Asbestos Survey Bldg 300.pdf
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- Desert Visions Renovations Federal contract opportunity
- Solicitation number
- 75H70123R00007
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This solicitation seeks construction services for renovations and modifications to the Desert Visions Youth Wellness Center in Sacaton, Arizona. Work includes landscaping and irrigation, replacing concrete surfaces, providing sidewalks and parking lot resurfacing, installing new roofs and flooring, and replacing the pool system and plumbing fixtures. The period of performance is 180 calendar days from notice to proceed. The magnitude of work is estimated between $500,000 and $1,000,000 and the contract type will be firm fixed price. The solicitation will be procured through request for proposal with lowest price technically acceptable evaluation. The closing date and other details will be provided in the solicitation. The Indian Health Service is the contracting agency.
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| File | Type | Posted |
|---|---|---|
| B05 Amend A0003.pdf | ||
| Asbestos Survey Bldg 200.pdf | ||
| Asbestos Survey Bldg 100.pdf | ||
| Asbestos Survey Bldg 500.pdf | ||
| Asbestos Survey Bldg 600.pdf | ||
| Asbestos Survey Bldg 400.pdf | ||
| Attachment J02 Renovation Drawings R1.pdf | ||
| B05 Amend A0002.pdf | ||
| B01 75H70123R00007.pdf | ||
| B05 Amend A0001.pdf | ||
| B01 Attachment J01 - Wage Determination AZ20220033.pdf | ||
| B01 Attachment J06 - ICRA Permit DV.pdf | ||
| B01 Attachment J05 - 2022 Exemption Letter for a Qualifying Hospital.pdf | ||
| B01 Attachment J04 - PPQ.docx | DOCX document | |
| B01 Attachment J03 - Self Performed Calculation Sheet (Construction).docx | DOCX document | |
| B01 Attachment J02 - Renovation drawing COMP 083022.pdf | ||
| B01 75H70123R00007.pdf |
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Text version
ASBESTOS SURVEY
At
SACATON SERVICE UNIT
Building #300 - YRTC
For
Phoenix Area Indian Health Service Two Renaissance Square
40 N. Central A venue Phoenix, AZ 85004
By
U.S. Public Health Service Federal Occupational Health
2201 Sixth Avenue, MIS Rx-21 Seattle, Washington 98121-2500
(206) 615-2441
February 2003
TABLE OF CONTENTS
Section Title Page No.
1.0 Introduction
2.0 Description of Inspected Area .................................................................................. I
3.0 Survey Procedures .................................................................................................... I
4.0 Findings
5.0 Abatement Cost Estimate
6.0 Liability Limitations
Appendices
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 #300 - \7RTC
Sacaton, Arizona
As requested by the Phoenix Area Indian Health Services, bulk sampling of suspect asbestos-containing building materials was conducted in Building #300, YRTC, located at the Sacaton Service Unit, Sacaton, Arizona, on August 13, 2002. Bulk samples of suspect asbestos-containing materials (ACMs) were collected throughout the interior and exterior of the building.
Messrs. Dave Jaggers and James Marshall, representing Federal Occupational Health (FOH), performed the asbestos inspection of the subject property. Messrs. Jaggers and Marshall both 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 drywall joint compound in Building #300, YRTC, contains asbestos.
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-stucco exterior built slab-on grade. The roof consists of a built-up roofing system.
Suspect building materials identified and sampled in the subject property included the following: various drywall materials, floor tiles, floor tile mastics, covebase mastic, 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 45 samples were collected from Building #300.
Each sample was assigned a unique sample identification number and assessed for damage and friability classifications. The samples, with Chain of Custody 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 FINDINGS
Results of the asbestos inspection are as follows:
HA# Material lA 12"x12" Tan
Floor Tile & Mastic
2A Gypsum Drywall Walls
& Ceilings 2B Drywall Joint
Compound 2C Drywall
Texture 2D Gypsum
Drywall Walls & Ceilings
2E Drywall Joint Compound
2F Drywall Texture
2G Gypsum Drywall Patch
2H Drywall Joint Compound
21 Exterior Stucco 7A Covebase
Mastic 8A Rolled Roofing
Core 8B Penetration
Mastic
Sacaton Service Unit Building #300 - YRTC Results
Functional Space ACM Throughout No
1-12 No
1-12 Yes: 1-2% Chrysotile
1-12 No
All Ws IB-SB and 7B-l 1B No
All B's: 1B-5B and 7B-11B Yes: 1-2% Chrvsotile
All B's 1B-5B and 7B-l 1B No
1-4 No
1-4 No
Exterior No Throughout No
Roof No
Roof No
Condition Quantity Good 3,726 sf
Good 4,950 sf
Good 4,950 sf
Good 4,950 sf
Good 831 sf
Good 831 sf
Good 831 sf
Good 576 sf
Good 576 sf
Good 4,440 sf Good 398 sf
Good 3,958 sf
Good 15 sf
Laboratory analysis of the bulk samples collected from the Sacaton Service Unit Building #300, YRTC, indicates that drywall joint compound contains asbestos.
