSI 65451 I Certified Safety Professional #15774 Certified Industrial Hygienist #8529 State of Utah Company Certification: ASBC-237
Sample Log
SAMPLE LOG
Sample #
Material/ Homogenous Area
Sample Location
Quantity
Lab Result (%/Type)
Assessment
S-01 Roof (11" Deep) Roof 9,575 ft2 None Detected Undamaged S-02 Roof (13.5" Deep) Roof 9,575 ft2 None Detected Undamaged S-03 Roof (3.25" Deep) Roof 9,575 ft2 None Detected Undamaged S-04 Roof (11" Deep) Roof 9,575 ft2 None Detected Undamaged S-05 Roof (7" Deep) Roof 9,575 ft2 None Detected Undamaged S-06 Roof (7.25" Deep) Roof 9,575 ft2 None Detected Undamaged S-07 Roof (7" Deep) Roof 9,575 ft2 None Detected Undamaged S-08 White Caulk Roof 9,575 ft2 None Detected Undamaged S-09 White Caulk Roof 9,575 ft2 None Detected Undamaged S-10 Black Caulk Roof 38 ft2 None Detected Undamaged S-11 Black Caulk Roof 38 ft2 None Detected Undamaged S-12 Gray Caulk Roof 111 ft2 None Detected Undamaged S-13 Gray Caulk Roof 111 ft2 None Detected Undamaged S-14 Flashing Tape Roof 85 ft2 None Detected Undamaged S-15 Flashing Tape Roof 85 ft2 None Detected Undamaged S-16 Gray AHU Caulk Roof 12 ft2 None Detected Undamaged S-17 Gray AHU Caulk Roof 12 ft2 None Detected Undamaged S-18 Pipe Thread Sealant Roof ~129 ft2 None Detected Undamaged S-19 Pipe Thread Sealant Roof ~129 ft2 2% Chrysotile Undamaged
Laboratory Report
April 28, 2022
Sincerely, Jeanne Spencer President
Subcontractor Number:
Laboratory Report: RES 523671-1
Project #/P.O. #: None Given
Project Description: DHS-USH Support Services Roof
Jamison Moss R & R Environmental 47 West 9000 South #2 Sandy UT 84070
Dear Jamison, Eurofins Reservoirs is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA LAP, LLC), Lab ID 101533 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively.
Eurofins Reservoirs has analyzed the following samples for asbestos content as per your request. The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office.
RES 523671-1 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Eurofins Reservoirs will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed, as received by the customer. This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Eurofins Reservoirs Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986.
by Ryan Shilling
04/28/202204/28/202204/28/202204/28/2022
Eurofins Reservoirs Environmental, Inc Eurofins Reservoirs QA Manual
Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf
(303) 964-1986
(866) RESI-ENV
www.reilab.com https://clients.reilab.com
5801 Logan St, Suite 100, Denver, CO 80216
Laboratory Sample IDLaboratory Sample IDLaboratory Sample IDLaboratory Sample ID LLLL Asbestos ContentAsbestos ContentAsbestos ContentAsbestos Content Non-Non-Non-Non- Non-Non-Non-Non- AAAA SubSubSubSub AsbestosAsbestosAsbestosAsbestos FibrousFibrousFibrousFibrous YYYY PhysicalPhysicalPhysicalPhysical PartPartPartPart MineralMineralMineralMineral VisualVisualVisualVisual FibrousFibrousFibrousFibrous ComponentsComponentsComponentsComponents EEEE DescriptionDescriptionDescriptionDescription EstimateEstimateEstimateEstimate ComponentsComponentsComponentsComponents
