Asbestos,_Mold_&_Lead_Based_Paint_Survey_Report_01-26-2017.pdf

ASBESTOS, MOLD, & LEAD-BASED PAINT SURVEY REPORT

Cottonwood and Sage Barracks Mt. Hebron USDA Station

15407 Old State Hwy MacDoel, CA 96508

Prepared for:

Kelly Nolan, PE Facilities Engineer

Forest Service, Klamath National Forest 1711 So. Main Street

Yreka, CA 96097

Prepared by:

Clay Guzi and Steve West

Certified Asbestos Consultant – 05-3900 Lead Inspector/Assessor/Supervisor – 11153

Certified Mold Inspector – 80879

January 26, 2017

Guzi-WesI

Attachment 5

2017-4 Guzi-WesI Mt. Hebron (Cottonwood & Sage Barracks) Page i

TABLE OF CONTENTS

Page

PURPOSE

EXECUTIVE SUMMARY

SURVEY METHODOLOGY

CONCLUSIONS AND RECOMMENDATIONS

APPENDICES

Appendix A Site Maps Appendix B Laboratory Data and Chain-of-Custody Appendix C NESHAP and Cal-OSHA Notification Forms

Mt. Hebron (Cottonwood & Sage Barracks) Page 1

Asbestos, Mold & Lead-Based Paint Survey Report Cottonwood and Sage Barracks

Mt. Hebron USDA Station 15407 Old State Hwy MacDoel, CA 96508

PURPOSE

Guzi-West personnel conducted an asbestos, mold and lead-based paint survey in order to determine the presence or absence of these materials at the Cottonwood and

Sage Barracks, located at 15407 Old State Highway, MacDoel, California. The survey was conducted on behalf of the USDA, whom intends to demolish the Cottonwood

Barracks and perform a significant renovation of the Sage Barracks in the near future.

This document is intended to provide the USDA with appropriate documentation to solicit bids from prospective contractors and make them aware of any hazardous materials present and/or special worker protection requirements. Site maps depicting sample locations are presented in Appendix A; laboratory data is presented in Appendix

B; and, a NESHAP Cal-OSHA notification forms are presented in Appendix C.

EXECUTIVE SUMMARY

According to the National Emission Standard for Hazardous Air Pollutants (NESHAP), asbestos-containing building materials (>1% asbestos) must be removed prior to demolition or renovation activities, if the material is considered to be a Regulated

Asbestos-Containing Material (RACM). RACM is generally defined as all friable asbestos containing material and non-friable material, which contains >1% asbestos, and that will become friable during demolition or renovation. A NESHAP notification is required in two circumstances: 1. For any demolition regardless of the presence or absence of asbestos; NESHAP regulations define a demolition as ‘removing a load-bearing structural member,’ or 2. A renovation that disturbs greater than 160 square feet or 260 linear feet of RACM. Both facilities require a NESHAP notification be submitted; the NESHAP notification is required a minimum of 10 working days prior to the abatement or disturbance of asbestos-containing materials. Tables 1

Mt. Hebron (Cottonwood & Sage Barracks) Page 2 and 2 on page 3 identify the asbestos-containing materials, the EPA classification for abatement and disposal purposes, as well the quantities of the asbestos-containing materials. All materials containing asbestos must be removed (regardless of EPA classification) as part of the project.

Mold air quality sampling was performed in order to ensure no special worker protection requirements would be required to perform the renovation and demolition activities. The air sampling performed determined that no black mold (aka Stachybotrys) is present in either barrack. Although both barracks had higher concentrations of mold spores in their interiors when compared to their exterior, control samples, the concentrations present are not at levels which indicate any significant mold contamination issues and/or spore concentrations that would require special worker protection during renovation and demolition activities. Further, the presence and required abatement of the asbestos-containing materials in both barracks will effectively abate any mold growth issues.

The Environmental Protection Agency (EPA) defines lead-based paint as containing greater than 5,000 parts per million lead, the California Code of Regulations, Title 8, Section 1532.1 defines a lead-containing surface coating as a surface coating containing greater than 600 parts per million lead. In the event lead-based paint is identified and greater than 100 square feet will be disturbed, a pre-project notification must be submitted to Cal-OSHA at least 24 hours prior to any disturbance. Both barracks contain lead-based paint and lead-containing surface coatings and at cumulative quantities which require the pre-project notification be submitted to Cal-

OSHA; a copy of a notification form is provided in Appendix C. Lead-based paint was identified in the Sage Barrack in the paint applied to the exterior roof overhang over the back porch, and the exterior facia board; meanwhile, the exterior rafters and interior closet door paint contains concentrations which classify the paint as a lead-containing surface coating. The Cottonwood Barrack has lead-based paint present in the yellow paint striping on the steps to the Barrack; all other exterior paint samples collected

Attachment 5 https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwii8JT31bzQAhXrilQKHRuRDMYQFggbMAA&url=https%3A%2F%2Fwww.dir.ca.gov%2Ftitle8%2F1532_1.html&usg=AFQjCNF-3xqiPPUIqe-V-Js7xPSGoXyRtA&sig2=wOYGoonAeNxVbKDcPeM77g https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0ahUKEwii8JT31bzQAhXrilQKHRuRDMYQFggbMAA&url=https%3A%2F%2Fwww.dir.ca.gov%2Ftitle8%2F1532_1.html&usg=AFQjCNF-3xqiPPUIqe-V-Js7xPSGoXyRtA&sig2=wOYGoonAeNxVbKDcPeM77g

Mt. Hebron (Cottonwood & Sage Barracks) Page 3 contain concentrations of lead which classify the paint as lead-containing surface coatings. Table 3 on page 4 provides approximate quantities of lead-based paint; all painted surfaces on the interior and exterior of both barracks should be considered as a lead-containing surface coating at minimum. Due to the presence of lead paint representing such a small percentage of the waste stream as a whole, prospective contractors should bid the project with lead paint along with other commingled non-asbestos waste being classified as general construction debris.

