Asbestos Survey Bldg 100.pdf

ASBESTOS SURVEY

At

SACATON SERVICE UNIT

Building #100 - Learning Center

For

Phoenix Area Indian Health Service Two Renaissance Square

40 N. Central Avenue Phoenix, AZ 85004

By

U.S. Public Health Service Federal Occupational Health

2201 Sixth Avenue, M/S Rx-21 Seattle, Washington 98121-2500

(206) 615-2441

February 2003

TABLE OF CONTENTS

Section Title Page No.

1.0 Introduction .... ; ......................................................................................................... l

2.0 Description of Inspected Area

3.0 Survey Procedures .................................................................................................... I

4.0 Findings

5.0 Abatement Cost Estimate

6.0 Liability Limitations

Appendices

1 Bulk Sample Log and Location of Functional Spaces

2 Laboratory Results

3 Certifications

1.0 INTRODUCTION

Area Wide Asbestos Building Inspection Indian Health Service Facilities

Sacaton Service Unit Building #100- Leaming Center

Sacaton, Arizona

As requested by the Phoenix Area Indian Medical Services, bulk sampling of suspect asbestos-containing building materials was conducted in Building # 100, Leaming Center, at the Sacaton Service Unit .in Sacaton, Arizona, on August 13, 2002. Bulk samples of suspect asbestos-containing materials (ACMs) \Vere collected throughout the interior and exterior of the building.

Messrs. Mark Updike and Dave Jaggers, representing Federal Occupational Health (FOH), performed the asbestos inspection of the subject property. Messers. Updike and Jaggers hold current Asbestos Hazard Emergency Response Act (AHERA) accreditation as Asbestos Building Inspectors. Sampling of suspect asbestos-containing materials was conducted using procedures similar to the Environmental Protection Agency (EPA) AHERA regulations, 40 CFR 763. The Federal Occupational Health EH Environmental Laboratory in Denver, Colorado, performed the laboratory analysis of the asbestos samples.

Laboratory analysis indicates that one bulk sample of gypsum wall texture contains asbestos. According AHERA and OSHA regulations, this material must be assumed to contain asbestos throughout the building.

Further investigation may be warranted.

2.0 DESCRIPTION OF INSPECTED AREA

This inspection focused on the entire interior and exterior of the building. The building is single story with a concrete-masonry exterior built slab-on grade. HV AC was supplied via roof-mounted units, which supplied air to individual rooms. The roof consists of a rolled asphalt system on wood.

Suspect building materials identified and sampled in the subject property included the following: floor tiles and associated mastics, carpet mastic, various gypsum drywall materials, covebase adhesive, ceiling tiles, exterior stucco, and roofing materials.

3.0 SURVEY PROCEDURES

Each room was assigned unique functional space numbers. Each functional space was visually inspected for suspect asbestos-containing materials. Materials were mapped and quantified on maps provided by the IHS or on hand made maps of the existing floor plan.

Each suspect ACM was designated as a distinct homogeneous area, which is a single material, uniform in texture and appearance, installed at one time, and unlikely to consist of more than one type or formulation of material. The inspector touched each suspect material in order to determine friability.

A sufficient number of samples were collected of each material to satisfy the Occupational Safety and Health Administration (OSHA) and the National Emission Standard for Hazardous Air Pollutants (NESHAP) regulations for the determination of asbestos content. A total of 47 samples were collected from Building #100.

Each sample was assigned a unique sample identification number and assessed for damage and friability classifications. The samples, with Chain ofCustody documentation were delivered to FOH EH Environmental Laboratory for analysis.

The FOH EH Environmental Laboratory is accredited under the National Voluntary Laboratory Accreditation Program (NVLAP) for bulk-asbestos sample analysis conducted by the National Institute of Standards and Technology.

A description of the samples taken, location, and summary of laboratory results are located in Appendix 1.

The asbestos laboratory reports are included as Appendix 2.

4.0 Fil'tHHNGS

Results of the asbestos inspection are as follows:

Sacaton Service Unit Building #100 -Learning Center Results

HA# Material Functional Space ACM Condition Quantity lA Carpet Mastic 100, 101, 103, 103A, No Good 2,000 sf

104, 104A, 106, 107 lB Pink 12"x 12" Throughout, EXCEPT for No Good 12,000 sf

Floor Tile & FS 100, 101, 103, 103A, Mastic 104, 104A, 106,107

2A Gypsum Wall Throughout No Good 21,888 sf Material

2B Joint Compound Throughout No Good 21,888 sf 2C Wall Texture Throughout Yes: 2-4% Good 21,888 sf

Chrysotile 2D Exterior Stucco Exterior of building No Good 5,480 sf 3A 2'x4' Fissured 100 through 141 accept No Good 9,500 sf

Ceiling Tile restrooms 3B Gypsum Ceiling Kitchen Area, No Good 7,500 sf

Maintenance Shop, Storage and Restrooms

3C Ceiling Joint Kitchen area, No Good 7,500 sf Compound Maintenance shop, Storage and Restrooms 7A Brown Covebase 100 through 125 No Good 144 sf

Mastic 7B Yellow 126 through 161 No Good 435 sf

Covebase Mastic 8A Roof Material Roof No Good 15,700 sf 8B Penetration Roof No Good 35 sf

Mastic

Laboratory analysis indicates that one bulk sample of gypsum wall texture contains asbestos. According AHERA and OSHA regulations, this material must be assumed to contain asbestos throughout the building. Further investigation may be warranted.

