Tiller_Asbestos_Reports_and_Remediation.pdf

I r · r -

Tiller - Buildina 1050

Homogeneous Area

HA-02

HA-04

Homogeneous Area

HA-01

HA-03

HA-05

HA-06

Homogeneous Area

N/A

Asbestos Detected

Sample Number

UMP-02-108

UMP-02-110

Material Description/Location

Vibration Joint Cloth Linoleum - White/fan

No Asbestos Detected

Sample Number

UMP-02-107

UMP-02-109

UMP-02-111

UMP-02-112

Sample Number

Material Description/Location

Duct Tape Linoleum Roof Shingle Roof Felt under Shingle

Trace Detected

Material Description/Location

Amount

3 lin. ft.

20 sq. ft.

r

'EnvironmentaC'Enterprise yroup, Inc .

1305 E. Main, Russellville, AR 72801, (501) 968·6767 • (501) 968·1956 Fax

Environmental Consulting and Laboratory Services

Client:

Methodology:

Sample(s) Taken From:

Received: l0/26/92

SAMPLE #

124. UMP-02-107

Duct Tape

125. UMP-02-108

VJC

126. UMP-02-109

Linoleum

Urnpqua National Forest

EPA-600/M4-82-020

Tiller-Bldg. 1050 Shipped Via: H.D. G. Frazee

PARAMETER ANALYSIS

Asbestos None Detected

Asbestos Positive

Asbestos None Detected

Job#:

Date:

Reported:

92500-B4066

10/19/92 10/27/92

MATERIAL DESCRIPTION

Sample Color - Tan This material contains approximately 97% Cellulose, 3% Particulate Matter

Sample Color - Off White This material contains approximately 50% Chrysotile Asbestos, 45%

' Synthetic Fibers, 5% Particulate Matter

Sample Color - Beige This material contains approximately 15% Cellulose, 7% Synthetic Fibers, 7% Fiberglass, 3% Wollastonite, 2% Quartz, 15% Diatomaceous Earth, 20% Calcite, 31% Particulate Matter

The information listed above applies to the standards or procedures identified and to the samples actually tested. The methodology listed in this report is the only methodology used.

Each percentage reported above on materials present in each sample is a visual estimation of total composition. The samples tested may not be representative samples, therefore the results of tllese samples may not be true for the total material from which the samples were taken, nor for apparently identical materials. The information listed above is for the exclusive use of the cl ient listed above. The sample results shall not be reproduced in any form or fashion for advertising or other purposes in connection with EEG's name or signature without consent from EEG. The sample results shall not be used by the client to claim product endorsement by NVLAP or any agency of the U.S. Government. Samples not destroyed in analysis will l.Je retained for a maximum of thirty days. The samples may be returned to the client upon request.

Respectfully Submitted

N11ic111/ Va.\tnt.Yy Ubaalay ka16tlllai 11'09"..,, EEG, Inc.

Analy~ /

NVLA~~ .,.

Tiller - Building 1051

Homogeneous Area

HA-02

HA-03

Homogeneous Area

HA-01

HA-04

HA-05

HA-06

HA-07

Homogeneous Area

NIA

Asbestos Detected

Sample Number

UMP-02-101

UMP-02-102

Material Description/Location

Vibration Joint Cloth Linoleum - Cream

No Asbestos Detected

Sample Number

UMP-02-100

UMP-02-103

UMP-02-104

UMP-02-105

UMP-02-106

Sample Number

Material Description/Location

Duct Tape Linoleum Linoleum Roof Shingle Roof Felt under Shingle

Trace Detected

Material Description/Location

Amount

3 lin. ft.

40 sq. ft.

'Environmental 'Enterprise (jroup, Inc.

1305 E. Main, Russellville, AR 72801, (501) 968-6767 • (501) 968-1956 Fax

Environmental Consulting and Laboratory Services

Client:

Methodology:

Sample(s) Taken From:

Received: 10/26/92

SAMPLE #

117. UMP-02-100

Duct Tape

118. UMP-02-101

VJC

119. UMP-02-102

Linoleum

120. UMP-02-103

Linoleum

Umpqua National Forest

EPA-600/M4-82-020

Tiller Ra. - Bldg. 1051 Shipped Via: H.D. G. Frazee

PARAMETER ANALYSIS

Aabeatoa None Detected

Aabestoa Positive

Aabeatoa Positive

Asbeatoa None Detected

Job#: 92500-B4066

Date:

Reported:

10/19/92 10/27/92

MATERIAL DESCRIPTION

Sample Color - Tan This material contains approximately 90% Cellulose, 10% Particulate Matter

Sample Color - Grey This material contains approximately 50% Chrysotile Asbestos, 45% Synthetic Fibers, 5% Particulate Matter.