Drywall joint compound and wall texture are classified as NESHAP Category I materials assuming that no disturbance will be caused to them by either renovation or demolition. If disturbance to the material is required, they must be treated as a friable NESHAP RACM. 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 5,781 square feet of gypsum drywall taping compound.
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
Drywall Joint Compound
Drywall Joint Compound
Total
6.0 LIABILITY LIMITATIONS
Sacaton Service Unit Building #300 - YRTC
Quantity of Material
(st)
4,950 sf
831 sf
Unit Cost
(per sf)
$1.75
$1.75
Logistical Markup
15%
15%
Total
$9,961.88
$1,672.39
$11,634.27
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
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Project: Indian Health Service Sacaton Service Unit
Building #300 - YRTC Functional Space Locations
Asbestos-Containing Materials Inspection
I
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Figure No.
Project No.
02P-3514
Client: FOH!IHS
Building No.: 3 0 Q
IHl Environmental
Bulk Sample Log Service Unit: SACATON Project No.: 02P-3514
___ _..;::;..._ _____________ _ Material: ( I ) f foo.,.. 5 Number
Sample Designation: 'S°/t C·- X}C- I Sample Location HA& Sample Material Type Functional Origin Feet Feet Quant
HA No. No. Description {TS!. Misc, Surf) Space Corner NIS E/W Ht. Surface (s.f.)
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Expires:
4/5/03
Training Provider: The Asbestos Institute. Phoenix, Arizona
Phone: (602)864-6564
4527 North 16th Street, Suite i05, Phoenix. Arizona 85016
Telephone: (602) 776-0300 Fax: (602) 776-0301
Lab Result
IHI Environmental
Bulk Sample Log Client: FOH/IHS Service Unit: SACATON
Building No.: .J () C) Project No.: 02P-3514 ------
Material: ( A ) Et; ~ L.J4:l/ s 7\umber
Sample Designation: ';)·,41. ~ 3 ()0 - ~ Sample Location HA& Sample Material Type Functional Origin Feet Quant Lab
HA No. No. Description (TSI, Misc, Surf) Space Comer N/S Ht. Surface (s.f.) Result
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Inspector: Dave Ja er Date: ~ )1!/0-z...
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Inspector Sig. __ ~ __ .::::::-_'-1--4--=c:+-,__. ______ _
AHERA Cert. No.: ~ J Training Provider: The Asbestos Institute, Phoenix, Arizona
Expires: 4/5/03 Phone: (602) 864-6564
4527 North 16th Street, Suite 105, Phoenix, Arizona 85016
Telephone: (602) 776-0300 Fax: (602) 776-030!
Client: FOH/IHS
Bulk Sample Log Service Unit: SACATON Project No.: 02P-3514
Building No.: '3£i o _ ___,;;;;. ______________ _ Material: ( L ) ~ { 1 -5 Number
Sample Designation: S.A-L- goo - L.. Sample Location HA& Sample Material Type Functional Origin Feet Quant
HA No. No. Description (TS!., Misc, Sur!) Space Comer N/S Ht. Surface (s.f.)
