Asbestos Survey Bldg 600.pdf
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- Desert Visions Renovations Federal contract opportunity
- Solicitation number
- 75H70123R00007
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This document provides details for a federal construction solicitation. The Indian Health Service is seeking proposals to renovate and modify the Desert Visions Youth Wellness Center in Sacaton, Arizona. Key work includes landscaping and irrigation, replacing concrete surfaces, providing new roofs, and installing cured-in-place piping. The period of performance is 180 calendar days with a project magnitude between $500,000 and $1,000,000. A site visit will be arranged and firms must be registered in SAM to be considered. The contract type will be firm fixed price awarded using lowest price technically acceptable criteria. The closing date will be provided in the forthcoming solicitation to be posted online, with no hard copy documents available.
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| File | Type | Posted |
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| Asbestos Survey Bldg 500.pdf | ||
| Asbestos Survey Bldg 400.pdf | ||
| B05 Amend A0003.pdf | ||
| Asbestos Survey Bldg 100.pdf | ||
| Asbestos Survey Bldg 200.pdf | ||
| Asbestos Survey Bldg 300.pdf | ||
| Attachment J02 Renovation Drawings R1.pdf | ||
| B05 Amend A0002.pdf | ||
| B05 Amend A0001.pdf | ||
| B01 75H70123R00007.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 | ||
| B01 Attachment J01 - Wage Determination AZ20220033.pdf |
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Text version
ASBESTOS SURVEY
At
SACATON SERVICE UNIT
Building # 600 -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 .................................................................................................... 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 #600 - Dorm
Sacaton, Arizona
As requested by the Phoenix Area Indian Health Services, bulk sampling of suspect asbestos-containing building materials was conducted in Building # 600, Dorm, 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. Mark Updike and Pete Becofske, representing Federal Occupational Health (FOH), performed the asbestos inspection of the subject property. Messers. Updike and Becofske 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 and wall texture in Building #600, Dorm, 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-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, various gypsum drywall materials, covebase adhesive, frame caulk, exterior texturing, 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 inspectors 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 31 samples were collected from Building# 600.
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 the 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 Tan 12xl2 floor tile and mastic
2A Wall texture 2B Gypsum wall material 2C Joint compound 2D Exterior stucco
7A Covebase adhesive
7B Frame caulk 8A Rolled roofing material 8B· Penetration mastic
Sacaton Service Unit Building # 600 - Dorm
Functional Space ACM Throughout EXCEPT: FS 1 No
Throughout Yes Throughout No
Throughout Yes
Exterior walls No
Throughout No
Door and Window frames No Roof No
Roof No
Condition Quantity Good 2,688 sf
Good 4,992 sf Good 4,992 sf
Good 4,992 sf
Good 2,900 sf
Good 40 sf
Good 10 sf Good 5,000 sf
Good 30 sf
Laboratory analysis of the bulk samples collected from the Sacaton Service Unit Building #600, Dorm, indicates that drywall joint compound and wall texture 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.
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: 4,992 square feet of gypsum wall materials.
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 Materials
Total
6.0 LIABILITY LIMITATIONS
Sacaton Service Unit Building# 600 - Dorm
Quantity Of Material
(st)
4,992 sf
Unit Cost
(per st)
$1.75
Logistical Markup
15%
Total
$10,046.40
$10,046.40
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 I 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 e 33 ~r2- ,.....--= : ; ===,,., 0
--i-17ft5 17 21 25 29
·1 5 9 13
□ D □ 0 r ... ~
0 □ 0 D
Project: Indian Health Service Figure No.
Sacaton Service Unit 1 Building #600 - Dorm
Functional Space Locations Project No.
02P-3514
Asbestos-Containing Materials lns~ection
Client: FOH/IHS
IHI Environmental Bulk Sample Log
Service Unit: PTh1C Project No.: 02P-3514 ,'.r,..; ;;-.... Building No.: c-L,l--> ------------------ Material: ( { ) f~( c:;~lt"!
Number
Sample Designation: 5 4c. - '~('/4.) -j
Sample Location t HA& Sample Material Type Functional Origin Feet Feet Quant
HANo. No. Description (TS!, Misc, Suri) Space Corner N/S E/W Ht. Surface (s.f.)
Al l I;;.,;; x (J.. h 7.,. !\ Fiu,t,M \ k f-.-t J l Nf 0 l t--1 t) F/,.""'<" 1Jf611 J '!
A'l ?- l :1 1-) NE () l¼ L) F,~r I
'i ,,1
A3 \~~ i Is we 0 lW 0 t~t>/'
Inspector.: ___ M_a_rk_U..,p_d1_·k_e _____ ~-----
Inspector Sig. _....,7:i ......... ✓~.........;_,,c ........... _,,..&"'-¼ ......... "=?:'V.;,....,-k~,~--.;--:(.,..£..,,../ .... :_,. -~-~7 _, ,..._J_{_/_c, r_~ __ ;...,,1 -t,td, /L"<.