Sample Color - Grey This material contains approximately 30% Chryaotile Asbestos, 3% Cellulose, 3% Quartz, 30% Calcite, 34% Particulate Matter

Sample Color - Beige This material contains approximately 30% Cellulose, 3% Synthetic Fibers, 3% Fiberglass, 5% Calcite, 20% Perlite, 39% Particulate Matter

The Information listed above applies to the standards or procedures identified and to the samples actually tested. The methodology listed In this report is the only methodology used.

Each percentage reported above on materi als present In each sample Is a visual estimatio11 or total composition. The samples tested may not be representative samples, therefore tile results or these samples may not be lrue tor the tolal material lrom whic/1 the samples were taken, nor for apparently idm1tical materials. The information llsted above is lor tho exdusive use or the d ient listed above. The sample results shall not be reproduced In any lorm or lash Ion lor advertising or other purposes in connection with EEG 's name or signature without consent lrom EEG . Th.a sample results shall not be used by the client to claim product endorsefT1ent by NVLAP or any agency of the U.S. Government. Samples not destroyed In onalysls 1Yill 1Je retained lor a maximum or thirty days. The samples may be returned to the cllenl upon re quest.

N11ia>Oi rulilJto l.'{l \\ I? n (;\ dSll!WWdo.,dT«hidoQy LJ\J '\!) l_SL):;), N1tio111i Vao\Jntory

~llay Aurt6/ol01 Prf>V'""

Respectfully Submitted

EEG, Inc.

~ l..L Analyst~-:;/" NVLAP Si9nator;

Tiller - Building 1086

Homogeneous Area

HA-01

HA-02

HA-03

HA-04

HA-OS

Homogeneous Area

NIA

Homogeneous Area

NIA

Asbestos Detected

Sample Number

UMP-02-113

UMP-02-113

UMP-02-116

UMP-02-117

UMP-02-118

Material Description/Location

Floor Tile - Cream Floor Tile Adhesive Linoleum - Brown Linoleum - Green Linoleum - White

Amount

629 sq. ft.

629 sq. ft.

120 sq. ft.

170 sq. ft.

60 sq. ft.

10 i~1 ~) jl#o63 c::i 1<

No Asbestos Detected

Sample Number Material Description/Location

Trace Detected

Sample Number Material Description/Location

'Environmental 'Enterprise (jroup1 Inc.

1305 E. Main, Russellville. AR 72801, (501) 968-6767 • (501) 968-1956 Fax

Environmental Consulting and Laboratory Services

Client:

Methodology:

Sample(s) Taken From:

Received: 10126192

SAMPLE #

130. UMP-02-113

Floor Tile

131. UMP-02-113

Floor Tile Adhesive

132. UMP-02-116

Linoleum

133. UMP-02-117

Linoleum

134. UMP-02-118

Linoleum

Umpqua National Forest

EPA-600/M4·82·020

Tiller-Bldg. 1086 Shipped Via: H.D. G. Frazee

PARAMETER ANALYSIS

Asbestos Positive

Asbestos Positive

Asbestos Positive

Asbestos Positive

Asbestos Positive

Job#:

Date:

Reported:

92500-B4066

10/19/92 10/27/92

MATERIAL DESCRIPTION

Sample Color - Off White This material contains approximately 3% Chrysotile Asbestos, 40% Calcite, 57% Particulate Matter

Sample Color - Black This material contains approximately 7% Chrysotile Asbestos, 1% Cellulose, 3% Quartz, 89% Particulate Matter

Sample Color - Lt Brown This material contains approximately 15% Chrysotile Asbestos, 15% Cellulose, 3% Synthetic Fibers, 5% Calcite, 62% Particulate Matter

Sample Color - Lt Green This material contains approximately 25% Chrysotile Asbestos, 1% Cellulose, 25% Calcite, 1% Quartz, 48% Particulate Matter

Sample Color - Off White This material contains approximately 25% Chrysotile Asbestos, 5% Cellulose, 70% Particulate Matter

The information listed above applies to the standards or procedures identified and to the samples actually tested. The methodology listed in this report is the only methodology used.