All other samples were determined not to contain asbestos.

In its current condition, the wall texture is a non-friable material. However, should the gypsum drywall walls be disturbed the wall material should be considered a friable, regulated asbestos-containing material (RACM). If disturbance to the materials is required, it must be treated as a friable NESHAP RACM.

OSHA Class I removal regulations apply, unless the material can be removed intact Removal of this material should be performed by appropriately trained and certified personnel. Friable materials must be disposed of at a regulated landfill, approved by the EPA for disposal of friable asbestos waste.

5.0 ABATEMENT COST ESTIMATE

Following is the programming cost estimate for the removal of asbestos-containing materials.

Identified asbestos-containing materials {ACMs) consist of approximately 21,888 square feet of gypsum wall texture.

This programming cost estimate was derived by use of the Means Cost Guide and by consultation with experienced local contractors. It reflects current industry pricing. Future fluctuations in industry pricing, both natural and seasonal, may affect this estimate. In addition, Service Units more than 40 miles from the Phoenix metropolitan area may incur additional costs due to travel requirements on the part of abatement contractors. This is typically in the range of 15 to 20 percent of the estimated abatement costs.

For purposes of this estimate, a 15% mark-up for logistical costs is included.

This estimate is for abatement contractor costs only. Additional costs which are not included in this estimate are those of an environmental consultant and replacement of materials that have been removed.

Asbestos-Containing Material

Wall Texture

Total

Sacaton Service Unit Building #100 -Learning Center

Quantity of Material ( sf)

21,888sf

Unit Cost

(per sf)

$1.75

Logistical Markup

15%

6.0 LIABILITY LIMITATIONS

Total

$44,049.60

$44,049.60

This asbestos inspection was performed using procedures and a level of diligence typically exercised by professional consultants performing similar services.

Asbestos-containing material (ACM) can be present in a structure, but not identified using normal, non destructive, investigative procedures.

No survey can completely eliminate uncertainty regarding the presence of ACM. FOH'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 FOH's professional determinations, which are dependent upon information obtained during the performance of the consulting services. FOH assumes no responsibility for omissions or errors resulting from inaccurate information provided by sources outside of FOH.

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 on provisions of all other contracts on scope of work, implied or otherwise, except those stated or acknowledged herein.

Refer to the report for laboratory results of the inspection. The Table in Appendix 1 lists the bulk samples that were collected from homogeneous areas of suspect ACM. The laboratory results are included in Appendix 2.

APPENDIX 1

Bulk Sample Log

Location of Functional Spaces

NORTH

m_.,,Jl==ir-7

- -1 c:=.j===i=:r-'"'.'""'•==cl""'S¼',SS'·'t=7

_I& 140

~138 139 -- \ ~/-. II :1 c15n--·"' ==-ri !~~===~,r /·,,,, I

136A r .. ~ ,_.,._ ~ 134 :j

) 131

II II ~7}1·····13,0 II

l,io,i,4 ,A

Indian Health Service Sacaton Service Unit

Building #100 - Cafeteria Functional Space Locations

Asbestos-Containina Materials Inspection l 103 ::

0~ d!P I~=/-\~/' ;_ I

1105A~~ 1 < !1~ )5

IHI Environmental

Client: FOH/IHS Service Unit: PIMC Project No.: 02P-3514

Building No.: > fir( - i DO Material: ( f ) Ff 1:c, r$ Number

Sample Designation: ?, A-L- 100- \ Sample Location HA& Sample Material Type Functional Origin Feet Feet Quant

HANo. No. Description (TS[, Misc, Surf) Space Comer N/S 'E/W Ht. Surface (s.f.)

Al I t e-d .i + MP\s-t-~ r f'-1\i'~t jcZ dJl!, !/, ,- N' , \V c~ cc D Ffocr J,ooo J J l I e:fJ - ()i\J AJ ;,t;. ow D

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/ j '-7 P1/t '1.)F Id S 6 L. j 0 \ - \

B~ lo I 3 r tv'E os 0\.-v' () \

Inspector: ___ M_ar_k_U_.p.._d_ik_e _________ _

Inspector Sig. __ ~--,,£.-r=o--=====--....,..------ AHERA Cert. No.:

Expires:

12/7/2002

Training Provider: The Asbestos Institute, Phoenix, Arizona

Phone: (602) 864-6564

4527 North 16th Street, Suite 105, Phoenix, Arizona 85016

Telephone: (602) 776-0300 Fax: {602) 776-0301

Lab Result

Client: FOH/IlIS

Bulk Sample Log

Service Unit: SACATON Project No.: 02P-3514

Building No.: ..... l....;;00_·· ______________ _ Material: ( 2._ ) '-"'-A tv Number

Sample Designation: Si4 C. ... / C-C- 2- Sample Location HA& Sample Material Type Functional Origin Feet Feet Quant

HA No. No. Description (I'S!, Misc, Surf) Space Comer N/S E/W Ht. Surface (s.f.)