TTLC analyses of the waste streams are currently being conducted with the high probability of the waste being considered general construction debris;

contractors will be notified via an addendum should the presence of lead cause the non-asbestos waste stream to be classified as something other than general construction debris. Prospective contractors will be required to provide proof of training under the EPA’s Renovation, Repair, and Painting Rule as an EPA Certified Renovator due to the presence of the lead-based paint and lead-containing surface coatings. . The rule specifically requires each firm to be certified, to have at least one certified renovator, and for the remainder of employees involved in renovation activities to either also be certified renovators or be trained on the job by a certified renovator.

Table 1 – Cottonwood Barrack’s Asbestos-Containing Materials

Material Asbestos Concentrations (Chrysotile only type)

EPA Category Total Quantity (Square Feet – SF)

Wallboard texturing 3% RACM 13,000 SF Joint compound/sheetrock 2-3% Category II

Non-Friable Included in the quantity above

Transite panels, exterior 20% Category II Non-Friable

1,500 SF

Grey sheet vinyl flooring, located beneath non-detect tan sheet vinyl

70% RACM 180 SF

Table 2 – Sage Barrack’s Asbestos-Containing Materials

Material Asbestos Concentrations EPA Category Total Quantity (Square Feet – SF)

Wallboard texturing 3% Chrysotile RACM 14,500 SF Joint compound/sheetrock 3% Chrysotile Category II Included in the

Mt. Hebron (Cottonwood & Sage Barracks) Page 4

Non-Friable quantity above Transite panels, exterior 20% Chrysotile Category II

Non-Friable

1,500 SF

Insulation, gold in attic <1% Actinolite/Tremolite RACM 3,800 Cubic Feet Table 3 – Sage and Cottonwood Barrack’s Lead-Based Paint

Location Lead Concentration Total Quantity (Square Feet – SF) Cottonwood, yellow paint striping on steps

41,300 ppm 19 SF

Sage, paint on exterior roof overhang of back porch

27,000 ppm 185 SF

Sage, paint on exterior facia boards

38,900 ppm Included immediately above

SURVEY METHODOLOGY

Guzi-West certified personnel collected suspected asbestos-containing building materials, mold air quality samples, as well as and chip samples at the subject structures on January 13, 2017. Following collection of the samples, the samples were double bagged and then sent via overnight delivery to Quantem Laboratory, LLC, under chain-of-custody, for identification of asbestos, mold, and lead content. Each suspect asbestos-containing material (ACM) identified, was bulk sampled in general accordance with sampling guidelines established by the Environmental Protection Agency and 29

CFR 1926.1101. In accordance with mold air sampling industry standards, an outdoor, control sample was collected at the same time as the interior samples were being collected at each barrack. All sample pumping rates were set at 15 liters per minute

(lpm); the outdoor sample was collected over a ten minute interval; and, the indoor sample was collected over a five minute interval. Meanwhile, the paint chip samples were collected in general accordance with the guidelines established by the California

Department of Public Health (CDPH). The following summarizes the sampling procedures utilized.

• Samples were collected by qualified Guzi-West personnel using appropriate sampling tools and leak-tight containers.

• Decontamination of bulk sampling tools was used to prevent the spread of secondary contamination to subsequent bulk samples.

Mt. Hebron (Cottonwood & Sage Barracks) Page 5

• Each sample was individually numbered, recorded on a Sample Log, and submitted under chain-of-custody to Quantem Laboratory, LLC.

• The locations of lead paint and asbestos samples were marked on site maps for the project, please see Appendix A.

CONCLUSIONS AND RECOMMENDATIONS FOR ASBESTOS, MOLD &

LEAD

As explained in detail in the Executive Summary, asbestos-containing building materials were identified in both barracks. Lead-based paint and lead-containing surface coatings were also identified in both barracks. Notification requirements, quantities, and material classifications are provided in Tables 1-3 of the Executive Summary. No black mold

(Stachybotrys) or excessively high concentrations of mold spores were identified in either barrack, and no special worker protection is required due to the presence of mold spores. Site maps with lead and asbestos sample locations are provided in Appendix

A, all respective laboratory reports are provided in Appendix B, and asbestos and lead-based paint notification forms are provided in Appendix C.

Asbestos and lead regulations are complicated and are subject to change; no federal or state regulations exist governing mold spore concentrations. The intent of the above information is to advise you of some of the regulations that may affect you, but is not intended to be an all-encompassing discussion of asbestos and lead regulations. The sole purpose of this investigation and of this report is to assess the site with respect to asbestos-containing materials, toxic mold spores or high concentrations of mold spores requiring special consideration, and lead-based paint and lead-containing surface coatings. Guzi-West is not responsible for locating asbestos-containing building materials in inaccessible areas such as behind walls, above hard ceilings, beneath flooring, or underground. This report has been prepared on behalf of and for the exclusive use of the USDA’s Klamath Nation Forest Service Station, and is subject to and issued in connection with the agreement and the provisions thereof.