- f AHERA Cert. No.: C8115 Training Provider: The Asbestos Institute, Phoenix, Arizona ----------
Expires: 12/7/2002 Phone: (602) 864-6564
4527 North 16th Street, Suite 105, Phoenix, Arizona 85016
Telephone: (602) 776-0300 Fax: (602) 776-0301
Lab Result
Bulk Sample Log Service Unit: PilVIC
Building No.:_{_6_~-------------
Project No.: 02P-3514
Material: ( -g- ) :&;t:, ~'\"~ /ik\1 b Number /
Sample Designation: ~Ac- <...oc-Y Sample Location HA& Sample Material Type Functional Origin Feet Feet Quant
HANo. No. Description (TS!,Misc,Sllrl) Space Corner N/S E/W Ht. Surface (s.f.)
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Inspector: ____ -+.L.-~-,--,..,.:-------- Date: fr-lj-();..
lnspector Sig. --L:.,LL.~~A~~z:.:c.. _______ _
AHERA Cert. No.:
Expires:
l 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
Bulk Sample Log Service Unit: PIMC Project No.: 02P-3514
Building No.: _ _..,....,b_Q _______________ _ \ Material: ¾1,) M, S'-
Sample Designation: ~ Af_- Lf)tJ_ 1 Sample Location HA& Sample Material Type Functional Origin Feet Feet Quant
HANo. No. Description (TS{, Misc, Surl) Space Corner NIS E/W Ht. Surface (s.f)
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'41 I'?) b~r1~r . \ Ur,vS /OB It~~ WI/\.·
J J 6J.. l'-1 " fi7 /5 1 ! ( J l I l lnspector.: ___ M_ar_k_U_.p_d_ik_e _________ _
Inspector Sig. ___ ~_;.-_..,.1_-_ .. _---~ _____ -_--_____ _ AHERA Cert$ No.: / C8115
Expires: ---.-t -12_/7_/2_0_0_2 __ _ Training Provider: The Asbestos Institute, Phoenix, Arizona
Phone: {602)864-6564
4527 North I 6th Street, Suite 105, Phoenix, Arizona 850 I 6
Telephone: (602) 776-0300 Fax: (602) 776-0301
Lab
Bulk Sample Log Service Unit: SACA TON Project No.: 02P-3514
Building No.: ~ ---------------- Material: ( ~ ) t~,d l ~ )l;rmber
Sample Designation: ~ /,c.- £;1)_1 - J- Sample Location HA& Sample Material Type Functional Origin Feet Feet Quant
HA No. No. Description {TS!. Misc, Suri) Space Corner N/S E/W Ht. Surface (s.f.)
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I lnspedor:· _ __,... __ ___..__ _________ _
Inspector Sig. --~-:;l'---lii::::::==------==:,-------- AHERA C.!::-t. No.: raining Provider: The Asbestos L.7.stitutc, Phoenix, Arizona
Expires: Phone: t602) 864-656-!
4527 ;\'orth !6th Street, Suite 105, Phoenix, Arizona E-5016
Telephone: (602) 776-0300 Fax: (602) 776-030!
Lab Result
APPENDIX2
Laboratory Results
DEPARTMENT OF HEALTH & HUMAN SERVICES
October 8, 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 B0385999
Enclosed are the results of the analysis of 48 bulk materials from IHS SAC 600, 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 regarding the content of this report, analytical procedures or methods, ashes tos evaluation or abatement, please contact DFOH at ( 3 03) 236-34 55 ext. 500, or NERL dirictly at (303) 236-9984/9985.
LABORATORY DIRECTOR ,
~.u .. -:57z:_L/__, Bruce Hills, MS Certified Industrial Hygienist
TABLE 1
DIVISION OF FEDERAL OCCUPATIONAL HEALTH
NERL/AFPAD POLARIZED LIGHT MICROSCOPY (PIM) BRANCH
LGN: B0385999
PROJECT I.D.: IHS SAC 600
REPORT DATE: October 8, 2002
SAMPLE
NUMBER
ASBESTOS
PRESENT?