Each percentage reported above on materials present in each sample is a visual estimation or total composition. The samples tested may not be representative samples, therefore the results of these samples mey not be true tor the total materiel from which the samples were taken, nor for apparently identical materials. The information listed above is lor the exclusive use orthe client listed above. The sample results shall not be reproduced in any form or fashion tor advertising or other purposes in connection with EEG's name or signature without consent from EEG. The sample results shell not be used by the client to claim product endorsement by NVLAP or any agency or the U.S. Government. Samples not destroyed in analysis will be retained for a maximum of thirty days. The samples may be returned to the client upon request.

Respectfully Submitted

N1do111i VcNnlwy Uballlay Aca•6111fai Pt~im EEG, Inc. tn~~ c~

Analys~

NV LAP Si9fIBtOIY ._ r

_j ii

1Y

l. ~ 'Environmental 'Enterprise (jroup, Inc.

1305 E. Main, Rus.sellvWe, AR 72801, (501) 968-6767 • (501) 968·1956 Fax

Environmental Consulting and Laboratory Services

Client:

Methodology:

Sample(s) Taken From:

Received: 10/26/92

SAMPLE #

109. UMP-02-95

Floor Tile

110. UMP-02-95

Floor Tile Adhesive

111. UMP-02-96

Linoleum

112. UMP-02-97

Floor Tile

Umpqua National Forest

EPA-600/M4-82-020

Tiller RS/Bldg. 1090 Shipped Via: H.D. G.Frazee

PARAMETER ANALYSIS

Asbestos None Detected

Asbestos None Detected

Asbestos None Detected

Asbestos None Detected

Job#: 92500-B4066

Date: l0/19/92 Reported: 10/21 /92

MATERIAL DESCRIPTION

Sample Color - Beige This material contains approximately 1% Cellulose, 2% Synthetic Fibers, 50% Calcite, 1% Quartz, 46% Particulate Matter

Sample Color - Yellow This material contains approximately 2% Synthetic Fibers, 1% Cellulose, 10% Calcite, 1% Quartz, 86% Particulate Ma~ter

Sample Color - Grey blue This material contains approximately 10% Synthetic Fibers, 5% Cellulose, 5% Fiberglass, 5% Wollastonite, 10% Diatomaceous Earth, 40% Calcite, 25% Particulate Matter

Sample Color - Grey blue This material contains approximately 55% Calcite, 45% Particulate Matter

The lnlormation listed above applies to the standards or procedures identified and to the samples actually tested. The methodolog.y listed In this repor1 ls the only methodology used.

Each percentage reported above on materials present in eaeh sample Is a visual estimation ot total composition. The samples tested may not be representative samples, therelore the results ot these samples may not be true lor the total material lrom which the samples were taken, nor ror apparently ldenUcal materials. The inlormatlon listed above is lor the exclusive use ot the client listed above. The sample results shall not be reproduced In any form or fashion lor advertising or other purposes in connection with EEG's name or signature without consent from EEG. The sample results shall not be used by the cllen l to claim producl endorsement by NVLAP or any agency or Iha U.S. Government. Samples not destroyed in analysis will lie retained ror a maximum of thirty days. The samples may be returned to the client upon request.

Na~~ Ni~la l.\fl C\\ !? ~ 0 dSl/lrdMd1 .. dT«hldogy U'\J \!} lSv;>. N.tiomil Valmt.wy

L&baaJay kao<itllfai Pravn

Respectfully Submitted EEG, Inc.

th 1A cJ.1 V\"

Analyst~:::;;?"

Jn at NVLA'15Sf~ a;e;: . ::::t

'Environmental'Enterprise (jroup, Inc.

1305 E. Main, Russellville, AR 72801, (501) !168·6767 • (501) !168-1956 Fax

Environmental Consulting and Laboratory Services

Client:

Methodology:

Sample(s) Taken From:

Received: 10/26/92

SAMPLE #

101. UMP-02-89

MJ Teva

102. UMP-02-90

Floor Tile

103. UMP-02-90

Floor Tile Ashesive

104. UMP-02-91

Linoleum

Umpqua National Forest

EPA-600/M4-82-020

Tiller/Bldg. 1092 Shipped Via: H.D. G.Frazee

PARAMETER ANALYSIS

Asbestos Positive

Asbestos None Detected

Asbestos None Detected

Asbestos Positive

Job#: 92500-B4066

Date: 10/19/92 Reported: 10/21/92

MATERIAL DESCRIPTION

Sample Color - Off White This material contains approximately 2% Chrysotile Asbestos, 30% Amosite Asbestos, 1% Cellulose, <1% Fiberglass, 15% Diatomaceous Earth, 52% Particulate Matter