APPENDIX A

Site Maps

APPENDIX B

Laboratory Data and Chain-of-Custody

Date Received: 01/16/2017

Project: Cottonwood/USDA

QuanTEM Lab No. 274959

Analyzed By: Carter Cox

Methodology: EPA/600/R-93/116

Polarized Light Microscopy Asbestos Analysis Report

Project Location: 15407 Old State Hwy

Project Number: Macdoel, CA. 96508

Account Number: B992

Received By: Karen Braley

Date Analyzed: 01/19/2017

QuanTEM

Sample ID

Client

Sample ID Composition

Color /

Description Asbestos (%)

Non-Asbestos

Fiber (%)

Client: Guzi West

19749 Sweet Water Trail

Redding, CA 96003

Non Fibrous

001 401 Layered CaCO3

Paint2Chrysotile

Asbestos Present NA

Joint Compound

White

001a Layered GypsumAsbestos Not Present 15Cellulose

Sheetrock

White

002 402 Homogeneous Perlite

Paint

Asbestos Not Present 90Cellulose

Ceiling Tile

White

003 403 Layered CaCO3

Paint3Chrysotile

Asbestos Present NA

Joint Compound

White

003a Layered GypsumAsbestos Not Present 15Cellulose

Sheetrock

White

004 404 Layered CaCO3

Paint3Chrysotile

Asbestos Present NA

Joint Compound

White

004a Layered GypsumAsbestos Not Present 15Cellulose

Sheetrock

White

QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency of the US Government. This report may not be reproduced except in full, without the written approval of the laboratory.

Unless otherwise noted, upon receipt the condition of the sample was acceptable for analysis.

QuanTEM Lab No. 274959

Analyzed By: Carter Cox

Methodology: EPA/600/R-93/116

Polarized Light Microscopy Asbestos Analysis Report

Project Location: 15407 Old State Hwy

Project Number: Macdoel, CA. 96508

Account Number: B992

Received By: Karen Braley

Date Analyzed: 01/19/2017

QuanTEM

Sample ID

Client

Sample ID Composition

Color /

Description Asbestos (%)

Non-Asbestos

Fiber (%)

Client: Guzi West

19749 Sweet Water Trail

Redding, CA 96003

Non Fibrous

005 405 Layered CaCO3

Paint3Chrysotile

Asbestos Present NA

Joint Compound

White

005a Layered GypsumAsbestos Not Present 15Cellulose

Sheetrock

White

006 406 Layered CaCO3

Vinyl

Asbestos Not Present 20Cellulose

Sheet Vinyl

Tan

006a Layered GlueAsbestos Not Present NA

Mastic

Yellow

007 407 Layered CaCO3

Paint3Chrysotile

Asbestos Present NA

Joint Compound

White

007a Layered GypsumAsbestos Not Present 15Cellulose

Sheetrock

White

QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency of the US Government. This report may not be reproduced except in full, without the written approval of the laboratory.

QuanTEM Lab No. 274959

Analyzed By: Carter Cox

Methodology: EPA/600/R-93/116

Polarized Light Microscopy Asbestos Analysis Report

Project Location: 15407 Old State Hwy

Project Number: Macdoel, CA. 96508

Account Number: B992

Received By: Karen Braley

Date Analyzed: 01/19/2017

QuanTEM

Sample ID

Client

Sample ID Composition

Color /

Description Asbestos (%)

Non-Asbestos

Fiber (%)

Client: Guzi West

19749 Sweet Water Trail

Redding, CA 96003

Non Fibrous

008 408 Layered Vinyl

CaCO3

Asbestos Not Present 20

Cellulose

Glass FiberSheet Vinyl

Tan

008a Layered Glue

CaCO3

Asbestos Not Present NA

Mastic

White

008b Layered Binder

70Chrysotile

Asbestos Present NA

Flooring

Gray

009 409 Homogeneous PaintAsbestos Not Present 90Cellulose

Ceiling Tile

White

010 410 Homogeneous CaCO3

20Chrysotile

Asbestos Present NA

Transite

Gray

011 411 Homogeneous CaCO3

20Chrysotile

Asbestos Present NA

Transite

Gray

012 412 Homogeneous TarAsbestos Not Present 60Cellulose

Tar Paper

Black

QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency of the US Government. This report may not be reproduced except in full, without the written approval of the laboratory.

QuanTEM Lab No. 274959

Analyzed By: Carter Cox

Methodology: EPA/600/R-93/116

Polarized Light Microscopy Asbestos Analysis Report

Project Location: 15407 Old State Hwy

Project Number: Macdoel, CA. 96508

Account Number: B992

Received By: Karen Braley

Date Analyzed: 01/19/2017

QuanTEM

Sample ID

Client

Sample ID Composition

Color /

Description Asbestos (%)

Non-Asbestos

Fiber (%)

Client: Guzi West

19749 Sweet Water Trail

Redding, CA 96003

Non Fibrous

013 413 Homogeneous CaCO3

Paint3Chrysotile

Asbestos Present NA

Texture

White

014 414 Homogeneous CaCO3

Paint3Chrysotile

Asbestos Present NA

Texture

White

015 415 Homogeneous Tar

Quartz

Asbestos Not Present 20Glass Fiber

Shingle

Gray

Date of Report

1/19/2017

Carter W. Cox, Analyst

QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency of the US Government. This report may not be reproduced except in full, without the written approval of the laboratory.

