Asbestos Survey Bldg 500.pdf

ASBESTOS SURVEY

At

SACATON SERVICE UNIT

Building #500 - Dorm

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 ..... -

2.0 Description of Inspected Area .................................................................................. I

3. 0 Survey Procedures

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 #500 - Dorm

Sacaton, Arizona

As requested by the Phoenix Area Indian Health Services, bulk sampling of suspect asbestos-containing building materials was conducted in Building #500, Dorms, located at the Sacaton Service Unit, Sacaton, Arizona, on August 14, 2002. Bulk samples of suspect asbestos-containing materials (ACMs) were collected throughout the interior and exterior of the building.

Messrs. Mark Updike and James Marshall, representing Federal Occupational Health (FOH), performed the asbestos inspection of the subject property. Messrs. Updike 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, wall texture, and roof penetration mastic 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 #500.

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" Floor Tile

& Mastic 2A Gypsum Drywall &

Ceiling 2B Drywall Joint

Compound 2C Wall Texture

2D Wall Texture

2E Gypsum Drywall 2F Drywall Joint

Compound 2G Exterior Stucco 7A Covebase Mastic SA Roofing 8B Penetration

Mastic

Sacaton Service Unit Building #500 - Dorm Results

Functional Space ACM Throughout No

Throughout No

Throughout Yes: 1-2% Chrysotile

Throughout Yes: 2-3% Chrysotile

Throughout Yes: 1-2% Chrysotile

Throughout No Throughout Yes: 1-2 %

Chrysotile Building Exterior No

Throughout No Roof No Roof Yes: 4-6%

Chrysotile

Condition Quantity Good 4,968 sf

Good 9,736 sf

Good 9,736 sf

Good 9,736 sf

Good 3,136 sf

Good 3,136 sf Good 3,136 sf

Good 4,340 sf Good 805 sf Good 5,465 sf Good 12 sf

Laboratory analysis of the bulk samples collected from the Sacaton Service Unit Building #500, Dorms, indicates that drywall joint compound, wall texture, and roof penetration mastic contain 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.

Roofing materials are non-friable NESHAP Category I materials. Roof is currently in good condition and poses little to no health threat. Removal or disturbance to these materials should be performed by appropriately trained and certified personnel. Removed roofing material may be disposed at a landfill that accepts non-friable asbestos waste. Landfills should be checked for acceptance of this material prior to the disposal of waste materials.

5.0 ABATEMENT COST ESTIMATE

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

Identified asbestos-containing materials (ACMs) consist of approximately 12,872 square feet of gypsum drywall materials and 12 square feet of roof penetration sealant.

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.

Sacaton Service Unit Building #500 - Dorm

Asbestos-Containing Quantity of Unit Logistical Material Material Cost Markup Total

(sf) (per sf)

Drywall Joint 12,872 sf $1.75 15% $25,904.90 Compound

Penetration Mastic 12 sf $20.00 15% $276.00

Total $26,180.90

6.0 LIABILITY LIMITATIONS

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 ofFOH.

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 r□-------□7

I I l I

1 2

16 15

I l I I JJ_j

Project:

r□-------□7

I I I I r□-------□7

I I I I

5 6

3 4

12 11

14 13 I I

LD_

NORTH

Indian Health Service Sacaton Service Unit Building #500 - Dorm

Functional Space Locations Asbestos-Containing_Jylaterials Inspection i□----- u 1 I I

7 8

10 9

I I I I O_j ----

Figure No.

Project No.

02P-3514

Client: FOH/IHS

Building No.: 5 C 0

IHI Environmental Bulk Sample Log

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

Material: { J ) EI (;ors _ ___..;;~~-------------- f:::mnber Sample Designation: "-5,4 C - ~---- 0 0 - \

Sample Location I HA& Sample Material Type Functional Origin Feet Feet Quant

HANo. No. Description (TS[.Misc,SmfJ Space Comer NIS FJW Ht. Surface (s.f.)

lA-1 I lb: I-,,, \ f C:

Fl '·[ Tca1 1C~/-- (1 1.JS Jl;6c, Ci NE )5 bw 6 Rrou l//1{/j

2 2' w j.)..,1#7 5 .J.- i C I ti, Nl!'/ ~ 0 l ! \

3 3 r-)