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Inspector:_~~--""""'v_-e_J_.agg"""'-:___-s _________ _
Inspector Sig._~-...;.t::,-~--1--1-.Ei-~-----------
AHERA Cert. No.: ____ ls{_8_7_3~---- Training Provider: The Asbestos Institute, Phoenix, Arizona
Expires: 4/5/03 Phone: ( 602) 864-6564
4527 North 16th Street, Suite l 05, Phoenix. Arizona 850 l 6
Telephone: {602) 776-0300 Fax: (602) 776-0301
Lab
Building No.: ,, lo )
IHI Environmental
Bulk Sample Log Service Unit: SACA TON Project No.: 02P-3514
Material: (~ ) M1.2cx~&1?£0 t_) $ Numb
Sample Designation: c:-4c-' _.,,. ~/ . ,2,ac:> - :::;z Sample Location HA& Sample Material Type Functional Origin Feet Feet Quant
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Inspector Sig. ___ ..;::;;_~=--1--~1------------- AHERA Cert. No.: C8734 -------'----
Expires: 4/5/03
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
Bulk Sample Log Service Unit: SACATON Project No.: 02P-3514
Building No.: ~ 0 C) -------------------- Material: ( a' ) ~co + Sample Designation: ,;.AC- ,=; DC)4- ~ Sample Location
Number
HA& Sample HA No. No.
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Inspector Sig.
AHER.\ Cert. No.:
Expires:
Material Type Functional Origin Feet Feet Quant Description (TS!, Misc, Sur!) Space Corner NIS E/W Ht. Surface (s.f.)
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~Jaggers Date: (::/13 0'2.-
~ I I I , J/ -
C8734 ill Training Provider: The Asbestos Institute, Phoenix, Arizona
4/5/03
Phone: (602)864-6564
4527 North 16th Street, Suite !05, Phoenix, Arizona 85016
Telephone: (602) 776-0300 Fax: (602) 776-0301
Lab
APPENDIX2
Laboratory Results
DEPARTMENT OF HEALTH & HUMAN SERVICES
October 9, 2002
Wayne Mohler Federal Occupational Health 2201 - Sixth Ave. M/S RX-21 Seattle, WA 98121
Dear Mr. Mohler:
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 B0385996
Enclosed are the results of the analysis of 60 bulk materials from IHS SAC 300, 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 (NVLAP) 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. our 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 IHS. 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 regardi g the content of this report, analytical procedures or methods, asbestos evaluation or abatement, please contact DFOH at(303} 236-3455 ext. 500, or NERL directly at (303) 236-9984/9985.
AN(\.LYS
Johri Q.
Microsc
LABORATORY DIRECTOR
~,~~-Ltf✓~- Bruce Hills, MS Certified Industrial Hygienist
TABLE l
DIVISION OF FEDERAL OCCUPATIONAL HEALTH
NERL/AFPAD POLARIZED LIGHT MICROSCOPY (PLM) BRANCH
LGN: B0385996
PROJECT I.D.: IHS SAC 300
REPORT DATE: October 9, 2002
NVLAP LAB CODE: 101593-0
--------Estimated% Composition-----------
SAMPLE
NUMBER
ASBESTOS
PRESENT?
SAC-300-lAl-lA: NO Floor Tile: pink, homogeneous, nonfriable, nonfibrous
SAC-300-lAl-lB: NO Mastic: yellow, homogeneous, nonfriable, nonfibrous
SAC-300-1A2-2A: NO
Floor Tile: pink, homogeneous, nonfriable, nonfibrous
SAC-300-1A2-2B: NO
Mastic: yellow, homogeneous, nonfriable, nonfibrous
SAC-300-1A3-3A: NO
Floor Tile: pink, homogeneous, nonfriable, nonfibrous
SAC-300-1A3-3B: NO
Mastic: yellow, homogeneous, nonfriable, nonfibrous
SAC-300-2Al-4: NO Drywall: pink, homogeneous, friable, nonfibrous
SAC-300-2A2-5: NO
Drywall: pink, homogeneous, friable, nonfibrous
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
None
None
None
None
None
Cellulose 1 Fibrous Glass 1
Cellulose 1 Fibrous Glass 1
SAMPLE
NUMBER
ASBESTOS
PRESENT?