Client Sample NumberClient Sample NumberClient Sample NumberClient Sample Number RRRR (%) (%) (%) (%) 523671 -523671 -523671 -523671 - S-01S-01S-01S-01 A Gray felt 3 NDNDNDND 75 25 B Black/light tan resinous material 7 NDNDNDND 20 80 C Light gray/tan drywall 25 NDNDNDND 15 85 D Yellow foam 30 NDNDNDND 0 100 E White foam 35 NDNDNDND 0 100 523671 -523671 -523671 -523671 - S-02S-02S-02S-02 A Gray felt 3 NDNDNDND 75 25 B Black/light tan fibrous resinous material 12 NDNDNDND 15 85 C Light pink/tan drywall 25 NDNDNDND 10 90 D White foam 30 NDNDNDND 0 100 E Yellow foam 30 NDNDNDND 0 100 523671 -523671 -523671 -523671 - S-03S-03S-03S-03 A Gray felt 3 NDNDNDND 75 25 B Black/light tan fibrous resinous material 7 NDNDNDND 20 80 C Light pink/tan drywall 25 NDNDNDND 10 90 D White foam 30 NDNDNDND 0 100 E Yellow foam 35 NDNDNDND 0 100 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
Eurofins Reservoirs Environmental, Inc Eurofins Reservoirs QA Manual
Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf
RES Job Number:
Client:
Client Project/P.O.:
Client Project Description:
Date Samples Received:
Analysis Type:
Turnaround:
Date Samples Analyzed:
TABLE: I ANALYSIS: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES 523671-1
R & R Environmental None Given DHS-USH Support Services Roof April 27, 2022 EPA 600/R-93/116 - Short Report, Bulk Priority April 28, 2022
EUROFINS RESERVOIRS ENVIRONMENTAL, INC
NVLAP Lab Code 101896-0
AIHA LAP, LLC. LAB ID 101533
NA = Not Analyzed NR = Not Received ND = None Detected TR = Trace; <1 % Visual Estimate Trem-Act = Tremolite-Actinolite
(303) 964-1986
(866) RESI-ENV
www.reilab.com https://clients.reilab.com
Laboratory Sample IDLaboratory Sample IDLaboratory Sample IDLaboratory Sample ID LLLL Asbestos ContentAsbestos ContentAsbestos ContentAsbestos Content Non-Non-Non-Non- Non-Non-Non-Non-
YYYY PhysicalPhysicalPhysicalPhysical PartPartPartPart MineralMineralMineralMineral VisualVisualVisualVisual FibrousFibrousFibrousFibrous ComponentsComponentsComponentsComponents EEEE DescriptionDescriptionDescriptionDescription EstimateEstimateEstimateEstimate ComponentsComponentsComponentsComponents
Client Sample NumberClient Sample NumberClient Sample NumberClient Sample Number RRRR (%) (%) (%) (%)
523671 -523671 -523671 -523671 - S-04S-04S-04S-04 A Gray felt 3 NDNDNDND 75 25 B Black/light tan fibrous resinous material 7 NDNDNDND 15 85 C Light pink/tan drywall 25 NDNDNDND 10 90 D White foam 25 NDNDNDND 0 100 E Yellow foam 40 NDNDNDND 0 100 523671 -523671 -523671 -523671 - S-05S-05S-05S-05 A Gray felt 3 NDNDNDND 75 25 B Black/light tan fibrous resinous material 7 NDNDNDND 15 85 C White foam 10 NDNDNDND 0 100 D Off white/tan drywall 30 NDNDNDND 10 90 E Yellow foam 50 NDNDNDND 0 100 523671 -523671 -523671 -523671 - S-06S-06S-06S-06 A Gray felt 3 NDNDNDND 75 25 B White foam 5 NDNDNDND 0 100 C Black/light tan fibrous resinous material 7 NDNDNDND 15 85 D Off white/tan drywall 35 NDNDNDND 10 90 E Yellow foam 50 NDNDNDND 0 100 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