Sample Color - Off White This material contains approximately 2% Synthetic Fibers, 50% Calcite, 48% Particulate Matter

Sample Color - Tan This material contains approximately 2% Cellulose, 2% Synthetic Fibers, <1% Hair, 10% Calcite, 86% Particulate Matter

Sample Color - Gold This material contains approximately 30% Chrysotile Asbestos, 4% Cellulose, 2% Quartz, 10% Calcite, 54% Particulate Matter

The information listed above applies to the standards or procedures Identified and to lhe samples actually tested. The methodology listed in this report is the only methodology used.

Each percentage reported above on materials present In each sample ls a visual estlmallon of total composition. Th11 samples tested may not be representative samples, therefore the results of these samples may not be true tor the total material from which the samples were taken, nor for apparen!ly Identical materials. The information listed above is for the exclusive use of the client listed above. The sample results shall not be reproduced In any lorm or fashion for advertising or other purposes In connection with EEG's name or signature without consent from EEG. The sample results shall not be used by the client to claim product endorsement by NVL.AP or any agency of the U.S. Government. Samples not destroyed in analysis will be retained for a maximum of thirty days. The samples may be returned to the client upon request.

N10onlli Vo.lintiry Ulxrllcry .Acaodtalai Pravom

Respectfully Submitted EEG, Inc. .. n l bxA CnXA Analyst~~7 NVLA;s;;O~

W. L. Thomas, Inc.

P.O. Box 8 Albany, Oregon 97321

(503) 928-5383

DAILY JOB SIGN-IN/SIGN-OUT

AND VISITOR'S LOG

PROJECT :lf.,p ()" 4 ,&,,fr<, "'-<'b /l,u,,_; I CLIENT: ~/.u P{')lt C( A.A: i, h&q: (,_ ;;," Ae,sr JOB NO . : 0 Cf .5 -1/'J0 LOCATION :"J//!J // !pi S - l/.A2, y_ /O,S-/

SUPERINTENDENT :t/!c 1-~a~s st>. DATE : /o- Jf- 9.3

ALL PERSONS ENTERING AND LEAVING WORK AREA MUST SIGN IN AND SIGN OUT EVERY TIME!!!

EMPLOYEES - SIGN NAME CLEARLY

VISITORS/INSPECTORS, ETC. - SIGN NAME CLEARLY AND PRINT NAME OF EMPLOYEER

COPIES OF ALL LOGS ARE TO BE PLACED IN PROJECT FILE

S. S. NO . EMPLOYER TIME IN

·w. L. Thomas, Inc.

P.O. Box 8 Albany, Oregon 97321 (503} 928-5383

PROJECT: !/_41J/lf?/A ,0£-tS f JOB NO . : t/tf':J- //ftJ

DAILY PROJECT LOG

SUPERINTENDENT : ft) ±b <i..S 51$

CLIENT: !Def 0 r/- C.<q P I Cl( 1./-u //. --e LOCATION: z; i Ir:. IL fl, 5 t,{ .A/1 . f /0 c I DATE: /!d. /f / 'f P;f l/J(}_an~

P.O. Box 8 Albany, Oregon 97321

(503) 928-5383

GLOVE BAG CHECKLIST

CLIENT:

JOB NO.: tJf .. f-// ? -:> LOCATION: [°;let. /2S /Os.' I

SUPERINTENDENT: {4,Jd ~<f.'(..te5 S /l_ I

DATE : /0- /_~_-_.-.%_3>'---------

WORK

1.

2.

3.

4.

5.

6 .

AREA :

Work area isolated?

All openings sealed t o wo rk area?

Warning s igns at all access points?

Are people in area adjacent to work area?

I s glove bag work done on ho t structure?

Number of worke rs in area?

PERSONAL PROTECTION EQUIPMENT:

7. NIOSH approved respirators?

8 . Disposable coveralls?

9 . Head covering?

10 . Rubber boots or foot covering?

11 . Equipment worn properly?

HYGIENE:

12 . Are decon f acil iLies requi r ed?