SE C) 0 ~ 'V "\V ,v oz. 'V

Inspector: James Marshall

. ~ /J /},, l . /It:} Inspector Sig. 4.,1 (, /f, r t/Jt/C~.,t-

AHERA Cert. No.: ·J C8003

Expires: I 2/5/02

Training Provider: The Asbestos Institute, Phoenix, Arizona

Phone: 1602) 864-6564

4527 North !6th S1reeL Suite 105, Phoeni.x., Arizona ~5')16

Telephone: (602) 776-0300 Fax: {602) 776-03t':

Lab Result

Client FOH/IHS

Building No.: ~ 6 O

IID Environmental Bulk Sample Log

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

--""'----=-------------- Material: ( (}, ) ~1/ 6l ) / S 'r,;mnbci-

Sample Designation: <;A c-- ;'5'-15 D ·-c:9-- HA& Sample Material Type

HA No. No. Description (TSI.Misc.Surf)

.A I L/ Hu /i,:;;; J/}7 'J . I

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Inspector: James Marshall

Inspector Sig. (/4, (:2tf...--, t,c..,{,.7

A HERA Cert. No.: 7

C8003 -

Expires: 12/5/02

Sample Location Functional Origin Feet ~ Quant

Space Corner N/S Ht. Surface (s.f.)

q ,,~ 0 vv JN. ~~E l w~lls 1-7¾ i 3 SW Jr\ 5-R I

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Training Provider: The Asbestos Institute, Phoenix. Arizona

Phone: (602) 864-6564

4527 North 16th Street, Suite 105, Phoenix, Arizonz 85')16

Telephone: (60:?) 776-0300 Fax: (602) 776-0301

Lab Result r

-t-

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Client: FOH.IIHS

Iffi Environmental Bulk Sample Log

Service Unit: SACATON Project No.: 02P-3514 /} / BuildingNo.: ') CJD ---=---------------- Material: ( d ) vthr I 5

F,;mn&:r

Sample Designation: SA(-:5-00 .- ') C>"--

HA& Sample Material Type HANo. No. Description (TSL Misc, Surf) s-- r 2y ~r.:;t-Yr '\ ' f n Jury 1;Vc{ ! i iv\/,- ,f

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Lj 33 r '?. l/ J _, ~ ?s- '-? 3<r ' ✓ '\ V

Inspector: James Marshall lnspectorSig. ½ 1.~GZ~if AHERA Cert. No.: /

C8003

Expires: 12/5/02

Sample Location Functional Origin Feet

Quant

Space Corner N/S Ht. Surface (s.f.)

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1'! 2 ls :Jw 4 ,~ila.)/5 -~~ e,.(

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Date: s/;Joz

Training Provider: The Asbestos Institute, Phoenix. Arizona

Phone: {602)864-6564

4527 North 16th Street. Suite 105, Phoenix, Arizona 851}16

Telephone: {602) 776-0300 Fax: (602) 776-030:

Lab Result

-t-

I -r

Client FOH/IHS

Building No.: JC; U

IHI Environmental Bulk Sample Log

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

------------------- Material: ( '-) {/ i& c,..p/ fa n~Ch) ,J Num

Sample Designation: c Ac· _) _ . ,._ 5-D C - :::;z..

HA& Sample Material Type Functional

HANo. No. Description (TS{. Misc. Swi) Space

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Iospector: ___ J_am_es_M_a_rs_h_a_ll __________ _

Sample Location Origin Feet Corner NIS

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Feet E/W Ht. Surface u c~:i- . 1 Jf Ll~rJ u i u ,~ ,u

. . J Date: b /llj 10·2

Quant (s.f.)

oos-

,~v

Inspector Sig. Vb <2-'&t?l-~

AHERA Cert. No.: C8003

Expires: 12/5/02

Training Provider: The Asbestos Institute, Phoenix. Arizona

Phone: (602) 864-6564

4527 North 16th Street. Suite 105, Phoenix. Arizona 850{6

Telephone: (602) 776-0300 Fax: (602) 776-030!

Lab Result

Client: FOHIIHS

IHI Environmental

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

Building No.: __ 5 ___ e,_·1_(_J ____________ _ Material: ( ~) Q_Od± 5 Number

Sample Designation: 5A<- soo ,- g-- Sample Location HA& Sample Material Type Functional Origin Feet Feet Quant

HANo. No. Description (TSI, Misc. Sun} Space Comer NIS E/W Ht. Surface (s.f.)