At •. c~ ·J PSv..- ·o"".., 1-./> , , (10 5c..1 i'.J f ~f ~v '1,Bf8 i .&An.'\L. Ct:

p . , ·2,. '6 I t 3 '--f _5v0 1,_r \ f I } ,. l. 5 i . -

3 q \ ,zc /Jt I ~'i,J i j I~ 'i C n;vO~ Le - • £ v\ f

~f "' . S-1

HA (I 1118&8 ~ I l 0 ~ Sc. I~ 0 Shi . .d 'f'j I- \ '/ ' 4',J $' z._. 11 l Jc,( ·~\/\.,,'\ f b~

'~ I J.- \ JZo AJ l ~~5 o'--.J ~' \ I ~i.C g'J

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·o ~o (_F,.7. S?v1tc..o ~~.P t!f-7 NW 8W 1J..i ,.1 ~II S1i0 t .., !.. ~r I ~,,..T _A) .J 't)tAJ -;..t;e; '/' { / : f

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(:.~, .s i,J C {: f"

Date: ,di.fo 'L , lnspector: __ ---==~,...,,,a,....v'--........... -+--------lnspector Sig. <:~+ - AHERA Cert. No.: ======::c:8:7-3_4~~~~~~....,,_tr--==----T-ra-in_i_ng-Provider: The Asbestos Institute, Phoenix, Arizona

Expires: 4/5/03 Phone: (602) 864-6564

4527 North t6th Street Suite 105, Phoenix, Arizona 85016

Telephone: (602) 776-0300 Fax: (602) 776-0301

Lab

Client: FOH/IHS Service Unit: PIMC Project No.: 02P-3514

BuildingNo.: SAG:- iOO Material: ( ;> ) { 2\'l; "9) Numba ;}

Sample Designation:

HA& Sample HANo. No.

A-- i ~7 A-J ~i A) d--~

'C)/ )o

Bl ~, (') ~ 5l1'

c. l ~-;

cJ 1q c~

LJ

j~

Inspector:

Inspector Sig.

A HERA Cert. No.:

Expires:

4 ft.-c, - / 0 0 -- 2... Sample Location Material Type Functional Origin ;;_ ;; Quant

Description (TS!. Misc, Surf) Space Corner Ht. Surface (s.f)

1, 1 o,.)( {\\~vuJ c}r ~~(.., /3& 'i' !v :ts 1N tu 6-// t/Jf"OO

/~ }\,,w 1LS lt.J fD l I j

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I f.1'~ )f Drv i O\J { J._

( '> \\t\. f ov f\. ~ l f j(t, N C) (o' I w \~ , WW 1~ ~w i ft:;.__ b t °" i

\ l J. fiJ ~ ---5 C: ttrJ ;!,W lo-- I j L'

----------:::-:-=--=---..:::-_--- Date: {I- /c/-d:1- --.,µ:;._.+--.;;;;;._-----------

12/7/2002

Training Provider: The Asbestos Institute, Phoenix, Arizona

Phone: (602)864-6564

4527 North 16th Street, Suite 105, Phoenix, Arizona 85016

Telephone: (602) 776-0300 Fax: (602) 776-0301

Lab

IHI Environmental. PAGE 1

PHYSICAL ASSESSMENT SHEET OF FRIABLE ACM

BUILDING NAME & NO. S'4CA Tu 1'-/ · bu i l J t'/) CJ ;lo O PROJECT NO. ()d< p.- 3 er I lf

FUNCTIONAL SPACES: /("}D - /JR> ?JC'r i21, }2tf - J;J ::,t 1 t ;$1-- l3lJ 7 1

' J

HOMOGENEOUS AREA: NUMBER 3 At DESCRIPTION: J 'x l/ t FJ'6Su ;' -ed ( e /L ( \ /J9 71-e s ____ ...___._ _______ ./ _______ _

TYPE OF MATERIAL: SURFACING -- MISCELLANEOUS~ TSI

LOCATION oF HOMOGENEous AREA WITHIN THE FUNCTIONAL SPACE: _f_'r_,_-, c_i_' /j-J---'-------- FuNcT10NAL SPACE(S) WITH DAMAGED MATERIAL: ____ N""-} ___ fr__,__ _______________ _