Eurofins Reservoirs Environmental, Inc Eurofins Reservoirs QA Manual
Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf
RES Job Number:
Client:
Client Project/P.O.:
Client Project Description:
Date Samples Received:
Analysis Type:
Turnaround:
Date Samples Analyzed:
TABLE: I ANALYSIS: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES 523671-1
R & R Environmental None Given DHS-USH Support Services Roof April 27, 2022 EPA 600/R-93/116 - Short Report, Bulk Priority April 28, 2022
EUROFINS RESERVOIRS ENVIRONMENTAL, INC
NVLAP Lab Code 101896-0
AIHA LAP, LLC. LAB ID 101533
NA = Not Analyzed NR = Not Received ND = None Detected TR = Trace; <1 % Visual Estimate Trem-Act = Tremolite-Actinolite
(303) 964-1986
(866) RESI-ENV
www.reilab.com https://clients.reilab.com
Laboratory Sample IDLaboratory Sample IDLaboratory Sample IDLaboratory Sample ID LLLL Asbestos ContentAsbestos ContentAsbestos ContentAsbestos Content Non-Non-Non-Non- Non-Non-Non-Non-
YYYY PhysicalPhysicalPhysicalPhysical PartPartPartPart MineralMineralMineralMineral VisualVisualVisualVisual FibrousFibrousFibrousFibrous ComponentsComponentsComponentsComponents EEEE DescriptionDescriptionDescriptionDescription EstimateEstimateEstimateEstimate ComponentsComponentsComponentsComponents
Client Sample NumberClient Sample NumberClient Sample NumberClient Sample Number RRRR (%) (%) (%) (%) 523671 -523671 -523671 -523671 - S-07S-07S-07S-07 A Gray felt 3 NDNDNDND 75 25 B Black/light tan fibrous resinous material 7 NDNDNDND 10 90 C White foam 10 NDNDNDND 0 100 D Off white/tan drywall 30 NDNDNDND 15 85 E Yellow foam 50 NDNDNDND 0 100 523671 -523671 -523671 -523671 - S-08S-08S-08S-08 A Off white/multi-colored resinous material 100 NDNDNDND 0 100 523671 -523671 -523671 -523671 - S-09S-09S-09S-09 A Gray resinous material 100 NDNDNDND 0 100 523671 -523671 -523671 -523671 - S-10S-10S-10S-10 A Black resinous material 20 NDNDNDND 0 100 B Gray resinous material 80 NDNDNDND 0 100 523671 -523671 -523671 -523671 - S-11S-11S-11S-11 A White resinous material 10 NDNDNDND 0 100 B Black resinous material 90 NDNDNDND 0 100 523671 -523671 -523671 -523671 - S-12S-12S-12S-12 A Gray resinous material 100 NDNDNDND 0 100 523671 -523671 -523671 -523671 - S-13S-13S-13S-13 A Gray resinous material 100 NDNDNDND 0 100 523671 -523671 -523671 -523671 - S-14S-14S-14S-14 A Gray/multi-colored resinous material 100 NDNDNDND 0 100 523671 -523671 -523671 -523671 - S-15S-15S-15S-15 A Gray/multi-colored resinous material 100 NDNDNDND 0 100 523671 -523671 -523671 -523671 - S-16S-16S-16S-16 A Gray resinous material 100 NDNDNDND 0 100 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
Eurofins Reservoirs Environmental, Inc Eurofins Reservoirs QA Manual
Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf
RES Job Number:
Client:
Client Project/P.O.:
Client Project Description:
Date Samples Received:
Analysis Type:
Turnaround:
Date Samples Analyzed:
TABLE: I ANALYSIS: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES 523671-1
R & R Environmental None Given DHS-USH Support Services Roof April 27, 2022 EPA 600/R-93/116 - Short Report, Bulk Priority April 28, 2022
EUROFINS RESERVOIRS ENVIRONMENTAL, INC
NVLAP Lab Code 101896-0
AIHA LAP, LLC. LAB ID 101533
NA = Not Analyzed NR = Not Received ND = None Detected TR = Trace; <1 % Visual Estimate Trem-Act = Tremolite-Actinolite
(303) 964-1986
(866) RESI-ENV
www.reilab.com https://clients.reilab.com
Laboratory Sample IDLaboratory Sample IDLaboratory Sample IDLaboratory Sample ID LLLL Asbestos ContentAsbestos ContentAsbestos ContentAsbestos Content Non-Non-Non-Non- Non-Non-Non-Non-
YYYY PhysicalPhysicalPhysicalPhysical PartPartPartPart MineralMineralMineralMineral VisualVisualVisualVisual FibrousFibrousFibrousFibrous ComponentsComponentsComponentsComponents EEEE DescriptionDescriptionDescriptionDescription EstimateEstimateEstimateEstimate ComponentsComponentsComponentsComponents
Client Sample NumberClient Sample NumberClient Sample NumberClient Sample Number RRRR (%) (%) (%) (%) 523671 -523671 -523671 -523671 - S-17S-17S-17S-17 A Gray resinous material 100 NDNDNDND 0 100 523671 -523671 -523671 -523671 - S-18S-18S-18S-18 A Gray resinous material w/ yellow/multi-colored paint 100 NDNDNDND 0 100 523671 -523671 -523671 -523671 - S-19S-19S-19S-19 A Beige resinous material 100 ChrysotileChrysotileChrysotileChrysotile 2222 0 98 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1%.
Analyst
Eurofins Reservoirs Environmental, Inc Eurofins Reservoirs QA Manual
Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf
RES Job Number:
Client:
Client Project/P.O.:
Client Project Description:
Date Samples Received:
Analysis Type:
Turnaround:
Date Samples Analyzed:
TABLE: I ANALYSIS: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME
RES 523671-1
R & R Environmental None Given DHS-USH Support Services Roof April 27, 2022 EPA 600/R-93/116 - Short Report, Bulk Priority April 28, 2022
EUROFINS RESERVOIRS ENVIRONMENTAL, INC
NVLAP Lab Code 101896-0
AIHA LAP, LLC. LAB ID 101533
NA = Not Analyzed NR = Not Received ND = None Detected TR = Trace; <1 % Visual Estimate Trem-Act = Tremolite-Actinolite
(303) 964-1986
(866) RESI-ENV
www.reilab.com https://clients.reilab.com
SUBMITTED BY INVOICE TO
Client Sample ID Number
RES Job #: 523671
CONTACT INFORMATION SERIES
ASBESTOS LABORATORY HOURS: Weekdays: 7am - 7pm & Sat. 8am - 5pm REQUESTED ANALYSIS VALID MATRIX CODES LAB NOTES
CHEMISTRY LABORATORY HOURS: Weekdays: 8am - 5pm
MICROBIOLOGY LABORATORY HOURS: Weekdays: 8am - 5pm
**Turnaround times establish a laboratory priority, subject to laboratory volume and are not guaranteed. Additional fees apply for afterhours, weekends and holidays.**
Laboratory Analysis Instructions
(Sample ID's must be unique)
Company: R & R Environmental Company: R & R Environmental
Address: 47 West 9000 South #2 Address: 47 West 9000 South #2
Sandy, UT 84070 Sandy, UT 84070
Project Number and/or P.O. #: None Given