Al 40 ¼/~j f?cct Ce:/·e )J /SC- -p__lYO~ Sw }d)) 7£ }2' Th,i~- 5.l/vS

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~ I N yi.1 &s 7-~ ~

L/ / .)~ 0 0 J (.._ ~ V "\V r3 I '' 'J L/) ¼~ t'll!~f tr+l o,'1 _),Ls{ 1 c N'rl Jf,ps ,~ )J 0 y lJ cl ~'i ~ l'0 'Jvr i 1-. . L-

; Lf:) ~ / ' V ~

~c __, t..- iO !'\ ~w -.,/ ~v ,v lnspector: ___ Ja_m_e_s_M_ar_s_ha_l_l _________ _

Inspector Sig. eCc:? L/0·?'~ ?Cd~

AHERA Cert. No.: C8003 ---------- Expires: l 2/5/02

Training Provider: The Asbestos Institute, Phoenix. Arizona

Phone: {602) 864-6564

4527 North l6rh Street, Suite 105, Phoenix:, Arizona 85016

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

APPENDIX2

Laboratory Results

DEPARTMENT OF HEALTH & HUMAN SERVICES

October 11, 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 B0385998

Enclosed are the results of the analysis of 65 bulk materials from IHS SAC 500, 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 1aboratory 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 regarding 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.

LABORATORY DIRECTOR

~''"' :-77£2~ Bruce Hills, MS Certified Industrial Hygienist

TABLE 1

DIVISION OF FEDERAL OCCUPATIONAL HEALTH

NERL/AFPAD POLARIZED LIGHT MICROSCOPY (PLM) BRANCH

LGN: B0385998

PROJECT I.D.: IHS SAC 500

REPORT DATE: October 11, 2002

NVLAP LAB CODE: 101593-0

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

SAMPLE

NUMBER

ASBESTOS

PRESENT?

SAC-500-lAl-lA: NO Floor Tile: pink, homogeneous, nonfriable, nonfibrous

SAC-500-lAl-lB: NO Mastic: yellow, homogeneous, nonfriable, nonfibrous

SAC-500-1A2-2A: NO

Floor Tile: pink, homogeneous, nonfriable, nonfibrous

SAC-500-1A2-2B: NO

Mastic: yellow, homogeneous, nonfriable, nonfibrous

SAC-500-1A3-3A: NO

Floor Tile: pink, homogeneous, nonfriable, nonfibrous

SAC-500-1A3-3B: NO

Mastic: yellow, homogeneous, nonfriable, nonfibrous

SAC-500~1A3-3C: NO

Leveler: gray, homogeneous, friable, nonfibrous

SAC-500-2Al-4: 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

None

Cellulose 3 Fibrous Glass 1

SAMPLE

NUMBER

ASBESTOS

PRESENT?

SAC-500-2A2-5: NO

Drywall: pink, homogeneous, friable, nonfibrous

SAC-500-2A3-6: NO

Drywall: pink, homogeneous, friable, nonfibrous

SAC-500-2B1-7: YES

Compound: white, homogeneous, friable, nonfibrous

SAC-500-2B2-8: YES

Compound: white, homogeneous, friable, nonfibrous

SAC-500-2B3-9: NO

Compound: white, homogeneous, friable, nonfibrous

SAC-500-2C1-10: YES

Texture: white, homogeneous, friable, nonfibrous

SAC-500-2C2-11: YES

Texture: white, homogeneous, friable, nonfibrous

SAC-500-2C3-12: YES

Texture: white, homogeneous, friable, nonfibrous

SAC-500-2C4-13: YES

Texture: white, homogeneous, friable, nonfibrous

SAC-500-2C5-14: YES

Texture: white, homogeneous, friable, nonfibrous

TABLE l

(CONTINUED)

NVLAP Lab Code 101593-0

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

ASBESTIFOFM OTHER FIBROUS TOTAL%

MINERAL FIBERS CONSTITUENTS ASBESTOS

None Detected

None Detected

Chrysotile 1-2

Chrysotile 1-2

None Detected

Chrysotile 1-2

Chrysotile 1-2

Chrysotile 2-3

Chrysotile 2-3

Chrysotile 1-2

Cellulose 3 Fibrous Glass 1

Cellulose 3 Fibrous Glass 1

None

None

None

None

None

None

None

None

1-2

1-2

1-2

1-2

2-3

2-3

1-2

NUMBER

ASBESTOS

PRESENT?