EXTENT OF DAMAGE: LOCALIZED: <25%_ >25% __

SOURCE OF DAMAGE:

PHYSICAL CONTACT

DETERIORATION/AGE __

VANDALISM

DELAMINATION

DISTRIBUTED: <10%_ >10%_

WATER

FLAKING

AIR EROSION

FIRE

DESCRIPTION OF DAMAGE __ N_l-'--ck _______________________ _

OVERALL DAMAGE CATEGORY: UNDAMAGED_::L DAMAGED_ SIGNIFICANTLY DAMAGED __

POTENTIAL FOR DAMAGE:

POTENTlAL FOR CONTACT: HIGH __ _ MODERATE __ LOW fr

-. I \

JLJSTIFfCATION: ) i C: (" \ \_ l v'! 'f ) ______ .....,.__ ___________________ _ v

EFFECT/INFLUENCE OF VIBRATION: HIGH ---- MODERATE __ _ LOW_-:z __ - _

JUSTIFICATION: __________________________ _

POTENTIAL FOR AIR EROSION: HIGH __ _ MODERATE ___ LOW 1/

JUSTIFICATION: __________________________ _

OVERALL POTENTIAL FOR DAMAGE:

POTENTIAL FOR SIGNIFICANT

--DAMAGE/DISTURBANCE __

POTENTIAL FOR LOW POTENTIAL FOR

DAMAGE/DISTURBANCE __ DAMAGE/DISTURBANCE~

JUSTIFICATION: __________________________ _

NESHAP CATEGORY:

SIGNATURE OF INSPECTOR /:-~::·:c:2'

1t>z< c:;, lu.f DATE: ?/;,V/42

NAME OF INSPECTOR:

\CCREDITATION NUMBER: EPA ACCREDITED

P010/ALHAMBRA.PA

Client: FOH/IHS Service Unit: PIMC Project No.: 02P-3514

Building No.: ~ A-C--( 0() Material: ( 7 ) M ;~ L Number

Sample Designation: ~P.c.-f~tl--, Sample Location HA& Sample Material Type Functional Origin Feet Feet Quant

HANo. No. . Description (TS!. Misc, Surf) Space Comer N/S E/W Ht. Surface (s.f.)

A-1 J~ l~v'-f:~tvrv\t\7tk_ ~'v\;\(., 1qr tti\\\ tJvJ C.i of. 0 WAl(S )l't-J 8-

4;;._ 17 ) , 1,tJ~ Nt. ~5 r;vl 0 31 I

I

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BJ 40 ( J{;fJ NlJ ~s r, E {)

B3 L/l l l l5~ tJC ~s C \,J 0 lnspector: ___ M_a_r_k_U.._p_di_ke _________ _ Date: ' ----- Inspector Sig. __ :::::_..,.L:..:::::::=:=::::::=---------

AHERA Cert. No.:

Expires:

12/7/2002

Training Provider: The Asbestos Institute, Phoenix, Arizona

Phone: (602) 864-6564

4527 North 16th Street, Suite 105, Phoenix. Arizona 85016

Telephone: {602) 776-0300 Fax: (602) 776-0301

Lab

Client: FOHJIHS

Building No.: :;; A(__ - IO()

IHI Environmental

Bulk Sample Log Service Unit: PIMC Project No.: 02P-3514

Material: ( f ) K<!>o ~ Number

Sample Designation: ~Af - (O{)- 4 Sample Location HA& Sample Material Type Functional Origin Feet Feet Quant

HA.No. No. Description (TSl, Misc, Surl) Space Comer N/S E/W Ht. Surface (s.f)

4--{ 4J.- ~6~ I \ \ rA f\.ttfr ,, rkrC feet too+ l'77cO , (J-) L/3 r ,4-3 '-{Cf \ , D,f .,;, ' t{~ {rJ f Ct'\tfrt\~di\ tJhfhe, I s5 fJJ Lfb I \ /7

L/7 I I r ., 6~ I

Inspector: ____ M_a_r_k_U_.p_d_ik_e __________ _

Inspector Sig·--,..c-.~ .... ~;...;:::'"......----=--------------- AHERA Cert. No.: 1 C8115 -----------

Expires: 12/7/2002

Training Provider: The Asbestos Institute, Phoenix, Arizona

Phone: (602) 864-6564

4527 North !6th Street, Suite 105, Phoenix, Arizona 85016

Telephone: (602) 776-0300 Fax: (602) 776-0301

Lab

APPENDIX2

Laboratory Results

DEPARTMENT OF HEALTH & HUMAN SERVICES

September 27, 2002

IHI Environmental Federal Occupational Health 50 United Nations Plaza, Room 443 San Francisco, CA 94102

Dear IHI Environmental:

Program Support Center

Federal Occupational Health Service PO Box 25145, Bldg 41, Ent E-1, Rm 190 Denver Federal Center Denver Co 80225-0145