TYPE

(If decon faciliti es are requi r ed note hygiene practices on back of checkli st )

13. Are coveralls disposed of properly?

WORK PRACTICES:

14. Are wet methods employed?

15. EPA wetting agent used?

16 . Are HEPA f ilter vacuums used?

17. Disposal bags properly labeled?

18. Protecti ve c l othing worn at al l t imes?

19 . Respirator s worn at all times?

20 . Eating, drinking, or smoking not allowed in work area?

21 . All ladder s , scaf fold and platforms to OSHA?

22 . Ground faul t interrupters used?

23. Hose, cords and light cords taped down?

24. Visual inspection o f work area done regularly?

25. First aid kit on job site?

26 . Al l paperwork filled out?

INSPECTED BY: TIME:

YES NO NA

-z ~=· v -

.K t/

-4- _k_

_L:.. -v -- -

ASBESTOS AIR MONITORING

ANALYSIS REPORT

PROJECT: Umpqua Forest OVvNER : Department Of Agri culture Tillers Unit 1051 - f/093-1 190

PAGE: 1 OF 2 CONTRACTOR: W.L. Th omas . Inc.

DATE RECEIVED: October 25 . 1993 RECEIVED BY : Robert E . Hasting

SA.MPLE NO. AD- 1 P- 1 B- 1

DESCRIPTION Unit 1051 Terry Christianson BLANK

In Basement S.S.N .

TYPE A p ~RK Glove bag Glovebag

PERFORMED

RESPIRATORY

PROTECTION 1 / 2 N 1/2 N

DATE 10 / 18 / 93 10/ 18193

SA.MPLED BY WL Thomas WL Thomas

PUMP NO. 1767 00020

TIME START 10:30 10: 35

TIME STOP 11 : 55 11: 55

TOTAL TIME 85 Min . 80 Min. Mi n.

FLON START 10.0 LPM 2 . 0 LPM LPM

FLON STOP 10.0 LPM 2 .0 LP M LPM

AVERAGE FLnA 10.0 LPM 2 .0 LPM LPM

TOTAL VOLUME 850 160

Fl FIELDS 3 .75 11 00 2 .251100 - . 57100

F/CC <.005 .006

ABBREVIATIONS:~~~~--:::--:---;-:-:-:-~~~~~~~~~~~===--~~~~~~~~--.

Type: f\lsplrato<' : F\CC:

(A) Area 9arrpl e (1 /2 ·N) ltllf Face Nl91the Pressure (NFO) No Fibers Ootocted (PA) Pre-abatsnen"t (1 ·N) Full face ~gative Pressur e (lClA) Too Cont<minated To Analyze

(P) Personal (PAPR) Powered Air Purifying Rospira tor '

(E) Excurs ion (SA) Supplied A1 r Continuous f low (PC) ~Hing (SAPO) Supplied Air Pressure Osna nd

(C) Clearanoe (SCBA) Self Contained Breethlng Apparatus (Rl) A:>st·abatene n"t

8 Hour Time Weighted Average F/CC

Phase Contrast llicroscoP'f (PCll ): NIC6H 7~00 Analytical llo thod Lo-.er Ouanttfication UJ1\it (LOL): 10 Fibers/100 fields ll in!Jnt.rn Detection UJ1\it: 2 fibers /100 Fields

October 25 . 1993

DATE

Q_t~ ANA.L vzEDBv--q

HASTING CONSULTING

1930 Ha-npden Lan e 1126

Salem, Oregoo 97305

(503) 362-9249

ANALYSIS REPORT

PROJECT : Ump qua Forest OWNER: Department Of Agriculture Tillers Unit 1051 - #093-1190

PAGE: 2 OF 2

DATE RECEIVED: October 25 , 1993

SAMPLE NO. B-2

DESCRIPTION BLANK

S.S . N.

TYPE

~AK

PERFORMED

RESP IRATORY

PROTECTION

DATE

SAMPLED BY

PllMP NO.

TIME START

TIME STOP

TOTAL TIME Min.

FLON START LPM

FLON STOP LPM

AVERAGE fLroJ LPM

TOTAL VOLUME

Fl FIELDS NFD /100

F/CC

CONTRACTOR: W.L. Tllomas. Inc.

RECEIVED BY : Robert E. Hasting

Min.

LPM

LPM

LPM

Min .