SAC-500-2C6-15: YES

Texture: white, homogeneous, friable, nonfibrous

SAC-500-2C7-16: YES

Texture: white, homogeneous, friable, nonfibrous

SAC-500-2D1-17: YES

Texture: white, homogeneous, friable, nonfibrous

SAC-500-2D2-18: ~ES

Texture: white, homogeneous, friable, nonfibrous

SAC-500-2D3-19: NO

Paint: white, homogeneous, nonfriable, nonfibrous

SAC-500-2D4-20: NO

Paint: white, homogeneous, nonfriable, nonfibrous

SAC-500-2D5-21: NO

Texture: white, homogeneous, nonfriable, nonfibrous

SAC-500-2D6-22: NO

Texture: white, homogeneous, friable, nonfibrous

SAC-500-2D7-23: YES

Texture: white, homogeneous, friable, nonfibrous

SAC-500-2El-24: NO Drywall.: brown, homogeneous, friable, nonfibrous

TABLE 1

(CONTINUED)

NVLAP Lab Code 101593-0

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

ASBESTIFORM OTHER FIBROUS TOTAL%

MINERAL FIBERS CONSTITUENTS ASBESTOS

Chrysotile 1-2

Chrysotile 2-3

Chrysotile 1-2

Chrysotile 1-2

None Detected

None Detected

None Detected

None Detected

Chrysotile 1-2

None Detected

None

None

None

None

None

None

None

None

None

Cellulose 1 Fibrous Glass 1

1-2

2-3

1-2

1-2

1-2

NUMBER

ASBESTOS

PRESENT?

SAC-500-2E2-25: NO

Drywall: brown, homogeneous, friable, nonfibrous

SAC-500-2E3-26: NO

Drywall: brown, homogeneous, friable, nonfibrous

SAC-500-2Fl-27: YES Compound: white, homogeneous, friable, nonfibrous

SAC-500-2F2-28: YES

Compound: white, homogeneous, friable, nonfibrous

SAC-500-2F3-29: YES

Compound: white, homogeneous, friable, nonfibrous

SAC-500-2Gl-30A: NO Stucco: pink, homogeneous, nonfriable, nonfibrous

SAC-500-2Gl-30B: NO Stucco: gray, homogeneous, nonfriable, nonfibrous

SAC-500-2G2-31A: NO

Stucco: pink, homogeneous, nonfriable, nonfibrous

SAC-500-2G2-31B: NO

Stucco: gray, homogeneous, nonfriable, nonfibrous

SAC-500-2G3-32A: NO

Stucco: pink, homogeneous, nonfriable, nonfibrous

TABLE 1

(CONTINUED)

NVLAP Lab Code 101593-0

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

ASBESTIFORM OTHER FIBROUS TOTAL%

MINERAL FIBERS

None Detected

None Detected

Chrysotile 1-2

Chrysotile 1-2

Chrysotile 2-3

None Detected

None Detected

None Detected

None Detected

-None Detected

CONSTITUENTS

Cellulose 1 Fibrous Glass 1

Cellulose 1 Fibrous Glass 1

None

None

None

None

None

None

None

None

ASBESTOS

1-2

1-2

2-3

NUMBER

ASBESTOS

PRESENT?

SAC-500-2G3-32B: NO

stucco: gray, homogeneous, nonfriable, nonfibrous

SAC-500-2G4-33A: NO

Stucco: pink, homogeneous, nonfriable, nonfibrous

SAC-500-2G4-33B: NO

Stucco: gray, homogeneous, nonfriable, nonfibrous

SAC-500-2G5-34A: NO

Stucco: pink, homogeneous, nonfriable, nonfibrous

SAC-500-2GS-34B: NO

Stucco: gray, homogeneous, nonfriable, nonfibrous

SAC-500-2G6-35A: NO

Stucco: pink, homogeneous, nonfriable, nonfibrous

SAC-500-2G6-35B: NO

Stucco: gray, homogeneous, nonfriable, nonfibrous

SAC-500-2G7-36A: NO

Stucco: pink, homogeneous, nonfriable, nonfibrous

SAC-500-2G7-36B: NO

Stucco: gray, homogeneous, nonfriable, nonfibrous

SAC-500-7Al-37A: NO Mastic: white, homogeneous, nonfriable, nonfibrous

TABLE l

(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

None Detected None 0

NUMBER

ASBESTOS

PRESENT?