LGN B0285975

Enclosed are the results of the analysis of 52 bulk materials from Indian Health Services SAC-100, Phoenix, AZ, submitted to the Division of Federal Occupational Health {DFOH) National Environmental Reference Laboratory (NERL) Asbestos/Fine Particle Analytical Division in Denver, Colorado, for asbestos analysis. These samples were received at NERL on August 21, 2002. The methods used for this evaluation involve stereo and polarized-light microscopy (PLM} in compliance with guidelines established by EPA in its Method For The Determination Of Asbestos In Bulk Building Materials (EPA-600/R-93-116}. The DFOH laboratory services are currently accredited for bulk asbestos analysis by the National Voluntary Laboratory Accreditation Program (NV:LAP) of the National Institute of Standards and Technology (NIST). This report may not be used to claim product endorsement by NVLAP or other U.S.

Government agency. The report may not be reproduced except in full, without the written approval of the NERL. The NERL NVLAP laboratory code number is 101593-0.

The results given, which pertain only to the materials submitted for testing, are listed in Table 1. Details of this report will not be issued to any person or agency not associated with you or the IH~. The EPA method guidelines were developed for use in evaluating friable materials. Point-count reanalysis of materials is recommended to confirm trace or low-percentage PLM results. If you have questions regarding the content of this report, analytical procedures or methods, asbestos evaluation or abatement, please contact NERL directly at (303) 236-3455 ext 603.

i~g~ Mark A. Steiner, MS Geologist/Microscopist

LABORATORY DIRECT(?R"' .,

·- .,··~ -:.:?~£ 4::-, ~~A,~ -

Bruce Hills, MS Certified Industrial Hygienist

TABLE 1

DIVISION OF FEDERAL OCCUPATIONAL HEALTH

NERL/AFPAD POLARIZED LIGHT MICROSCOPY (PIM) BRANCH

LGN: B0285975

PROJECT I.D.: Indian Health Services SAC-100, Phoenix, AZ

REPORT DATE: September 26, 2002

NVLAP LAB CODE: 101593-0

--------Estimated% Composition-----------

SAMPLE

NUMBER

ASBESTOS

PRESENT?

SAC-100-lAl: No Mastic: yellow, homogeneous, nonfriable, non fibrous

SAC-100-1A2: No Mastic: yellow, homogeneous, nonfriable, non fibrous

SAC-100-1A3A: No Mastic: yellow, homogeneous, nonfriable, non fibrous

SAC-100-1A3B: No Carpet: purple, homogeneous, nonfriable, fibrous

SAC-100-lBlA: No Tile: pink, homogeneous, nonfriable, non fibrous

SAC-100-lBlB: No Mastic: yellow, homogeneous, nonfriable, nonfibrous

ASBESTIFORM OTHER FIBROUS TOTAL%

MINERAL FIBERS CONSTITUENTS ASBESTOS

None Detected None 0

None Detected None 0

None Detected None 0

None Detected Synthetics 90 0

None Detected None 0

SAMPLE

NUMBER

ASBESTOS

PRESENT?

SAC-100-1B2A: No Til.e: pink, homogeneous, nonfriable, nonfibrous

SAC-100-1B2B: No Mastic: yellow, homogeneous, nonfriable, non fibrous

SAC-100-1B2C: No Level.ler: gray, homogeneous, nonfriable, non fibrous

SAC-100-1B3A: No Tile: pink, homogeneous, nonfriable, non fibrous

SAC-100-1B3B: No Mastic: yellow, homogeneous, nonfriable, non fibrous

SAC-100-2Al: No Drywall: white, homogeneous, friable, nonfibrous

SAC-100-2A2: No Drywal.l.: white, homogeneous, friable, non fibrous

SAC-100-2A3: No Drywall.: white, heterogeneous, friable, non fibrous

SAC-100-2Bl: No Compound: white, homogeneous, friable, non fibrous

TABLE 1

(CONTINUED)

NVLAP Lab Code 101593-0

--------Estimated% Composition----------

ASBESTIFORM OTHER FIBROUS TOTAL%

MINERAL FIBERS

None Detected

None Detected

None Detected

None Detected

None Detected

None Detected

None Detected

None Detected

None Detected

CONSTITUENTS

None

None

None

None

None

Fibrous glass 4

Fibrous glass 4

Fibrous glass 1 Cellulose 4

None

ASBESTOS

NUMBER

ASBESTOS

PRESENT?