Project: Sage/USDA

QuanTEM Lab No. 274966

Analyzed By: Dee Ammerman

Methodology: EPA/600/R-93/116

Polarized Light Microscopy Asbestos Analysis Report

Project Location: 15407 Old State HWY

Project Number: Macdoel, CA. 96508

Account Number: B992

Received By: Karen Braley

Date Analyzed: 01/19/2017

QuanTEM

Sample ID

Client

Sample ID Composition

Color /

Description Asbestos (%)

Non-Asbestos

Fiber (%)

Client: Guzi West

19749 Sweet Water Trail

Redding, CA 96003

Non Fibrous

001 800 Layered CaCO3

3Chrysotile

Asbestos Present NA

Joint Compound

Tan

001a Layered GypsumAsbestos Not Present 10Cellulose

Sheetrock

White

002 801 Layered CaCO3

Vinyl

Asbestos Not Present 10

Cellulose

SyntheticSheet Vinyl

Tan

002a Layered GlueAsbestos Not Present NA

Mastic

Yellow

003 802 Layered CaCO3

3Chrysotile

Asbestos Present NA

Joint Compound

Tan

003a Layered CaCO3

Gypsum

Asbestos Not Present 10Cellulose

Sheetrock

White

004 803 Homogeneous CaCO3

Paint

Asbestos Not Present NA

Texture

White

QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency of the US Government. This report may not be reproduced except in full, without the written approval of the laboratory.

QuanTEM Lab No. 274966

Analyzed By: Dee Ammerman

Methodology: EPA/600/R-93/116

Polarized Light Microscopy Asbestos Analysis Report

Project Location: 15407 Old State HWY

Project Number: Macdoel, CA. 96508

Account Number: B992

Received By: Karen Braley

Date Analyzed: 01/19/2017

QuanTEM

Sample ID

Client

Sample ID Composition

Color /

Description Asbestos (%)

Non-Asbestos

Fiber (%)

Client: Guzi West

19749 Sweet Water Trail

Redding, CA 96003

Non Fibrous

005 804 Homogeneous CaCO3

Paint3Chrysotile

Asbestos Present NA

Texture

White

006 805 Layered CaCO3

3Chrysotile

Asbestos Present NA

Joint Compound

Tan

006a Layered GypsumAsbestos Not Present 10Cellulose

Sheetrock

White

007 806 Layered CaCO3

3Chrysotile

Asbestos Present NA

Joint Compound

White

007a Layered GypsumAsbestos Not Present 10Cellulose

Sheetrock

White

008 807 Homogeneous CaCO3

Paint3Chrysotile

Asbestos Present NA

Texture

White

QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency of the US Government. This report may not be reproduced except in full, without the written approval of the laboratory.

QuanTEM Lab No. 274966

Analyzed By: Dee Ammerman

Methodology: EPA/600/R-93/116

Polarized Light Microscopy Asbestos Analysis Report

Project Location: 15407 Old State HWY

Project Number: Macdoel, CA. 96508

Account Number: B992

Received By: Karen Braley

Date Analyzed: 01/19/2017

QuanTEM

Sample ID

Client

Sample ID Composition

Color /

Description Asbestos (%)

Non-Asbestos

Fiber (%)

Client: Guzi West

19749 Sweet Water Trail

Redding, CA 96003

Non Fibrous

009 808 Layered CaCO3

Vinyl

Asbestos Not Present 10

Cellulose

SyntheticSheet Vinyl

Tan

009a Layered GlueAsbestos Not Present NA

Mastic

Yellow

010 809 Homogeneous CaCO3

Binder20Chrysotile

Asbestos Present NA

Siding

Gray

011 810 Homogeneous CaCO3

Binder20Chrysotile

Asbestos Present NA

Transite

Gray

012 811 Homogeneous Asbestos Not Present 100Cellulose

Insulation

Brown

013 812 Homogeneous Vermiculite

<1Actinolite/Tremolite

Asbestos Present NA

Insulation

Gold

014 813 Homogeneous Tar

Sand

Asbestos Not Present 20Glass Fiber

Shingle

Green

QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency of the US Government. This report may not be reproduced except in full, without the written approval of the laboratory.

QuanTEM Lab No. 274966

Analyzed By: Dee Ammerman

Methodology: EPA/600/R-93/116

Polarized Light Microscopy Asbestos Analysis Report

Project Location: 15407 Old State HWY

Project Number: Macdoel, CA. 96508

Account Number: B992

Received By: Karen Braley

Date Analyzed: 01/19/2017

QuanTEM

Sample ID

Client

Sample ID Composition

Color /

Description Asbestos (%)

Non-Asbestos

Fiber (%)

Client: Guzi West

19749 Sweet Water Trail

Redding, CA 96003

Non Fibrous

015 814 Homogeneous 30Asbestos Not Present 70Cellulose

Tar Paper

Black

016 815 Homogeneous TarAsbestos Not Present 80Cellulose

Tar Paper

Black

Date of Report

1/19/2017

Dee Ammerman, Analyst

QuanTEM is a NVLAP accredited PLM laboratory (Lab Code: 101959-0). This report relates only to the specific items tested. NVLAP accreditation applies only to analysis performed utilizing EPA/600/M4-82-020 and EPA/600/R-93/116 methods. This report may not be used to claim product endorsement by NVLAP or any agency of the US Government. This report may not be reproduced except in full, without the written approval of the laboratory.

