Asbestos Survey Bldg 300.pdf

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Desert Visions Renovations Federal contract opportunity
Solicitation number
75H70123R00007
Issued by
Department of Health and Human Services Indian Health Service

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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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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

HA No. No. Description (TS!. Misc, Suri) Space Comer NIS E/W Ht. Surface (s.f.)

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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.

VA I 1/0

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Inspector:

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

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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

'' ·1 l ·.··. · · s.t(~s·•· ........ :·.,.·. :• (,.; .. · ,~~- e. · .J Ip. · .. ,. :···1.

. ., (: L '$;,.-.I It ~' . : · ' · f;~s lvli.chael )\1arsBafri;{r,~i}.: .

/ .. ,, '-~ .· i l ·--·~~~ // '•d;,r "" : . . - \:>\ ~-.... ---; \.'

Certifies that

,"ifllil'/----..,..,·

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• .... 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 .