Project Description/Location: DHS-USH Support Services Roof
Contact: Jamison Moss -1 PLM Priority Phone: (801) 928-1560
Fax:
Cell:
Final Data Deliverable Email Address:
jamison@rrenviro.com (+ 3 ADDNL. CONTACTS)
PLM / PCM / TEM DTL RUSH PRIORITY STANDARD Air = A Bulk = B
Dust = D Food = F
Paint = P Soil = S
Dust RUSH PRIORITY STANDARD
*PRIOR NOTICE REQUIRED FOR SAME DAY TAT
Surface = SU Swab = SW
Tape = T Wipe = W
Metals RUSH PRIORITY STANDARD Drinking Water = DW
Waste Water = WW
Organics* SAME DAY RUSH PRIORITY STANDARD **ASTM E1792 approved wipe media only**
Viable Analysis** PRIORITY STANDARD
**TAT DEPENDENT ON SPEED OF MICROBIAL GROWTH
Medical Device Analysis RUSH STANDARD
Mold Analysis RUSH PRIORITY STANDARD
Special Instructions:
1 S-01 X B
2 S-02 X B
3 S-03 X B
4 S-04 X B
5 S-05 X B
6 S-06 X B
7 S-07 X B
8 S-08 X B
9 S-09 X B
10 S-10 X B
11 S-11 X B
12 S-12 X B
13 S-13 X B
P L
M
P L
M S h o rt R ep o rt (E
PA
/6
/R
-9 3/
6)
T E
M
A H
E R
A o r Q ua nt ifi ed
M ic ro va c o r Q ua nt ifi ed
W ip e o r Q ua nt ifi ed
N
IO
S
H
2, Y am at e
Le ve l I I, IS
O
, I
S O
, C ha tfi el d, D rin ki ng W at er
, W as te W at er
, B ul k
, C
A R
B M od ifi ed A he ra
P C
M
A , 7
0B
, O S
H A
D U
S T
To ta l, R es pi ra bl e
M E
TA
L
S
A na ly te
(s
Le ad
O nl y (7
2, 0, W as te
W at er , F oo dw ar e)
, M ul ti M et al s (7
3, A
0.
8, W as te
W at er , F oo dw ar e, O S
H A
ID
-1
G p
H (L iq ui d or
N on
-L iq ui d)
T
C
LP
, R C
R A
S ca n, W el di ng
F um e S ca n, F ul l M et al s
S ca n
O R
G A
N
IC
S
M et ha m ph et am in e, T
S S
V
IA
B L
E S
C am py lo ba ct er
, B ac ill us
, S al m on el la
(C ul tu ra bl e or
-2
L is te ria
E
.c ol i O
7:
H
7, E
.c ol i/C ol ifo rm s
- P la te d, S
.a ur eu s, Y ea st
M ol
, A er ob ic
P la te
C ou nt , C ol ifo rm s/
E .c ol i -
(S ta te W at er
, D rin ki ng
W at er , N on -D rin ki ng W at er
Q ua nt ifi ca tio n)
, L ac tic A ci d, V ia bl e
M ic ro bi al C ou nt
(w o/
ID
o r w
/ID
E nt er oc oc cu s o r Q ua nt ifi ca tio
n) , L eg io ne lla
(P , N
P, C
M E
D
IC
A L
B io bu rd en
, L A
L
M O
L D
S po re
T ra p, B ul k
M ol d, P ar tic ul at e Id en tif ic at io n
S am pl e
V ol um e
(L
A re a
Le ng th (o r A liq uo ts
) x W id th
(o r A re a pe r A liq uo t)
M at rix C od e of
C on ta in er s
D at e C ol le ct ed m m
/d d/ yy
T im e C ol le ct ed hh :m m
ASBESTOS CHEMISTRY MICROBIOLOGY
EREI establishes a unique Lab Sample ID, for each sample, by preceding each unique Client Sample ID with the laboratory RES Job Number.
EREI will analyze incoming samples based on information received and will not be responsible for errors or omissions in calculations resulting from the inaccuracy of original data. By signing, client/company representative agrees that submission of the following samples for requested analysis as indicated on this Chain of Custody shall consitute an analytical services agreement with payment terms of NET 30 days. Failure to comply with payment terms may result in a 1.5% monthly interest surcharge.