Microbiology Analytical Report (Results)

Project: Cottonwood / USDA

QuanTEM Lab ID: 274968

Analyzed By: Heather Stinnett

Methodology: Spore Trap, Quantitative NonCulturable, MM001

Location: 15407 Old State Hwy

Project No: Macodel CA 96508

Account Number: B992

Received By: Peyton Awbrey

Date Analyzed: 01/19/2017

Client: Guzi West

19749 Sweet Water Trail

Redding, CA 96003

AIHA ID Number: 101352

Results

Counts/m³

Results

Counts/m³

Results

Counts/m³

274968-001 274968-002 274968-003QuanTEM Sample ID

301 302 303Client Sample ID

75 75 150Volume (L)

13 13 7Detection Limit

13Alternaria

160 240 53Ascospores

120 73Aspergillus/Penicillium Group

160 107Basidiospores

107 93 7Cladosporium

147 147 7Hyphal Fragments

7Mildew

600 520Periconia/Myxomycetes/Smuts

13Pithomyces/Ulocladium

13 13 7Pollen

1333 1120 154Total Results (Counts/m³)

20 20 3Percent Coverage (%)

Comments

Page 1 of 301/19/2017

Microbiology Analytical Report (Counts)

Project: Cottonwood / USDA

QuanTEM Lab ID: 274968

Analyzed By: Heather Stinnett

Methodology: Spore Trap, Quantitative NonCulturable, MM001

Location: 15407 Old State Hwy

Project No: Macodel CA 96508

Account Number: B992

Received By: Peyton Awbrey

Date Analyzed: 01/19/2017

Client: Guzi West

19749 Sweet Water Trail

Redding, CA 96003

AIHA ID Number: 101352

Counts Counts Counts

274968-001 274968-002 274968-003QuanTEM Sample ID

301 302 303Client Sample ID

75 75 150Volume (L)

1Alternaria

12 18 8Ascospores

9 11Aspergillus/Penicillium Group

12 8Basidiospores

8 7 1Cladosporium

11 11 1Hyphal Fragments

1Mildew

45 39Periconia/Myxomycetes/Smuts

1Pithomyces/Ulocladium

1 1 1Pollen

Page 2 of 301/19/2017

Approved:

Heather Stinnett, Analyst

Microbiology Analytical Report (Signature Page)

Unless otherwise noted, upon receipt the condition of the sample was acceptable for analysis.

Percent coverage = amount of particulate matter. With 25-50% coverage, results may be underestimated; with 50-70% coverage, results will be underestimated; with >70% coverage, slides are designated overloaded (too dirty to count).

The results taken from your home, building, etc. cannot be interpreted without physical inspection of the contaminated area or without considering the building’s characteristics and the factors that led to the present condition. Interpretation of results is the responsibility of the company or individual who conducted the investigation.

This report shall not be reproduced except in full, without the written approval of the laboratory.

This report may not be used to claim endorsement by AIHA or any other agency of the U.S. Government.

Date Received: 01/16/2017

Project: Cottonwood / USDA

QuanTEM Lab ID: 274968

Analyzed By: Heather Stinnett

Methodology: Spore Trap, Quantitative NonCulturable, MM001

Location: 15407 Old State Hwy

Project No: Macodel CA 96508

Account Number: B992

Received By: Peyton Awbrey

Date Analyzed: 01/19/2017

Client: Guzi West

19749 Sweet Water Trail

Redding, CA 96003

AIHA ID Number: 101352

Page 3 of 301/19/2017

Microbiology Analytical Report (Results)

Project: Sage / USDA

QuanTEM Lab ID: 274967

Analyzed By: Heather Stinnett

Methodology: Spore Trap, Quantitative NonCulturable, MM001

Location: 15407 Old State Hwy Macodel CA 96508

Project No: N/A

Account Number: B992

Received By: Peyton Awbrey

Date Analyzed: 01/19/2017

Client: Guzi West

19749 Sweet Water Trail

Redding, CA 96003

AIHA ID Number: 101352

Results

Counts/m³

Results

Counts/m³

Results

Counts/m³

274967-001 274967-002 274967-003QuanTEM Sample ID

101 102 103Client Sample ID

75 75 150Volume (L)

13 13 7Detection Limit

13Algae

7Alternaria

53 240 87Ascospores

53 73Aspergillus/Penicillium Group

13 187 7Basidiospores

347 280 20Cladosporium

13Curvularia

80 147Hyphal Fragments

200 413 7Periconia/Myxomycetes/Smuts

13Pithomyces/Ulocladium

13 13Pollen

772 1306 201Total Results (Counts/m³)

10 10 3Percent Coverage (%)

Comments

Page 1 of 301/19/2017

Microbiology Analytical Report (Counts)

Project: Sage/ USDA

QuanTEM Lab ID: 274967

Analyzed By: Heather Stinnett

Methodology: Spore Trap, Quantitative NonCulturable, MM001

Location: 15407 Old State Hwy Macodel CA 96508

Project No: N/A

Account Number: B992

Received By: Peyton Awbrey

Date Analyzed: 01/19/2017

Client: Guzi West

19749 Sweet Water Trail

Redding, CA 96003

AIHA ID Number: 101352

Counts Counts Counts

274967-001 274967-002 274967-003QuanTEM Sample ID

101 102 103Client Sample ID

75 75 150Volume (L)

1Algae

1Alternaria

4 18 13Ascospores

4 11Aspergillus/Penicillium Group

1 14 1Basidiospores

26 21 3Cladosporium

1Curvularia

6 11Hyphal Fragments

15 31 1Periconia/Myxomycetes/Smuts

1Pithomyces/Ulocladium

1 1Pollen

Page 2 of 301/19/2017

Approved:

Heather Stinnett, Analyst

Microbiology Analytical Report (Signature Page)

Unless otherwise noted, upon receipt the condition of the sample was acceptable for analysis.

(Percent coverage = amount of particulate matter. With 25-50% coverage, results may be underestimated; with 50-70% coverage, results will be underestimated; with >70% coverage, slides are designated overloaded (too dirty to count).