SAC-500-7Al-37B: NO Mastic: brown, homogeneous, nonfriable, nonfibrous

SAC-500-7A2-38: NO

Mastic: white, homogeneous, nonfriable, nonfibrous

SAC-500-7A3-39A: NO

Mastic: white, homogeneous, nonfriable, nonfibrous

SAC-500-7A3-39B! NO

Mastic: brown, homogeneous, nonfriable, nonfibrous

SAC-500-8Al-40A: NO Shingle: gray/black, heterogeneous, nonfriable, fibrous

SAC-500-8Al-40B: NO Roofing: black, heterogeneous, nonfriable, fibrous

SAC-500-8A2-41A: NO

Shingle: gray/black, heterogeneous, nonfriable, fibrous

SAC-500-8A2-41B: NO

Roofing: black, heterogeneous, nonfriable, fibrous

SAC-500-8A3-42A: NO

Shingle: gray/black, heterogeneous, nonfriable, fibrous

SAC-500-8A3-42B: NO

Roofing: black, heterogeneous, nonfriable, 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

None Detected None 0

None Detected None 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 Fibrous Glass 30 0

None Detected Fibrous Glass 20 0

NUMBER

ASBESTOS

PRESENT?

SAC-500-8Bl-43A: NO Paint: silver, homogeneous, nonfriable, nonfibrous

SAC-500-SBl-43B: YES Tar: black, homogeneous, nonfriable, nonfibrous

SAC-500-8Bl-43C: NO Tar: black, homogeneous, nonfriable, nonfibrous

SAC-500-8B2-44A: NO

Paint: silver, homogeneous, nonfr.iable, nonfibrous

SAC-500-8B2-44B: YES

Tar: black, homogeneous, nonfriable, fibrous

SAC-500-8B3-45A: NO

Paint: silver, homogeneous, nonfriable, nonfibrous

SAC-500-8B3-45B: 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 None 0

Chrysotile 4-6 None 4-6

None Detected None 0

None Detected None 0

Chrysotile 2-3 Cellulose 15 2-3 Fibrous Glass 15

None Detected None 0

None Detected Cellulose 15 0 Fibrous Glass 15

U.S. Public Healt ice (FED-EX) Federal Occupatic . 1ealth FOH EH Environmental Laboratory Building 41, Room 190, E-1, Denver Federal Center Denver, Colorado 80225 Phone: (303) 236-9984 Fax: (303) 236-3440 Client Information:

Federal Occupational Health Address: 2201 6th Avenue, RX-21 City: Seattle State: WA Zip Code: 98121 Phone: (206) 615~2441 · Fax: (206) 615-2446 FOH Area Office: San Francisco, CA FOH POC: Wayne Mohler

Sample No. I HA# I Floor I Room

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IHI Environmental 4527 North 16th Street Phoenix, AZ 85016

Phone: (602) 776-0300

Material Description

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U.S. Public He2 rvice (FED-EX) \ U.S. Public Health Service (U.SJ.i \ailing Ad_gress) For Lab Use Only {~~·1::::~z;;~~~::., Federal OccupaI Health Federal Occupational Health Project#:

FOH EH Environmental Laboratory FOH EH Environmental Laboratory Due Date: I--· Building 41, Room 190, E-1, Denver Federal Center P.O. Box 25145 Denver, Colorado 80225 Denver Colorado 80225-0145 r7~ r.":f::, <·_,/(:-- t\ (-.( V Pllone: (303) 236-9984 Fax: (303) 236-3440 Phone: (303} 236-9984 Fax: (303) 236-3440 -·- .. , .?'\

Client Information: Send Results Agency: Indian Health Service BPNContract 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: 98'121 4527 North 16th Street Phone: (206) 615-2441 · Phoenix, AZ 85016 Fax: (206) 615-2446 FOH Area Office: San Francisco, CA Phone: (602) 776-0309 Fax: (602) 776-0301 FOH POC: Wayne Mohler