SAC-300-2A3-6: NO
Drywall: pink, homogeneous, friable, nonfibrous
SAC-300-2Bl-7: YES Compound: white, homogeneous, friable, nonfibrous
SAC-300-2B2-8: YES
Compound: white, homogeneous, friable, nonfibrous
SAC-300-2B3-9: YES
Compound: white, homogeneous, friable, nonfibrous
SAC-300-2Cl-10: NO Texture: white, homogeneous, friable, nonfibrous
SAC-300-2C2-11: NO
Texture: white, homogeneous, friable, nonfibrous
SAC-300-2C3-12: NO
Texture: white, homogeneous, friable, nonfibrous
SAC-300-2C4-13: NO
Texture: white, homogeneous, friable, nonfibrous
SAC-300-2C5-14: NO
Texture: white, homogeneous, friable, nonfibrous
SAC-300-2Dl-15: NO Drywall.: brown, homogeneous, friable, nonfibrous
TABLE 1
(CONTINUED)
NVLAP Lab Code 101593-0
--------Estimated% Composition-----------
ASBESTIFORM OTHER FIBROUS TOTAL%
MINERAL FIBERS CONSTITUENTS ASBESTOS
None Detected
Chrysotile 1-2
Chrysotile 1-2
Chrysotile 1-2
None Detected
None Detected
None Detected
None Detected
None Detected
None Detected
Cellulose 1 Fibrous Glass 1
None
None
None
None
None
None
None
None
Cellulose 1 Fibrous Glass 1
1-2
1-2
1-2
NUMBER
ASBESTOS
PRESENT?
SAC-300-2D2-16: NO
Drywall: brown, homogeneous, friable, nonfibrous
SAC-300-2D3-17: NO
Drywall: brown, homogeneous, friable, nonfibrous
SAC-300-2El-18: YES Compound: white, homogeneous, friable, nonfibrous
SAC-300-2E2-19: NO
Compound: white, homogeneous, friable, nonfibrous
SAC-300-2E3-20: YES
Compound: white, homogeneous,· friable, nonfibrous
SAC-300-2F1-21: NO
Texture: white, homogeneous, friable, nonfibrous
SAC-300-2F2-22: NO
Texture: white, homogeneous, friable, nonfibrous
SAC-300-2F3-23: NO
Texture: white, homogeneous, friable, nonfibrous
SAC-300-2F4-24: NO
Texture: white, homogeneous, friable, nonfibrous
SAC-300-2F5-25: NO
Texture: white, homogeneous, friable, nonfibrous
TABLE 1
(CONTINUED)
NVLAP Lab Code 101593-0
--------Estimated% Composition-----------
ASBESTIFORM OTHER FIBROUS TOTAL%
MINERAL FIBERS CONSTITUENTS ASBESTOS
None Detected
None Detected
Chrysotile 1-2
None Detected
Chrysotile 1-2
None Detected
None Detected
None Detected
None Detected
None Detected
Cellulose 1 Fibrous Glass 1
Cellulose 1 Fibrous Glass 1
None
None
None
None
None
None
None
None
1-2
1-2
NUMBER
ASBESTOS
PRESENT?
SAC-300-2Gl-26: NO Drywall: pink, homogeneous, friable, nonfibrous
SAC-300-2G2-27: NO
Drywall: white, homogeneous, friable, nonfibrous
SAC-300-2G3-28: NO
Drywall: white, homogeneous, friable, nonfibrous
SAC-300-2Hl-29: NO Compound: white, homogeneous, friable, nonfibrous
SAC-300-2H2-30 NO
Compound: white, homogeneous, friable, nonfibrous
SAC-300-2H3-31: NO
Compound: white, homogeneous, friable, nonfibrous
SAC-300-2I1-32A: NO
Stucco: pink, homogeneous, nonfriable, nonfibrous
SAC-300-2Il-32B: NO Stucco: gray, homogeneous, nonfriable, nonfibrous
SAC-300-2I2-33A: NO
Stucco: pink, homogeneous, nonfriable, nonfibrous
SAC-300-212-33B: NO
Stucco: 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
None Detected
Cellulose 1 Fibrous Glass 1
Cellulose 12
Cellulose 12
None
None
None
None
None
None
None
NUMBER
ASBESTOS
PRESENT?