The results taken from your home, building, etc. cannot be interpreted without physical inspection of the contaminated area or without considering the building’s characteristics and the factors that led to the present condition. Interpretation of results is the responsibility of the company or individual who conducted the investigation.

This report shall not be reproduced except in full, without the written approval of the laboratory.

This report may not be used to claim endorsement by AIHA or any other agency of the U.S. Government.

Date Received: 01/16/2017

Project: Sage / USDA

QuanTEM Lab ID: 274967

Analyzed By: Heather Stinnett

Methodology: Spore Trap, Quantitative NonCulturable, MM001

Location: 15407 Old State Hwy Macodel CA 96508

Project No: N/A

Account Number: B992

Received By: Peyton Awbrey

Date Analyzed: 01/19/2017

Client: Guzi West

19749 Sweet Water Trail

Redding, CA 96003

AIHA ID Number: 101352

Page 3 of 301/19/2017

Acct. No.:

Project: Cottonwood / USDA

Location:

Project No.:

QuanTEM Set ID: 274964

Date Received: 01/16/17

Received By: Peyton Awbrey

Date Sampled:

Time Sampled:

Date of Report: 01/18/17

B992

15407 Old State Hwy

Macdoel CA 96508

Matrix Parameter Results Units MethodClient ID

QuanTEM

ID

Reporting

Limits

Date/Time

Analyzed

Environmental Chemistry Analysis Report

Client: Guzi West

19749 Sweet Water Trail

Redding, CA 96003

Analyst: CR

AIHA ID: 101352

Lead 41,300 48.9 ppm 01/18/17 11:36 P EPA 7000B (1)Paint501001

Lead 911 49.8 ppm 01/18/17 11:36 P EPA 7000B (1)Paint502002

Lead 4,430 49.8 ppm 01/18/17 11:36 P EPA 7000B (1)Paint503003

Lead 2,840 49 ppm 01/18/17 11:36 P EPA 7000B (1)Paint504004

Lead 4,110 49.8 ppm 01/18/17 11:36 P EPA 7000B (1)Paint505005

Lead <48.8 48.8 ppm 01/18/17 11:36 P EPA 7000B (1)Paint506006

Lead 2,530 49.9 ppm 01/18/17 11:36 P EPA 7000B (1)Paint507007

Lead 22.3 9 ug/sq. Ft. 01/17/17 14:26 W NIOSH 9100Wipe508008

Authorized Signature:_______________________________________________

Cherry Rossen, Technical Manager

Note: Sample results have not been corrected for blank values.

This report applies only to the standards or procedures indicated and to the specific samples tested. It is not indicative of the qualities of apparently identical or similar products or procedures, nor does it represent an ongoing assurance program unless so noted. These reports are for the exclusive use of the client and are not to be reproduced without specific written permission. QuanTEM is not responsible for user-supplied data used in calculations.

Unless otherwise noted, upon receipt the condition of the sample was acceptable for analysis.

Wipe materials must meet ASTM E1792 criteria. Method detection limits and resultant reporting limits may not be valid for non-ASTM E1792 wipe material.

EPA Method 7000B (1) = EPA 600/R-93/200 Preparation Modified. EPA 7000B Analysis Modified

EPA Method 7082 (2) = EPA 600/R-93/200 Preparation Modified. EPA 7082 Analysis Modified

Supplemental Report

QAQC Results

QA ID: 14907 Date: 1/17/2017

Test: Lead

Notes:

Matrix: Wipe Approved By: Cherry Rossen

Date Approved: 1/17/2017

Blank Data:

Duplicate Data:

Recovery Data:

Standards Data:

Lab Number: 274964

Type of Blank Blank Value

0FCB

0ICB

0Matrix Blank

Sample Number Result Spike Level Result +

Spike

Dup. Result +

Spike

% Spike RPD% Recovery % Dup.

Recovery

2.402 2.6320.000 2.334109.6 97.2 12.0MS-W1

Standard Low Limit Obtained High Limit

4.5 5.55.1CCV

4.5 5.55.1FCV

0.9 1.11ICV

0.144 0.2160.162RLVS

Authorized Signature:_______________________________________________

Cherry Rossen, Technical Manager

QA ID: 14909 Date: 1/18/2017

Test: Lead

Notes:

Matrix: Paint Approved By: Cherry Rossen

Date Approved: 1/18/2017

Blank Data:

Duplicate Data:

Recovery Data:

Standards Data:

Lab Number: 274964

Type of Blank Blank Value

0FCB

0ICB

0Matrix Blank

Sample Number Result Duplicate % RPD

48.60155.258 12.8274963-005

Sample Number Result Spike Level Result +

Spike

Dup. Result +

Spike

% Spike RPD% Recovery % Dup.