SAC-600-lAl-lA: NO Floor Tile: pink, homogeneous, nonfriable, nonfibrous
SAC-600-lAl-lB: NO Mastic: yellow, homogeneous, nonfriable, nonfibrous
SAC-600-1A2-2A: NO
Floor Tile: pink, homogeneous, nonfriable, nonfibrous
SAC-600-1A2-2B: NO
Mastic: yellow, homogeneous, nonfriable, nonfibrous
SAC-600-1A3-3A: NO
Floor Tile: pink, homogeneous, nonfriable, nonfibrous
SAC-600-1A3-3B: NO
Mastic: yellow, homogeneous, nonfriable, nonfibrous
SAC-600~8A1-4A: NO
Shingle: gray/black, heterogeneous, nonfriable, fibrous
SAC-600-8Al-4B: NO Roofing: black, heterogeneous, nonfriable, fibrous
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 Fibrous Glass 30 0
None Detected Fibrous Glass 20 0
SAMPLE
NUMBER
ASBESTOS
PRESENT?
SAC-600-8A2-5A: NO
Shingle: gray/black, heterogeneous, nonfriable, fibrous
SAC-600-8A2-5B: NO
Roofing: black, heterogeneous, nonfriable, fibrous
SAC-600-8A3-6A: NO
Shingle: gray/black, heterogeneous, nonfriable, fibrous
SAC-600-8A3-6B: NO
Roofing: black, heterogeneous, nonfriable, fibrous
SAC-600-8A3-6C: NO
Paint: silver, homogeneous, nonfriable, nonfibrous
SAC-600-8Bl-7A: NO Paint: silver, homogeneous, nonfriable, nonfibrous
SAC-600-8B1-7B: NO
Tar: black, homogeneous, nonfriable, fibrous
SAC-600-8B2-8A: NO
Paint: silver, homogeneous, nonfriable, nonfibrous
SAC-600-8B2-SB: NO
Tar: black, homogeneous, nonfriable, fibrous
SAC-600-8B3-9A: NO
Paint: silver, homogeneous, nonfriable, nonfibrous
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 None 0
None Detected None 0
None Detected Cellulose 30 0
None Detected None 0
None Detected Cellulose 30 0
None Detected None 0
NUMBER
ASBESTOS
PRESENT?
SAC-600-8B3-9B: NO
Tar: black, homogeneous, nonfriable, fibrous
SAC-600-7Al-10: NO Mastic: white, homogeneous, nonfriable, nonfibrous
SAC-600-7A2-11A: NO
Mastic: white, homogeneous, nonfriable, nonfibrous
SAC-600-7A2-11B: NO
Mastic: brown, homogeneous, nonfriable, nonfibrous
SAC-600-7A3-12A: NO
Mastic: white, homogeneous, nonfriable, nonfibrous
SAC-600-7A3-12B: NO
Mastic: brown, homogeneous, nonfriable, nonfibrous
SAC-600-7Bl-13: NO Caulk: gray, homogeneous, nonfriable, fibrous
SAC-600-7B2-14: NO
Caulk: gray, homogeneous, nonfriable, fibrous
SAC-600-7B3-15: NO
Caulk: gray, homogeneous, nonfriable, fibrous
SAC-600-2Al-16: YES 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 Cellulose 30 0
None Detected None 0
None Detected None 0
None Detected None 0
None Detected None 0
None Detected None 0
None Detected Synthetic 20 0
None Detected Synthetic 20 0
None Detected Synthetic 20 0
Chrysotile 1-2 None 1-2
NUMBER
ASBESTOS
PRESENT?
SAC-600-2A2-17: YES
Texture: white, homogeneous, friable, nonfibrous
SAC-600-2A3-18: YES
Texture: white, homogeneous, friable, nonfibrous
SAC-600-2A4-19: YES
Texture: white, homogeneous, friable, nonfibrous
SAC-600-2AS-20: YES
Texture: white, homogeneous, friable, nonfibrous
SAC-600-2Bl-21: NO Drywall: pink, homogeneous, friable, nonfibrous
SAC-600-2B2-22: NO
Drywall: pink, homogeneous, friable, nonfibrous
SAC-600-2B3-23: NO
Drywal.l: pink, homogeneous, friable, nonfibrous
SAC-600-2Cl-24: YES Compound: white, homogeneous, friable, nonfibrous
SAC-600-2C2-25: NO
Compound: white, homogeneous, friable, nonfibrous
SAC-600-2C3-26: NO
Compound: white, homogeneous, friable, nonfibrous
TABLE 1
(CONTINUED)
NVLAP Lab Code 101593-0
--------Estimated% Composition-----------
ASBESTIFORM OTHER FIBROUS TOTAL%
MINERAL FIBERS CONSTITUENTS ASBESTOS
Chrysotile 1-2 None 1-2
Chrysotile 1-2 None 1-2
Chrysotile 1-2 None 1-2
Chrysotile 1-2 None 1-2
None Detected Fibrous Glass 1 0
None Detected Fibrous Glass 1 0
None Detected Fibrous Glass 1 0
Chrysotile 1-2 None 1-2
NUMBER
ASBESTOS
PRESENT?