SAC-300-2I3-34A: NO
Stucco: pink, homogeneous, nonfriable, nonfibrous
SAC-300-2I3-34B: NO
Stucco: gray, homogeneous, nonfriable, nonfibrous
SAC-300-2I4-35A: NO
Stucco: pink, homogeneous, nonfriable, nonfibrous
SAC-300-2I4-35B: NO
Stucco: gray, homogeneous, nonfriable, nonfibrous
SAC-300-2I5-36A: NO
Stucco: pink, homogeneous, nonfriable, nonfibrous
SAC-300-2I5-36B: NO
Stucco: gray, homogeneous, nonfriable, nonfibrous
SAC-300-7Al-37: NO Mastic: gray, homogeneous, nonfriable, nonfibrous
SAC-300-7A2-38: NO
Mastic: white, homogeneous, nonfriable, nonfibrous
SAC-300-7A3-39A: NO
Mastic: white, homogeneous, nonfriable, nonfibrous
SAC-300-7A3-39B: NO
Mastic: brown, homogeneous, nonfriable, nonfibrous
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
None Detected None 0
None Detected None 0
None Detected None 0
None Detected None 0
None Detected None 0
None Detected None 0
None Detected None 0
NUMBER
ASBESTOS
PRESENT?
SAC-300-8Al-40A: NO Shingle: gray/black, heterogeneous, nonfriable, fibrous
SAC-300-8Al-40B: NO Roofing: black, heterogeneous, nonfriable, fibrous
SAC-300-8A2-41A: NO
Shingle: gray/black, heterogeneous, nonfriable, fibrous
SAC-300-8A2-41B: NO
Roofing: black, heterogeneous, nonfriable, fibrous
SAC-300-8A3-42A: NO
Shingle: gray/black, heterogeneous, nonfriable, fibrous
SAC-300-8A3-42B: NO
Roofing: black, heterogeneous, nonfriable, fibrous
SAC-300-8Bl-43A: NO Paint: silver, homogeneous, nonfriable, nonfibrous
SAC-300-8Bl-43B: NO Tar: black, homogeneous, nonfriable, fibrous
SAC-300-8B2-44A: NO
Paint: silver, homogeneous, nonfriable, nonfibrous
SAC-300-8B2-44B: NO
Tar: black, homogeneous, nonfriable, fibrous
TABLE 1
(CONTINUED)
NVLAP Lab Code 101593-0
--------Estimated% Composition----------
ASBESTIFORM OTHER FIBROUS TOTAL%
MINERAL FIBERS CONSTITUENTS ASBESTOS
None Detected Fibrous Glass 30 0
None Detected Fibrous Glass 20 0
None Detected Fibrous Glass 30 0
None Detected Fibrous Glass 20 0
None Detected Fibrous Glass 30 0
None Detected Fibrous Glass 20 0
None Detected None 0
None Detected Cellulose 20 0
None Detected Cellulose 20 0
NUMBER
ASBESTOS
PRESENT?
SAC-300-8B3-45A: NO
Paint: silver, homogeneous, nonfriable, nonfibrous
SAC-300-8B3-45B: NO
Tar: black, homogeneous, nonfriable, fibrous
TABLE 1
(CONTINUED)
NVLAP Lab Code 101593-0
--------Estimated% Composition-----------
ASBESTIFORM OTHER FIBROUS TOTAL%
MINERAL FIBERS CONSTITUENTS ASBESTOS
None Detected Cellulose 20 0
U.S. Public He2 rvice (Ef;D-E..X) U.S. Publ\c Health Service (U.S. Pc 'ailing Address) For Lab Use Only e_.,, .. P .. ~3~:=s:;~J~::::=-f~_::¥ ( Federal Occupat, Health Federal Occupational Health Project#:
FOH EH Environmental Laboratory FOH EH Environmental Laboratory Due Date:
Building 41, Room 190, E-1, Denver Federal Center P.O. Box 25145
( Denver, Colorado 80225 Denver Colorado 80225-0145 l .,~-·~11 -• ,<( "'·--:,() , ...
Phone: (303) 236-9984 Fax: (303) 236-3440 Phone: (303) 236-9984 Fax: (303) 23G-3440 .. •· _;, Client Information: Send Results Agency: Indian Health Service SPA/Contract No.: 232-98-0014
Federal Occupational Health To: Delivery Order: SF02-09 Address: 2201 6 th Avenue, RX-21 IHI Environmental City: Seattle State: WA Zip Code: 98121 4527 North 16th Street Phone: (206) 615-2441 Phoenix, AZ 85016 Fax: (206) 615-2446 FOH Area Office: San Francisco, CA Phone: (602) 776-0300 Fax: (602) 776-0301 FOH POC: Wayne Mohler
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SPA/Contract No.: 232-98-0014 Federal Occupational Health To: Delivery Order: SF0~-09 Address: 2201 6th Avenue, RX-21 IHI Environmental City: Seattle State: WA Zip Code: 98121 4527 North 16th Street Phone: (206) 615-2441 Phoenix, AZ 85016 Fax: (206) 615-2446 FOH Area Office: San Francisco, CA Phone: (602) 776-0300 Fax: (602) 776-0301 FOH POC: Wayne Mohler
Sample No. HA# Floor Room Material Description Sample Location Pt1oto# PLM TEM PCT Analysis Laboratory
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APPENDIX3
Certifications
THE ~SBESTOS INSTITUTE
,' / ··,· estos l,, .