SAC-100-2B2: No Compound: white, homogeneous, friable, nonfibrous

SAC-100-2B3: No Compound: white, homogeneous, friable, non fibrous

SAC-100-2Cl: Yes Texture: white, homogeneous, friable, nonfibrous

SAC-100-2C2: No Texture: white, homogeneous, friable, nonfibrous

SAC-100-2C3: No Texture: white, homogeneous, friable, non fibrous

SAC-100-2C4: No Texture: white, homogeneous, friable, non fibrous

SAC-100-2C5: No Texture: white, homogeneous, friable, non fibrous

SAC-100-2C6: No Texture: white, homogeneous, friable, nonfibrous

SAC-100-2C7: No Texture: white, homogeneous, friable, non fibrous

TABLE 1

(CONTINUED)

NVLAP Lab Code 101593-0

--------Estimated% Composition----------

ASBESTIFORM OTHER FIBROUS TOTAL%

MINERAL FIBERS CONSTITUENTS ASBESTOS

None Detected None 0

None Detected None 0

Chrysotile 2-4 None 2-4

None Detected None 0

None Detected None 0

None Detected None 0

None 0

TABLE l

(CONTINUED)

NVLAP Lab Code 101593-0

--------Estimated% Composition-----------

SAMPLE

NUMBER

ASBESTOS

PRESENT?

ASBESTIFORM OTHER FIBROUS TOTAL%

MINERAL FIBERS CONSTITUENTS ASBESTOS

SAC-100-2D1: No Stucco: gray/tan, homogeneous, nonfriable, nonfibrous

SAC-100-2D2: No Stucco: gray/tan, homogeneous, nonfriable, non fibrous

SAC-100-2D3: No Stucco: gray/tan, homogeneous, friable, non fibrous

SAC-100-2D4: No Stucco: gray/tan, homogeneous, friable, non fibrous

SAC-100-2D5: No Stucco: gray/tan, homogeneous, friable, non fibrous

SAC-100-2D6: No Stucco: gray/tan, homogeneous, friable, non fibrous

SAC-100-2D7: No Stucco: gray/tan, homogeneous, friable, non fibrous

SAC-100-3Al: No

None Detected

None Detected

None Detected

None Detected

None Detected

None Detected

None Detected

Cei1ing Ti1e: lt gray/white, None Detected heterogeneous, friable, fibrous

SAC-100-3A2: No Cei1ing Ti1e: lt gray/white, None Detected heterogeneous, friable, fibrous

None

None

None

Spider Web 3

None

None

None

Cellulose 35 Fiborus glass 25

Cellulose 35 Fiborus glass 25

NUMBER

ASBESTOS

PRESENT?

SAC-100-3A3: No

TABLE 1

(CONTINUED)

NVLAP Lab Code 101593-0

--------Estimated% Composition----------

ASBESTIFORM OTHER FIBROUS TOTAL%

MINERAL FIBERS CONSTITUENTS ASBESTOS

Ceiling Tile: lt gray/white, None Detected heterogeneous, friable, Cellulose 35 Fiborus glass 20 fibrous

SAC-100-3Bl: No Compound: white, homogeneous, friable, nonfibrous

SAC-100-3B2: No Compound: white, homogeneous, friable, non fibrous

SAC-100-3B3: No Compound: white, homogeneous, friable, nonfibrous

SAC-100-3Cl: No Drywall: white/brown, heterogeneous, friable, fibrous

SAC-100-3C2: No Drywall: white/brown, heterogeneous, friable, fibrous

SAC-100-3C3: No Drywall: white/brown, heterogeneous, friable, fibrous

SAC-100-7Al: No Adhesive: brown, homogeneous, nonfriable, non fibrous

SAC-100-7A2: No Adhesive: brown, homogeneous, nonfriable, nonfibrous

TAPE (100% CELLULOSE) NOT INCLUDED

None Detected Talc 1

TAPE (100% CELLULOSE) NOT INCLUDED

None Detected Talc 1

TAPE (100% CELLULOSE) NOT INCLUDED

None Detected

None Detected

None Detected

None Detected

None Detected

None Detected

Talc 1

Cellulose 35 Fibrous glass 5

Cellulose 30 Fibrous glass 2

Cellulose 40 Fibrous glass 2

Wollastonite 2 Talc 1

Wollastonite 2 Talc 1

NUMBER

ASBESTOS

PRESENT?

SAC-100-7A3: No Adhesive: brown, homogeneous, nonfriable, nonfibrous

SAC-100-7Bl: No Adhesive: cream, homogeneous, nonfriable, nonfibrous

SAC-100-7B2: No Adhesive: cream, homogeneous, nonfriable, nonfibrous

SAC-100-7B3: No Adhesive: cream, homogeneous, nonfriable, nonfibrous

SAC-100-SAl: No Shingle: black/white, homogeneous, nonfriable, fibrous

SAC-100-8A2: No Shingle: black/white, homogeneous, nonfriable, fibrous

SAC-100-8A3: No Shingle: black/white, homogeneous, nonfriable, fibrous

SAC-100-SBl: No Tar: black/gray, homogeneous, nonfriable, non fibrous

SAC-100-8B2: No Tar: black/gray, homogeneous, nonfriable, nonfibrous

TABLE 1

(CONTINUED)

NVLAP Lab Code 101593-0

--------Estimated% Composition-----------

ASBESTIFORM OTHER FIBROUS TOTAL%

MINERAL FIBERS CONSTITUENTS ASBESTOS

None Detected

None Detected

None Detected

None Detected

None Detected

None Detected

None Detected

None Detected

None Detected

Wollastonite 1 Talc 1

None

None

None

Fibrous glass 10

Fibrous glass 10

Fibrous glass 30

None

None

NUMBER

ASBESTOS

PRESENT?