Recovery

1.992 2.1400.000 2.176107.4 109.3 1.7LCS-P1

Standard Low Limit Obtained High Limit

4.5 5.55.2CCV

4.5 5.55.1FCV

0.9 1.11ICV

0.08 0.120.11RLVS

Authorized Signature:_______________________________________________

Acct. No.:

Project: Sage / USDA

Location:

Project No.:

QuanTEM Set ID: 274963

Date Received: 01/16/17

Received By: Peyton Awbrey

Date Sampled:

Time Sampled:

Date of Report: 01/18/17

B992

15407 Old State Hwy

Macdoel CA 96508

Matrix Parameter Results Units MethodClient ID

QuanTEM

ID

Reporting

Limits

Date/Time

Analyzed

Environmental Chemistry Analysis Report

Client: Guzi West

19749 Sweet Water Trail

Redding, CA 96003

Analyst: CR

AIHA ID: 101352

Lead 60.6 49.9 ppm 01/18/17 11:36 P EPA 7000B (1)Paint901001

Lead <49.2 49.2 ppm 01/18/17 11:36 P EPA 7000B (1)Paint902002

Lead <49.6 49.6 ppm 01/18/17 11:36 P EPA 7000B (1)Paint903003

Lead 1,730 48.8 ppm 01/18/17 11:36 P EPA 7000B (1)Paint904004

Lead 27,000 48.8 ppm 01/18/17 11:36 P EPA 7000B (1)Paint905005

Lead 38,900 50 ppm 01/18/17 11:36 P EPA 7000B (1)Paint906006

Lead 1,390 49.7 ppm 01/18/17 11:36 P EPA 7000B (1)Paint907007

Lead 9.3 9 ug/sq. Ft. 01/17/17 14:26 W NIOSH 9100Wipe908008

Authorized Signature:_______________________________________________

Cherry Rossen, Technical Manager

Note: Sample results have not been corrected for blank values.

This report applies only to the standards or procedures indicated and to the specific samples tested. It is not indicative of the qualities of apparently identical or similar products or procedures, nor does it represent an ongoing assurance program unless so noted. These reports are for the exclusive use of the client and are not to be reproduced without specific written permission. QuanTEM is not responsible for user-supplied data used in calculations.

Unless otherwise noted, upon receipt the condition of the sample was acceptable for analysis.

Wipe materials must meet ASTM E1792 criteria. Method detection limits and resultant reporting limits may not be valid for non-ASTM E1792 wipe material.

EPA Method 7000B (1) = EPA 600/R-93/200 Preparation Modified. EPA 7000B Analysis Modified

EPA Method 7082 (2) = EPA 600/R-93/200 Preparation Modified. EPA 7082 Analysis Modified

QA ID: 14906 Date: 1/17/2017

Test: Lead

Notes:

Matrix: Paint Approved By: Cherry Rossen

Date Approved: 1/17/2017

Blank Data:

Duplicate Data:

Recovery Data:

Standards Data:

Lab Number: 274963

Type of Blank Blank Value

0FCB

0ICB

0Matrix Blank

Sample Number Result Duplicate % RPD

0.0680.072 5.2275004-003

Sample Number Result Spike Level Result +

Spike

Dup. Result +

Spike

% Spike RPD% Recovery % Dup.

Recovery

1.983 2.1030.000 2.111106.0 106.5 0.4LCS-P1

2.000 2.3520.072 114.0275004-003

Standard Low Limit Obtained High Limit

4.5 5.55.1CCV

4.5 5.55.1FCV

0.9 1.11ICV

0.08 0.120.11RLVS

Authorized Signature:_______________________________________________

QA ID: 14909 Date: 1/18/2017

Test: Lead

Notes:

Matrix: Paint Approved By: Cherry Rossen

Date Approved: 1/18/2017

Blank Data:

Duplicate Data:

Recovery Data:

Standards Data:

Lab Number: 274963

Type of Blank Blank Value

0FCB

0ICB

0Matrix Blank

Sample Number Result Duplicate % RPD

48.60155.258 12.8274963-005

Sample Number Result Spike Level Result +

Spike

Dup. Result +

Spike

% Spike RPD% Recovery % Dup.

Recovery

1.992 2.1400.000 2.176107.4 109.3 1.7LCS-P1

Standard Low Limit Obtained High Limit

4.5 5.55.2CCV

4.5 5.55.1FCV

0.9 1.11ICV

0.08 0.120.11RLVS

Authorized Signature:_______________________________________________

APPENDIX C

Notification Forms

EPA ASBESTOS NESHAP REQUIREMENTS

The National Emissions Standards for Hazardous Air Pollutants (NESHAP) regulates asbestos under Section 112 of the Clean Air Act (CAA) .

Under 40 CFR Part 61, owners of buildings and/or their contractors are required to notify applicable State and local agencies and/or EPA Regional Offices prior to all demolitions, or before renovations of Afacilities@ where asbestos material will be disturbed. In addition, the Asbestos NESHAP requires special removal, handling, and disposal practices to be followed during demolitions and renovations of all facilities. Regulated facilities are institutional, commercial, public industrial or residential structures, installations or buildings containing condominiums, or individual dwelling units operated as residential cooperatives, but excluding residential buildings having four or fewer dwelling units); ships; or active or inactive waste disposal sites.

Notifications must contain the information indicated on the attached EPA Notification Form, postmarked at least ten working days prior to the start of any demolition (including demolitions of facilities where no asbestos is present) or renovation activity that will disturb asbestos, and mailed to:

Regional Asbestos Coordinator (mail original) U.S. EPA Region IX Enforcement Section (A-3-3) Asbestos NESHAP Notification (Air 5) 75 Hawthorne Street San Francisco CA 94105

Provide, Mail or Fax copies of EPA Notification Form:

California Air Resources Board (fax copy)

Enforcement Division Asbestos NESHAP Notification Post Office Box 2815 Sacramento, California 95812 Fax: (916) 445-7986

CAL/OSHA (fax copy) 381 Hemstead Drive Redding CA 96002 Phone: 530-224-4743 Fax: 530-224-4747

Siskiyou County Air Pollution (fax copy) Agriculture Department 525 South Foothill Drive Yreka CA 96097 530-841-4029 and 530-841-4031

Siskiyou County Health Department (fax copy) 806 South Main Street Yreka CA 96097 530-841-2100