LPM

LPM

LPM

ABBREVIATIONS:~~~~~_,,~~~~~~~~~~~~~.,..-~~~~~~~~~

T~: Respirator: f\CC:

(A Area Sal!l>le (1 /2-Nl Half Face N<lglt1w Pressure (NFO) No Fibe r s Detected ( ) Pre·abatanont (1 -N) f'ull Face N<lgiti\'& Pressure (1C1A.) Too Oontaninatcd To Analyze

(P) Personal (PAPA> Powered Air Purifying Respiramr ( E) Exursion (SA) Supplied Air Oontinuous Flow (R:) Ceiling (SAPO) Supplied Air Prossuro Oenand

(C) Clearance (SCSA) Self Contained Q-eathing Apparatus (FO ) Post -abeterrent

8 Hour Time Weighted Average F/CC

Phase Contrast llicroscopy (R:ll): NIOOH 7400 Analytical llHhod Lowe r Quantification L1mit (LJ)l): 10 Fibers/100 Fields llinimllll Detection L1mit: 2 Fibers/100 Fields

October 25. 1993 -~~~-=-----~~~

DATE

HASTING CONSULTING

1930 Hanpoen Lane #'215

Salem, oregoo 97305 (503 ) 362-9249

W. L. Thomas, f nc.

P.O. Box 8 Albany, Oregon 97321

(503) 928-5383

J

CLIENT: /7,.

AIR SAMPLE REPORT

1- r I r '1 ; , r I I , ,r , ._ ( ;±:~· JOB NO. : ( / 3 - /// C

LOCATION : ~:'.....J..1 _ _ _,_,~)~I_/..;...,, .;_, '-' ..... / ___,/_ •_',_-_/_ PROJECT: ( /' /"/ I c ,. / I

SAMPLE ID NO 1-J- /)- J /-'- I

DATE SAMPLE / - / ',·-( -? /, -1 (), - </ 3

WORKER NAME -

IF PERSONAL I ' I - I I ~ C:...-f.J

S.S . NO.

t/,t<.l //- j( s- I J J , 1•/t,'J

LOCATION /jt'1 s.r.n1("1,,1 OF SAMPLE ;,v

;i A..../.

·f--

WORK BEING ;1l•( r 15 « 'r (- /11 u i'' d c,, cf

PERFORMED '-

RESPIRATOR A- A-.Q.ODE;

PUMP ] O. I Jf } ( ('r)r,,>

I

TIME STARTED I(,,, I ~u I I

//;) < -I/, c.; <-., TIME ENI)ED ·- - --TOTAL

0--<, ~· ,/{./ MINUTES /)1 I /!._) /)

FLOW RATE Jr 1-START LPM LPM LPM LPfl

FLOW RATE /(' (__

END LPM LPM . LPM LPM

AVERAGE

FLOW RATE LPM LPM LPM LP~

VOLUME L L L I

!"l BERS/CC ·--- .. .

SAMPLE CODES: P-PERSONAL, AP-PRE-ABATEMENT , AD-AREA DURING ABATEMENT, C-CLEARANCE , NAE-NEGATIVE AIR EXHAUST, GBP-GLOVEBAG PERSONAL, GBA-GLOVEBAG AREA

EL-EXCURSION LIMIT

RESPIRATOR CODES: A-NEGATIVE PRESSURE HALF-FACE, B-NEGATIVE PRESSURE FULL FACE,

C-PAPR, D-SUPPLIED AIR

BLANKS - MINIMUM 2 BLANKS

SAMPLED BY - SIGNATURE

WHITE - OFFICE YELLOW - LAB PINK - JOB BOOK

i

P.O. Box 8 Albany, Oregon 97321

(503) 928-5383

DAILY JOB SIGN-IN/SIGN-OUT

AND VISITOR'S LOG

PROJ ECT : [ 1¢ f? <jk .'< A?u. .f.lwv fc,N kJ -f-CLI ENT: fj)ep i- o- rf C(. 'f ff.,/ C ~ (./q tf 'fl

JOB NO.: aq 3 - kl <f a LOCATION : 7711~&- ft, 5 id /6 9 L

SUPER INTENDENT : U,) jit?:Jn <?.£ /? ,, DATE : /Q - / Y - T (

ALL PERSONS ENTERING AND LEAVING WORK AREA MUST SIGN IN AND SIGN OUT EVERY TIME!!!