Relinquished By:
Jamison Moss Date/Time: 04/25/2022 13:04:51 Sample Condition: Acceptable
Received By:
Jessica Shapiro Date/Time: 04/27/2022 10:19:31 Carrier: Fed-Ex
Eurofins Reservoirs Environmental, Inc Eurofins Reservoirs QA Manual
Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf
(303) 964-1986
(866) RESI-ENV
www.reilab.com https://clients.reilab.com
Client Sample ID Number
REQUESTED ANALYSIS VALID MATRIX CODES LAB NOTES
Laboratory Analysis Instructions
(Sample ID's must be unique)
Air = A Bulk = B
Dust = D Food = F
Paint = P Soil = S
Surface = SU Swab = SW
Tape = T Wipe = W
Drinking Water = DW
Waste Water = WW
**ASTM E1792 approved wipe media only**
Res Job#: 523671
Submitted By: R & R Environmental
14 S-14 X B
15 S-15 X B
16 S-16 X B
17 S-17 X B
18 S-18 X B
19 S-19 X B
P L
M
P L
M S h o rt R ep o rt (E
PA
/6
/R
-9 3/
6)
T E
M
A H
E R
A o r Q ua nt ifi ed
M ic ro va c o r Q ua nt ifi ed
W ip e o r Q ua nt ifi ed
N
IO
S
H
2, Y am at e
Le ve l I I, IS
O
, I
S O
, C ha tfi el d, D rin ki ng W at er
, W as te W at er
, B ul k
, C
A R
B M od ifi ed A he ra
P C
M
A , 7
0B
, O S
H A
D U
S T
To ta l, R es pi ra bl e
M E
TA
L
S
A na ly te
(s
Le ad
O nl y (7
2, 0, W as te
W at er , F oo dw ar e)
, M ul ti M et al s (7
3, A
0.
8, W as te
W at er , F oo dw ar e, O S
H A
ID
-1
G p
H (L iq ui d or
N on
-L iq ui d)
T
C
LP
, R C
R A
S ca n, W el di ng
F um e S ca n, F ul l M et al s
S ca n
O R
G A
N
IC
S
M et ha m ph et am in e, T
S S
V
IA
B L
E S
C am py lo ba ct er
, B ac ill us
, S al m on el la
(C ul tu ra bl e or
-2
L is te ria
E
.c ol i O
7:
H
7, E
.c ol i/C ol ifo rm s
- P la te d, S
.a ur eu s, Y ea st
M ol
, A er ob ic
P la te
C ou nt , C ol ifo rm s/
E .c ol i -
(S ta te W at er
, D rin ki ng
W at er , N on -D rin ki ng W at er
Q ua nt ifi ca tio n)
, L ac tic A ci d, V ia bl e
M ic ro bi al C ou nt
(w o/
ID
o r w
/ID
E nt er oc oc cu s o r Q ua nt ifi ca tio
n) , L eg io ne lla
(P , N
P, C
M E
D
IC
A L
B io bu rd en
, L A
L
M O
L D
S po re
T ra p, B ul k
M ol d, P ar tic ul at e Id en tif ic at io n
S am pl e
V ol um e
(L
A re a
Le ng th (o r A liq uo ts
) x W id th
(o r A re a pe r A liq uo t)
M at rix C od e of
C on ta in er s
D at e C ol le ct ed m m
/d d/ yy
T im e C ol le ct ed hh :m m
ASBESTOS CHEMISTRY MICROBIOLOGY
Eurofins Reservoirs Environmental, Inc Eurofins Reservoirs QA Manual
Effective October 09, 2020 Q:\QAQC\Lab\Reservoirs Environmental QA Manual.pdf
(303) 964-1986
(866) RESI-ENV
www.reilab.com https://clients.reilab.com
Appendix C
Photo Log
PHOTO 1: Utah State Hospital Support Services Building Roof
PHOTO 2: Asbestos containing Pipe Thread Sealant
R & R Environmental, Inc.