/'.', ...... · .,..-' ~":,"'·' ..... , .. , .. .,........ ..,~ •.. r'.•
,/ ..... "'~:,,/ ' ,, . ,, . . •' ' . ' .. , '., " ,. -ff\ / / ·" /···-·- .. / / .. '--..... "'~. ·-t. / .: ~·-f<:::_. ?' n. /D a e Ta q ,V'S -.,," 'ti 1# 'I'.-!/)\;, Certifies that
! .............. , V ,, Ji . Ii , .'·G--~ , ,., ;.\ , .. ·/ ~ // \\ . .'< /. 1·\ f ' .,,,., ' .... , . ( \ ' y / ,\
. /.,.-::~ .. -./ I.. . / . \. ~ \ / ;\ . ,/"' / ' ' .· .(/ \ has attended thlfiif A apploved o i- e \_ G) · ~½\.
[,,,..- ) {. 11, _____ .... 1 V / .
r::? · . / · efre . \ '<) · r✓a \ .. uil . lnspe l ~a t,·/.) \ • I /"',,/j
, \ / )\ , \ . .-.JAi-!~ , 2 : c:,/'1 and successfull~~sed th\ compete c / .. f:::.:~) , ' ✓,!,\ \ / f.,,-••····1i ,, 'y / J,, ·, ' / )--···•"''" \ / / \ . . / f •"'.'"'""#1
\'//\ Date f Examm~fOn: AJJlrr.S, 2002 w~~-u/•:ll ,_~..-·• o·.··.' '·.·. . Date ofJ~xpi~.· .. ·-.. (:~A·.·.·.f.tis, 2003 . ~~·,,.en~ p..r\~o .-- .,. .
___ __,:;___;::,__.:s~--=-.:.-=---....:.· --i-.1' .• ~~1-L--'...-=::.~~:f....&~====::::w.
THE AsnESTos INSTITUTE 8102 North 23rd A venue
Suite A Phoenix., AZ 85021-4904
602-864-6564
Thi.,· lrt1ininv nlt'f'I\' 11/1 f't'llllin•ntf'III\' for 111•lt,.1•trH' r,r•r•,-,.,../itotion llt!tl1•r r<,.'rA r;,1,.. ,, C-8734
THE ~SBESTOSINSTITUTE
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. ., (: L '$;,.-.I It ~' . : · ' · f;~s lvli.chael )\1arsBafri;{r,~i}.: .
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Certifies that
,"ifllil'/----..,..,·
•'I ! t u j lf\~ERA
• .... j '1?uilMih9' lnspectqr. _____ ... ,,
i. , , . \ Delember 3-5, 2f)(lt and successfull)\passed the competeqc~exam. ":,<·.,~ . . l \. . , .. , .• ,· ' . " f ' )t • ., ... \ ·, ~ i.~
.t J \ ·,., \
; ~: Dat~'·pf Exa~nation: December S, 200 I
~,,:, ,, Date ~f Expiratiq9.'.' ci(!c'~·~ber 5, 2002 t9... "' ,. ' ,, .,, i'
. . ;·'{ ~ '· ~ \·· f' \ 1,,~ II· Jf/!' I ' W/;,~I/ (1'11 (')'· '·· ........ ' .l-,\,,,,;, (i ',1 ·: . . 111. ~ •~M- . / I
. ~ . . ' ,. ~;;.' /: t.£4- •
THE AsnEsTos INSTITUTE 8102 North 23rd A venue
Suite A Phoenix, AZ 85021-4904
602-864 .. 6564
A ppr<;>veoTnstructor
This trai11i11R meet,\' all m71tirrmr11t.\·/or nshntos ncrreditmir,n 1111der TSCA Tttle II.
C 8003
File details come from the government source that posted it. Updated .