EMPLOYEES - SIGN NAME CLEARLY

VI SITORS/ INSPECTORS , ETC . - SIGN NAME CLEARLY AND PRI NT NAME OF EMPLOYEER

COPIES OF ALL LOGS ARE TO BE PLACED IN PROJECT FILE

S.S. NO. EMPLOYER TIME IN

/ () ,'0 s

P.O. Box 8 Albany, Oregon 97321

(503) 928-5383

PROJECT: 1/#J/(/1;4 /o~tt,/ JOB NO.: t}ff'-//f 0

DAILY PROJECT LOG

SUPERINTENDENT: {,& 2 ~ <2b< S V7

CLIENT :~ rf- 0J. t:v-71l1'c t J (H{.-€

LOCATION:1/'1/&/l ~' 5 Fi (CJ Y '2_

DATE: fl- /f, 7' j

//./£~ (}Jfl eS5'ui(.e /f~f./L_(!;_ ta-_57$~·------------

SUPERI NTENDENT'S SIGNATURE:

P.O. Box 8 Albany, Oregon 97321

(503) 928-5383

GLOVE BAG CHECKLIST

PROJECT:

JOB NO.:

CLIENTVVC I o I c:;;_7 ,L ·c'< /bt;c_p LOCATION: ud f2 5 . .):I- Jo 9 <._ ---

SUPERINTENDENT: U ) lh{lLrz{? ,5 5 1( DATE: I 0 - ft'_-_c;~) ____ _

WORK

1.

2.

3.

4.

5.

6.

AREA:

Work area isolated?

All openings sealed t o work area?

Warning signs at all access points?

Are people in area adjacent to work area?

Is glove bag work done on hot structure?

Number of workers in area?

PERSONAL PROTECTION EQUIPMENT:

7. NIOSH approved respirators?

8. Disposable coveralls?

9. Head cover i ng?

10 . Rubbe r boots or foot cove ring?

11. Equipment worn properly?

HYGIENE:

12. Are decon fac il it i es required?

TYPE

(If decon fac i lities ar e required nole hygiene practices on back of checkli s t}

13 . Are coveralls disposed of properly?

WORK

14.

15.

16.

17.

18 .

19 .

20 .

21.

22 .

23.

24 .

25.

26 .

PRACTICES:

Are wet methods employed?

EPA wetting agent used?

Are HEPA fi l ter vacuums used?

Disposal bags properly labeled?

Protective c l othi ng worn at all t imes?

Respirators worn at all times?

Eating , drinking, or smoking not al l owed in work area?

Al l l adders , scaffold and platforms to OSHA?

Ground fault i nterrupters used?

Hose, cords and light cords taped down?

Visual inspection of work area done regularly?

First a id kit on job site?

Al l paperwork filled out?

INSPECTED BY : /~ l/azud!../ ~ /(

P.O. Box 8 Albany, Oregon 97321

(503) 928-5383

DAILY JOB SIGN-IN/SI GN-OUT

AND VISITOR'S LOG

PROJECT : Ump Qr<- t &:-c licJA~.J '*-~ctr:r.ENr:{112r a f e... crl2 v'c lc.t fu1t v::<

JOB NO . : Q y Q - J / CfQ LOCATION :J//.,/Z. Q?, 5 ¥ /6.$-0

SUPERINTENDENT : lLl fk.cnn '4 )' Sf?, DATE: j(} - / 7 - Z 3

ALL PERSONS ENTERING AND LEAVING WORK AREA MUST SIGN IN AND SIGN OUT EVERY TIME!! !

EMPLOYEES - SIGN NAME CLEARLY

VISITORS/INSPECTORS, ETC. - SIGN NAME CLEARLY AND PRINT NAME OF EMPLOYEER

COPIES OF ALL LOGS ARE TO BE PLACED IN PROJECT FILE

S. S. NO. EMPLOYER TIME IN

;;;r:~ {,<,~ /u ,· 3 cJ

P.O. Box 8 Albany, Oregon 97321 (503} 928·5383

DAILY PROJECT LOG

PROJECT :~// £lJA h~ed

JOB NO. : ~f_5 - // f tJ

CLIENT: @c;a f. CJ .(}. ~ 4 ,·r-C:.fu £-P.

LOCATION :;t:d'1£ es .,¥. lo 'CO suPERINTENDENT: cJ I~ ta :> st?.