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U.S. Public He, 1rvice (FED-EX) Federal Occupa Health FOH EH Environmental Laboratory Building 41, Room 190, E-1, Denver Federal Center Denver, Colorado 80225 Phone: (303) 236-9984 Fax: (303) 236-3440 Client Information:

Federal Occupational Health Address: 2201 6th Avenue, RX-21 City: Seattle State: WA Zip Code: 98121 Phone: (206) 615-2441 Fax: (206) 615-2446 FOH Area Office: San Francisco, CA FOH POC: Wayne Mohler

Sample No. I HA # I Floor I Room

U.S. Public Health Service (U.S. P \failing Address) Federal Occupational Health FOH EH Environmental Laboratory P.O. Box 25145 Denver Colorado 80225-0145 Phone: (303) 236-9984 Fax: (303) 236-3440 Send Results

To:

IHI Environmental 4527 North 16th Street Phoenix, AZ. 85016

Phone: (602) 776-0300

Material Description

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APPEh1DIX3 Certifications

C 8115

THE SBESTOSINSTITUTE

Certifies that J_;:;r: ~4a,,,,,,. , .. ,.,.R· p ···1·•,k·,,, ... e'·,~"'~~,\~>~\ t ·--/ 0 ;JVl • . , 'G, '< 1 .. /.~~~~-~::; ~z/ 2 7 s· '\ _,Ir (I;}-

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and successfull-U-issed th ~~mpete c exam. ' • _ 1 ,A\/ .· . Date f Examination: December 7, 200 I

-----. . .-o..(·.. Date of Expir~-: .~ , .. · b;;~-~ber 7, 2002 : '10 . • -~~.- -/,, >·- en,·x A.-\

'ii , I I I\ ' .,Jl""':t~- .?,. _ '•l,_i..1; I•~-. / " ~ ~I , I l .,. -~J.--~· ~.;:;_•" -,..· ~..z,z;;;:;;,..i···· \~~, ...:rr:>c:::::;..;· ·-----....:::::::::---• ' I....\, ~ ~ c::::::::-~ -.:::::::::::: '••,.'. ':.. . . >' .. · ,, ..... ooroved Instructor ·

4 I, 'I• ",,• I

THE AsnEsTos INSTITUTE 8102 North 23rd A venue

Suite A Phoenix, AZ 8.5021-4904

602-864-6564

Thit '"'": ... ;,..~ ".,.,,., .. ,,..,, ~,,,,..,.t,, ◄-••.. • ,. •

THE ~SBESTOSINSTITUTE

,. I\ '. '1 '; ' ·. i ···•. ' . . . .. t! .. . ; . '

:'). . ' \. . .. 1.. ; , . · ,..-.E..,S J.s /..,.,. · -.. : i ...... ► · ... -• S".., ,,"'J _._f .. ·• fi,r Mi~hael f;larsn!fi'i!Jf/ .t ~If' I ........ ...(..,.. . I ✓1 \~ . • f .' I' . , '<.. .,It(' . ' . : ... , A. ,..-.. ~ ,· t•' ,,. ,' ~ ; . . / \,\f" y /

:~p'A appfoved (o)ir e I A ~- · Y

Certifies that

,.,I , < ·. \..,~uilMih?J Inspect?[--·-~- \ ~. ·:. Delembe'r 3-5, ?,~OJ~ and successfully passed the competenc)i exam. . /' 1

\ . . .~ ,. ,, "· ''-. · . . l 1 .... ,., ·\.. ..,., ..• \ 1 \ ·,,. \, i f. Dat~' 9f Exarriination: Dece'mber S, 200 I

,, ~},. Date of Expi~~q9'_ .'0_!:e~~bS!:_5, 2002 ~' ~;>~ r,4 • \ 1\, I I

~!/ , "lt u •• ii) . -·~··fj,·,1-. ... ~.;-''("JI j\ f'\ 1,. .. ./ ·

• ~· ' 1l• <, ' / .// ' / l£c_ -

THE AsnEsTos INSTITUTE 8102 North 23rd Avenue

Suito A Phoenix, AZ 85021-4904

602-864 .. 6564

A pprc;,ve'anrstructor

Thi.,; tmi11it1R meet.\' all rtiq11irrmc11ts for a,fhntM nccre.ditmion 1111der TSCA Tttle II.

C 8003