47 West 9000 South, Suite #2, Sandy, Utah 84070
(801) 352-2380 • Fax: (801) 352-2381
SITE PHOTOGRAPHS
PROJECT NO:
DESIGNED BY:
SCALE:
REVIEWED BY:
DRAWN BY:
DATE:
FILE:
Appendix D
Floor Plan
ASBESTOS FLOOR PLAN
## = SAMPLE NUMBER AND LOCATION
APRIL 2022
UTAH STATE HOSPITAL
1300 EAST CENTER STREET
PROVO, UTAH 84606
SUPPORT SERVICES BUILDINGROOF
N
****** = ASBESTOS CONTAINING PIPE THREAD SEALANT (EXACT LOCATIONS NOT SHOWN)
Appendix E
State of Utah Certifications
LIMITED LEAD-BASED PAINT INSPECTION
UTAH STATE HOSPITAL
SUPPORT SERVICES BUILDING ROOF
State of Utah
Department of Administrative Services Division of Facilities Construction and Management (DFCM)
State Office Building Room 4110
47 West 9000 South, Suite #2
Sandy, Utah 84070
LIMITED LEAD-BASED PAINT INSPECTION
TABLE OF CONTENTS
TITLE PAGE
1.0 Introduction
2.0 Building Description
3.0 Lead-based Paint Definition
4.0 Procedures
4.1 Paint Sampling Methods
4.2 XRF Calibration
4.3 Field Documentation
5.0 Findings
6.0 Results and Recommendation
8.0 Limitations and Exclusion of Warranty
Appendices
A. Data Tables Table 1 – Building Component with Lead Levels at 0.3 mg/cm2 and above Table 2 – Building Component with Lead Levels at below 0.3 mg/cm2 B. Photograph Log
Utah State Hospital Limited Lead-Based Paint Inspection Support Services Building Roof State of Utah DFCM Page 1
Limited Lead-Based Paint Inspection
On April 21, 2022, a limited lead-based paint (LBP) survey was conducted for the Utah State Hospital Support Services Building Roof. The purpose of the survey was to identify lead in paint on exterior surfaces of the building. Measurements for lead in paint were made using a Niton XLp 300 X-ray Fluorescence (XRF) Spectrum Analyzer. No chip sampling or laboratory analysis was performed for confirmation of XRF measurements.
The survey work was overseen by David Roskelley with R & R Environmental, Inc. in Sandy, Utah. David Roskelley has completed Lead Inspector Training through the University of Utah, Rocky Mountain Center for Occupational and Environmental Health (RMCOEH), an EPA-sponsored Regional Lead Training Center, and is certified by the State of Utah, Division of Environmental Quality, as a Lead Inspector.
The U.S. Department of housing and Urban Development (HUD) Guidelines for the Evaluation and Control of Lead-Based Paint Hazards in housing (HUD Guidelines), Chapter7: Lead-Based Paint Inspection, 1997 Revision, was generally followed for this survey, with modifications appropriate for a non-residential building.
The following accredited and certified inspector oversaw the inspection, collected the samples and made assessment:
May 24, 2022 David C. Roskelley, MSPH, CIH, CSP Date Lead-Based Paint Inspector Certification Number: PB-1041
This report was reviewed by:
David C. Roskelley, MSPH, CIH, CSP Date Lead-Based Paint Inspector Certification Number: PB-1041
State of Utah DFCM Page 2
2.0 BUILDING DESCRIPTION
Building Identification
Building Name ........................................... USH Support Services Building Building Address .................................. 1300 East Center Street, Provo, UT
Building Construction
Building Construction Date Building Type ............................................................. Maintenance, Offices Building Total Sq. Ft .............................................. 9,575 ft2(Affected Area) Structural System .................................................................. Structural Steel Exterior Wall Construction ....................................... Metal, Stone, Concrete Floor Deck Construction ............................................... Reinforced concrete Roof Construction ........................................................................ Membrane Floors Above Grade Floors Below Grade ................................................................................. NA
Interior Finishes
Floors ....................................................................................................... NA Walls ........................................................................................................ NA Attic ......................................................................................................... NA Crawl space .............................................................................................. NA
Building Mechanical
Heating Plant ............................................................................... Central Air Main Heating Distribution ........................................................... Forced Air Cooling Plant ............................................................................... Central Air Main A / C Distribution ............................................................... Forced Air
State of Utah DFCM…
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