SAC-100-8B3: No Tar: black/gray, homogeneous, nonfriable, nonfibrous

TABLE 1

(CONTINUED)

NVLAP Lab Code 101593-0

-----~--Estimated% Composition-----------

ASBESTIFORM OTHER FIBROUS TOTAL%

MINERAL FIBERS CONSTITUENTS ASBESTOS

None Detected Cellulose 3 0 f U.S. Pubiic ,h Service (FED·E~) U.S. Public Health Service CU~ 3tal Mailing Address) Feder;;! Occupatlcinal Health • · · Federal Occupational Health FOH EH Environmental Lr,boralory FOH EH Environmental Laboratory Building 41, Rocrn i£G, E-1, Ce;wer federal Center P.O. Box 25145 Denver, C:::iorndo /0:7.2C Denver Colorado 80225-0145

. ,_Plkli•::,: _,@_'.)3} 236--~854 Fe:·,:: (30:' 236•3440 Phone: 303 236·9984 Fax: 303 236-3440 (;lijr,~ infori ,iadc:1: . Send Results r"eden.?: c,.::;~:uoa 1:o:<ol Hec:.lth

· Addr:~.:-.::'.: 2;~0 I f, th Aveiiue, RX~21 I •:ity: S,-:,c:We Stnt:.3: WA Zip Gode: 98121 i p;7one: (:206} 616•-'2441

Fe;~;; (2GG) 615<~4,+6 FOl-i /.._i·oa Office: Sc1n Francisco, CA FOH POC: WayT Mohler

~1arnple

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To:

IHI Environmental 4527 North 16111 Street Phoenix, AZ 85016

Phone: (602) 776-0300

Material Description

Fax: (602) 776-0301

Sample Location

For Lab Use Only /) _. _7 , k-- ~-~---.. c:1 ·-:;L ,?""•"'"' Project #: ~,~ '•' L ' ~ !- r ~-~ Due Dato: _____________ _

Agency: Indian Health Service SPA/Contract No.: 232-98-0014 Delivery Order: SF02-09

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Comments:

I U.S. Pub!k J1 S'c!rvic~ <~~ ) U.S. Public Health Service CU.,~. ,stal Mailing_ Address} For Lab Use Only 1"·~:,,. . ~··---,,. ,-.,.. ,, Federal Occupational H0alth • Federal Occupational Health Project#:

, ( c·~;/·"J r· ,~ L-, f "~ ,....:'::> -··· C ~ :::i. , . ..:::,.

FOH EH Environmental lr,boratory FOH EH Environmental Laboratory Due Date:

Buildlng 41, Rocm i £0, E-1, Ce;wcr f eoeral Center P.O. Box 25145 Denver, C'.~ioradD /0:'.2!:, Denver Colorado 80225-0145 Ptc,ur·~: -~~~) _?36 .. 90S4 t=8·<: (30~!) 236-3440 Phone: (303) 236-9984 Fax: (303) 236-3440 ('.:WJ1·.~ infori ,iEHic:1· Send Results Agency: Indian Health Service ..

, .• BPA'Contract No.: 232-98-0014 Feder2i c,c~;uoai 10:,a: Hee.Ith To: Delivery Order: SF02-09 j Addr::!\::-·.,:: ✓..;.::c:' I fi th /.\\'eriue, RX-21 IHI Environmental -::::ity: S,;2We St::1L1: WA Zip Code: 98121 4527 North 16th Street

; ~):7one: (:?06) 616-·2441 Phoenix, AZ 85016 F;:;;:; (20G} 615<~446 FOH P,i·oa Office: S2n Francisco, CA Phone: (602) 776-0300 Fax: (602) 776-0301 FOH roe: Watne Mohler

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% % % PLM / ID#

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Cornments: l

/ U.S. Pub!k !h Ssrvic~ <B;Q-E~ ) U.S. Public Health Service (!,L_ ~j Mailing Address} For;..Lab Use Only () ,.-• .. ~ <---"•c· ,.7 <:.,_) Feder~! Occupational Health . Federal Occupational Health Project #: -~/ L , ~ 7 -- FCJH EH Envlrnnmentt1l L,,boratory FOH EH Environmental Laboratory Due Date:

Building 41, Poem i Su, E-1, Ce:wcr f eoeral Center P.O. Box 25145 Denver, c;~"io,adi) .::'.0:'.2t'. Denver Colorado 80225-0145