SAC-600-2D1-27A: NO
Stucco: pink, homogeneous, nonfriable, nonfibrous
SAC-600-2D1-27B: NO
Stucco: gray, homogeneous, nonfriable, nonfibrous
SAC-600-2D2-28A: NO
Stucco: pink, homogeneous, nonfriable, nonfibrous
SAC-600-2D2-28B: NO
Stucco: gray, homogeneous, nonfriable, nonfibrous
SAC-600-2D3-29A: NO
Stucco: pink, homogeneous, nonfriable, nonfibrous
SAC-600-2D3-29B: NO
Stucco: gray, homogeneous, nonfriable, nonfibrous
SAC-600-2D4-30A: NO
Stucco: pink, homogeneous, nonfriable, nonfibrous
SAC-600-2D4-30B: NO
Stucco: gray, homogeneous, nonfriable, nonfibrous
SAC-600-2D5-31A: NO
Stucco: pink, homogeneous, nonfriable, nonfibrous
SAC-600-2D5-31B: 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 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
. Public H~.alth Se!'\ (FED-EX ) eral Occupational Health 1 EH Environmental Laboratory ding 41, Room 190, E-1, Denver Federal Center ver, Colorado 80225 . . _ ne: (303) 236-9984 Fax: (303) 238-3440 !nt Information:
!era! Occupatlonal' Health _ · lress: 2201 6th Avenue, RX-21 : Seattle State: WA Zip Code: 98121 1ne: (206) 615-2441 ..
(206) 615-2446 ·, ·, ➔ -Area Office: San Francisco, CA i POC: Wayne Mohler
U.S. Public Health Service (U.S. Postal Ma1m10-Address) Federal Occupatlonal Health ..
FOH EH Environmental Laboratory P.O. Box 25145 Denver Colorado 80225-0145 . :. , Phone: ~03) 236-9984 Fax:· (3Qfil 236-3440 Send Results
To: .
IHI Environmental 4527 North 16th street Phoenix, AZ 85016
Phone: (602) 776~0300 Fax: (602) :776-0301 I
For Lab Use Only .~, _ .---- -:-··~-.---·--:~::~--~ -- .
~~!08l~: {~J.c~f-+1± >l. · ..
Agency: Indian .Health Service SPA/Contract No.: 232 .. 98-:0014 Delivery Order: SF02'.'09.
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Analysis I Laboratory
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ding 41, Room 190, E-1, Denver Federal Center P.O. Box 25145 war, Colorado 80225 Denver Colorado 80225-0145 . ; •,, (Z-;1~ .F~ ~z;z 1 ,;t c1 ,ne: (303) 236-9984 Fax: (303) 236-3440 Phone: (303) 236-9984 Fax: (303} 236-3440 'i ' , ,1 :, ,, mt Information: Send Results Agency: Indian Health Service ,: SPA/Contract No.: 232~9s~oo14
Jeral 0ccupatlcinal Health·, · To: ;-. Delivery Order: SF02-09 · 1ress: 2201 6th Avenue, RX-21 IHI Environmental ;
,: Seattle State: WA Zip Code: 98121 4527 North 16th Street , .
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APPENDIX3
Certifications
C 8115
THE ~SBESTOS INSTITUTE
,· ::_::·-.- ;e·Stos. I:< '.1'1· .
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Certifies that
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\..::_ :· :~ \ ·. '. ...... . Date ~f Exam1ml.tfon: D~c~~ber 7, 200 I
~ \·>·._;-, · '° .. i · · Da. te of ,expii-a~~. .' be·c'~-~ber 7, 2002 r, ,J. ' : >}·. \;;."n J \1" ft-o. f \ 11H .. •,, ,• ·'
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THE AsnEsTos INSTITUTE 8102 North 23rd A venue
Suite A Phoenix. AZ 85021-4904
602-~ a 6564
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ASBESTOS
CERTIFICATION
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·--,,~~-- Il\rt::t~~::::r:equi~~nu;n_!~tor z:~z-597, q .R:.S,!'.:=:~~ Air _ . @u~tlity_ Coritr9l CoipmfasiQ1r:Regul~tio1(r,To!\~.~ fartfat• and is nere=by:certific;9_ by:th~s~t~:=of Coloradsfin the•:,
· ·ro.!lowing::idisclplin_~;<
Ins11gcforl@anagemeijt.==:-Pli\nµer*
Issued: 09/05J20Q_l
Expires: 09/05/2002
* This certificate is valid only with the possession of current_ AHERA certijicatiorr in the discipline ·specified above. ·
SEAL
File details come from the government source that posted it. Updated .