Siskiyou County Building Department 806 South Main Street Yreka CA 96097 530-841-2100

PROJECTS REQUIRING NOTIFICATIONS

Siskiyou Co Feb 13, 2009 Asbestos Demo/ Renovation Declaration Pg. 2 of 9

ASBESTOS NESHAP NOTIFICATION OF DEMOLITION AND RENOVATION

OPERATOR PROJECT # POSTMARK DATE RECEIVED NOTIFICATION #

I. TYPE OF NOTIFICATION ( O - ORIGINAL C- CANCELLED ) (R - REVISION -- WRITE REVISION #? ) II. FACILITY INFORMATION (IDENTIFY OWNER, REMOVAL CONTRACTOR, AND OTHER OPERATOR)

OWNER NAME:

ADDRESS:

CITY: County: State: ZIP:

CONTACT: Telephone:

ASBESTOS REMOVAL CONTRACTOR:

ADDRESS:

CITY: State: Zip:

CONTACT: Telephone: Title:

DEMOLITION CONTRACTOR:

ADDRESS:

CITY: State: ZIP

CONTACT: Telephone: Title:

III. TYPE OF OPERATION: (D-DEMO O-ORDERED DEMO R-RENOVATION E-EMERGENCY RENOVATION):

IV. IS ASBESTOS PRESENT? ( YES / NO ) List Type of Asbestos Material (s) to be Removed:

V. FACILITY DESCRIPTION (INCLUDE BUILDING NAME, NUMBER AND FLOOR OR ROOM NUMBER)

BUDG NAME:

ADDRESS:

CITY: County: State: ZIP:

SITE LOCATION:

BUILDING SIZE: Number of floors: Age in years:

PRESENT USE: PRIOR USE:

VI. PROCEDURE, INCLUDING ANALYTICAL METHOD, IF APPROPRIATE, USED TO DETECT THE PRESENCE OF ASBESTOS

MATERIAL:

VII. APPROXIMATE AMOUNT OF

ASBESTOS, INCLUDING:

1. REGULATED ACM TO BE REMOVED

2. CATEGORY I ACM NOT REMOVED

3. CATEGORY II ACM NOT REMOVED

RACM TO

BE REMOVED

NONFRIABLE ASBESTOS

MATERIAL

TO BE REMOVED

NONFRIABLE ASBESTOS

MATERIAL

NOT TO BE BEREMOVED

CAT I CAT II CAT I CAT I I

PIPES: (Linear Feet )

SURFACE AREA (Square Feet )

VOL. RACM OFF FACILITY COMPONENT (Cubic Feet )

VIII. SCHEDULED DATES DEMO/RENOVATION (MM/DD/YY) Start: Complete:

IX. SCHEDULED DATES ASBESTOS REMOVAL (MM/DD/YY) Start: Complete:

Weekdays Work Hours:_________________ Weekend Work Hours:______________________

Siskiyou Co Feb 13, 2009 Asbestos Demo/ Renovation Declaration Pg. 8 of 9

Siskiyou Co Feb 13, 2009 Asbestos Demo/ Renovation Declaration Pg. 9 of 9

x. DESCRIPTION OF PLANNED DEMOLITION OR RENOVATION WORK, AND METHOD(S) TO BE USED:

XI. DESCRIPTION OF WORK PRACTICES AND ENGINEERING CONTROLS TO BE USED TO PREVENT EMISSIONS OF ASBESTOS AT

THE DEMOLITION AND RENOVATION SITE.

XII. WASTE TRANSPORTER #1

ADDRESS:

CITY: STATE ZIP

CONTACT PERSON: TELEPHONE:

XIII. WASTE DISPOSAL SITE:

NAME:

LOCATION:

CITY: STATE ZIP

TELEPHONE:

XIV. IF DEMOLITION ORDERED BY A GOVERNMENT AGENCY, PLEASE IDENTIFY THE AGENCY BELOW:

NAME: TITLE:

AUTHORITY:

DATE OF ORDER (MM/DD/YY) DATE ORDERED TO BEGIN: (MM/DD/YY)

XV. FOR EMERGENCY RENOVATIONS

a) DATE AND HOUR OF EMERGENCY: (MM/DD/YY)

b) DESCRIPTION OF THE SUDDEN, UNEXPECTED EVENT:

c) EXPLANATION OF HOW THE EVENT CAUSED UNSAFE CONDITIONS OR WOULD CAUSE EQUIPMENT DAMAGE OR AN

UNREASONABLE FINANCIAL BURDEN:

XVI. DESCRIPTION OF PROCEDURES TO BE FOLLOWED IN THE EVENT THAT UNEXPECTED ASBESTOS IS FOUND OR PREVIOUSELY NONFRIABLE ASBESTOS MATERIAL BECOMES CRUMBLED, PULVERIZED, OR REDUCED TO POWDER.

XVII. I CERTIFY THAT AN INDIVIDUAL TRAINED IN THE PROVISIONS OF THIS REGULATION (40 CFR PART 61, SUBPART M) WILL BE ON-SITE DURING THE DEMOLITION OR RENOVATION AND EVIDENCE THAT THE REQUIRED TRAINING HAS BEEN ACCOMPLISHED BY THIS PERSON WILL BE AVAILABLE FOR INSPECTION DURING NORMAL BUSINESS HOURS ( REQUIRED 1

YEAR AFTER PROMULGATION)

(SIGNATURE OF OWNER/OPERATOR) (DATE)

XVIII. I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT.

(SIGNATURE OF OWNER/OPERATOR) (DATE)