_ Pr,,:ir •J: _Q_:>l) 235. 9954 F~·<: po:·> 236<H4o Phone: (303) 236-9984 Fax: (303) 236-3440 (':ll~.w.~ infon,iati,:-,:,: Send Results Agency: Indian Health Service ,, •-- SPA/Contract No.: 232"98-0014 Feder2: Cc~;uoa;:o: ,al Hee.Ith To: Delivery Order: SF02-09

, Addrt::::.:,: 2;~j 1 01h A\'eiiue, RX-21 IHI Environmental I ,:ity: s,~2rne StcJl:1: WA Zip Code: 98121 4527 North 16th Street ; F';-:one: (:206} 615--2441 Phoenix, AZ 85016

Fe;~:; (2(}G) 615-:~446 FOH Arna Office: S8n Francisco, CA Phone: (602) 776-0300 Fax: (602) 776-0301 FOH POC.L. Wayne Mohler ..

Lample Ne. HA# Floor Room Material Description Sample Location Photo# PLM TEM PCT Analysis Laboratory

% % % PLM / ID#

PCT -

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Relinquished by: . .::~~,;7 "';,;:=:::::::::::----.. Date:

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§2.r / 0-1_ _ Routine: Page of

Comments:

APPENDIX3

Certifications

THE ~SBESTOS INSTITUTE

-:·::~~~:~~~:~~ ~<~~~':S\~\t\\1·-r>)'., ,,, ·· ... ·-./ estos 1 '<:J n>, /-.:.::.,, .. :~~, .. )• h.:. e; 'O - ,~- < l')_ri,. ;<z />, /·····-~./ r~ // ·,._'"" v,;,,• \// '/\ ;:~·~·=:~;:/ · ,,D/ a e Ja q "!AC-··"-. ·,.JII \ //\

/ ... :~·:/ 0 // . ' ' ., ~\ ,:, _ \(/ )\ I ( ~ / . \ ' V y I ), Certifies that f.:.).1 ~1l . \ -!. \://\ . 1, .• -·~· . . \ \, V \, / ' has attended th@~~FA appJoved · \\ · \<-.-:1 f:,.,, I f

V ,-, 1

~ .. ~1 ( . Refre \ . B:,. i.:· · ,,_,,.rj j lnspe · I t -·"' ,.,,,,,.,.,✓.,i, .~ l! __,,,,_ii 1·•---....,.....,__ ~ ,,. .. .,..,.,.rr"'1, G,<:).:,.1 \1 . 2. : c:.,, .. ··'f

• / ., ""!I Af-1~... , I ,, ,•;

11>", \ , I , J,, ... •••' j and successfull~-p,sed the\ compete c . ,. ./ f::·.::· .. ·

\' ,/ / \, , / f ~·····•··I .

\j\ '-, Date . f Examm_'1(on: A]Jli(/ 2002

/. V{'.)i .. '-°1$~•··Date ~(Exp~~/&¥~ 2003.

_ ___,;_ ______ ~~-~:---!/_ ..... _· J_:_1

6n ix1 A!~\;;tl!!/~ _ THE AsnEsTos INSTITUTE

8102 North 23rd A venue Suite A

Phoenix, AZ 85021 •4904 602·864·6564

Thi.;; trnininv ntf'PI.\' nil rP1111irl'mPr1lr fnt- ,11:•h,r,rtnr m•rr,,rlif11lim1 1mrlPr T.C::rA 7itln II

C-8734

C 8115

THE ~SBESTOS. INSTITUTE

./·:'::\:.i:"i\~.·:,\ ~;:-:};; :.:,.--~-"/)\', 1

... '.,,' -I" .

,I, __ · .... ~···· -- .,.,,. ,.••" ,. ""'

Certifies that f:::~:7 ~., I \ w-r .-,, '( lj ✓• *~::/ I-.., I ~_,_ \ (\') \) has attended thl:°g~A appfoved . \ \>\

· ,:,:-- . / . . Refreshe . \ ~ ~/;, ~ Bull . J. lnsp. ect , ... ...__......____ J ;-,>--:.·/

. t1/ o· Cr er 7, 2 ~ l.__ / f::::,., and successfull)\ , sed th. ~~mpete c exam.

· }j::j

. .. · . - . Date f Exammatfon: December 7, 200 I

'>, ~· · Date ofExpira~_.-b~;c'~·~ber7, 2002

/.~ I/ (: >~en1·...,.· A,r\1,..0 . :~· : , ~ ~ . /.t ~ - ,94,. - ,, J_ I ; I·,. ti/"\ I twi.\ ' ' __,,,,.._.._ ~ ~; I I l I ' ' " ' ,,• ~ ___ _... ____ ~----~~ . .

'·•,.'. .. ': .. · . . . .. ~---· pproved Instructor

THE AsnEsTos INSTITUTE 8102 North 23rd Avenue

Suite A Phoenix, AZ 85021 •4904

602 .. 864-6564

Th;~,,,..,,,:,..;,.,. ..... ~,,.,~ ,..11 ........... ,. , ,.