-fiZe M Cu 2-1' cf C /o itd- US c J AJ ! A/~ 7 f-.1...::ctl=--"'e-"S'"""S"'--CL...;;;;...:..;;/2:.....=e....,,< _ _____ _

-c;-1~ e 6 C< T ; tV 5 & _t_(_c J __,AL_~,__...,;:C,.-<...)=---~4;.i...<b:...t.-0'--'N'-=---------- ~.5& £ -k. CS U-t' (!,re /Ud'..1 'o..J C f_o lf{_--:...· - ---------

SUPERINTENDENT ' S SIGNATURE : ~

W. L . Tl1omas, Inc.

P.O. Box 8 Albany, Oregon 97321

(503) 928-5383

PROJECT:

JOB NO.:

GLOVE BAG CHECKLIST

DATE: /v -17'~_-___...'f'_.('---------

WORK

1.

2.

3.

4 .

5 .

6.

AREA:

Work area isolated?

All openings sealed to work a rea?

Warning signs at all access points?

Are people in area adjacent to work area?

Is glove bag work done on hot structure?

Number of workers i n area?

PERSONAL PROTECTION EQUIPMENT:

7. NIOSH approved respirators?

8. Disposable cove ralls?

9 . Head cover ing?

10. Rubber boots or foot covering?

11. Equipmenl worn properly?

HYGIENE:

12. Are decon faci liti es r equired?

TYPE

(If decon facil iti es are requ i red note hygiene practices on back of checkl ist )

13. Are coveralls disposed of properly?

WORK PRACTICES:

14. Are wet methods employed?

15 . EPA wetting agent used?

16 . Are HEPA filter vacuums used?

17. Disposal bags properly labeled?

18. Protective clothing worn at all times?

19. Respirators worn at all times?

20. Eating, drinking, or smoking not allowed in work

21. All ladders, scaffold and platforms to OSHA?

22. Ground fault interrupters used?

23 . Hose, cords and light cords taped down?

24. Vi sual inspection of work area done regularly?

25. First aid kit on job site?

26. All paperwork filled out?

INSPECTED BY/~

- ,t.---' -

- t---

L--

_L.-:-

....L..::::--v-area? ?-b v

TIME: /tJf.5cJh

ANALYSIS REPORT

PROJECT : Umpgua Forest OWNER: Department Of Agr·iculture Tiller R.S . #1092 - #093-1190

PAGE: 1 OF 1 CONTRACTOR: W. L. Thomas. Inc.

DATE RECEIVED: October 25, 1993 RECEIVED BY : Robe rt E . Hasting

SA.MPLE NO. P-3 B- 1 B-2

DE SCA I PT ION Terry Christianson BLANK BLANK

S.S.N.

TYPE p WJRK Glove bag PF RF riRMFD

RESPIRATORY

PROTECTION 1 /2 N

DATE 10119193

SAMPLED BY WL Thomas

PUMP NO. 00020

TIME START 08;00

TIME STOP 10:05

TOTAL TIME 125 Min. Min. Min .

FLON START 2.0 LPM LPM LPM

FLON STOP 2 . 0 LPM LPM LP M

AVERAGE FLnN 2.0 LPM LPM LPM

TOTAL VOLUME 250

Fl FIELDS 2 . 51100 1 /100 1 / 1 00

F/ CC <.005

ABBREVIATIONS:~~~~--:---:-~~~~~~~~~~~~..,,.,..,..=--~~~~~~~~~

Type: Respirator: f\CC:

( Al Area Sanplo (1 /2- N) Half Face Negniw Pressur e ( NFD) No Fibe r s Dotoc ted (~) Pre-abatement (1-N) full Face Negi t1w Pressur e (1t1i\ ) Too Co nr<rninai:ed To An alyze

(P) Personal (PAPA) Powered Air Purifying Resp!ra ror ( E) Exc ursion (SA) Supplied Air Co ntinuous Flow (R:) Oeiling (SAPD) Supplied Air Pressure D«nand

(C) Clearance (SCl3A) Self Contained lk'eathing Apparatus (A>) Fl:> st-ate terre nt

8 Hour Time Weighted Average F/CC

Phase Contrast Microscopy (R:M) : NICSH 7400 AnalyUcal llethod Lower Ouant11'1cation Ll.m!t (l.OL): 10 Fibers/100 Fields l!inl.mllTI Detection Limit: 2 Fibers/1 00 Fie lds

October 25. 1993 DATE ~~y~

HASTING CONSULTING

1930 Hanpden Lane 1126

Salem , Oregon 9 7305

(503) 362-9249