Attachment 6 - HAFB Environmental Analysis.pdf

SIGNATURE:

PREPARED BY: Casey Devlin (ASB#-6734, PB#-2550)

DEMOLISH FACILITY

ORGANIZATION:

REQUESTED:

10960380

JAMES MORRIS

THE QUANTITIES WITHIN THIS REPORT ARE ESTIMATES AND SHOULD

NOT BE USED FOR BIDDING PURPOSES

75 CEG

FACILITY CONSTRUCTION DATE:

DEPARTMENT OF THE AIR FORCE

75TH CIVIL ENGINEERING (CEOHA)

HILL AIR FORCE BASE, UTAH

LEAD BASED PAINT

ASBESTOS

INSPECTION REPORT

Utah Certified State Inspector: Taylor Brimberry

(ASB#-6727: Expires-17 September 2022, PB#-2546: Expires-6 Nov. 2022)

INSPECTION DATE: 07 February 2022

Reference UDAQ R307-807-6

WORK TASK/CAPITAL PROJECT #:

FACILITY:

REQUESTER:

31 January 2022

(This inspection is valid for three years from the inspection date regardless of Exp. Date of inspector cert. If past this date, a visual or additional assessment will then be required)

ASBESTOS

Assumed to

Contain

Asbestos

Assumed to

Contain

Asbestos

Assumed to

Contain

Asbestos

Assumed to

Contain

Asbestos

Assumed to

Contain

Asbestos

Assumed to

Contain

Asbestos

Assumed to

Contain

Asbestos

Assumed to

Contain

Asbestos

Throughout Building

Carpet Over 9" Floor

Tile Over Adhesive, Black

Non-Friable Category I 12,585 Throughout Building

Carpet Over 12"

Floor Tile Over

Adhesive, Black

Non-Friable Category I 1,490 Square

Feet Throughout Building

12" Floor Tile Over

Adhesive, Black Non-Friable Category I

640 Square

Feet Throughout Building

12" Floor Tile Over

9" Floor Tile Over

Adhesive, Black

Non-Friable Category I 65 Square

Feet Northeast Entry

Carpet Over

Adhesive, Yellow

Over Adhesive, Black

Non-Friable Category I 45 Square

Feet

Under Ground

Transite Pipe Non-Friable Category II Unknown Possible Under Ground Utilities

DEPARTMENT OF THE AIR FORCE

75 CIVIL ENGINEERING (CEOHA)

HILL AIR FORCE BASE, UTAH

MATERIAL TYPE

Throughout Building

*RACM

*Category I

*Category II

FRIABILITY QUANTITY

4,170 Square

Feet

ASBESTOS INSPECTION REPORT INFORMATION

This inspection was performed in accordance with the Utah Division of Air Quality (DAQ) requirements as found in the Utah Air Quality Rule R307-801-10. This inspection report is required to be on site during all abatement, renovation, and demolition activities. Samples referenced in this report were analyzed by polarized light microscopy (PLM) utilizing method 600R-93-116 by The Science and Engineering Laboratory (AIHA Acc.#-

101572) at Hill Air Force Base, Utah (R307-801-10.8.a-b).

9" Floor

Tile/Adhesive, Black

*LOCATIONS FOUND

Category INon-Friable

Civil Engineering personnel also reviewed previous asbestos inspection reports of suspect asbestos containing materials (ACM) that could potentially be encountered in the proposed area/areas. The information gathered from all current and previous inspections is shown below by homogenous area (R307-801-9-4).

The quantities within this report are estimates and are not to be used for bidding purposes.

SUMMARY OF ASBESTOS CONTAINING MATERIALS FOUND

Thermal System Pipe

Fitting Insulation Friable RACM

131 Linear

Feet

Under Ground Utilities/Steam

Vault

DEMOLISH BUILDINGStatement of Work:

Assumed to

Contain

Asbestos

24%

Chrysotile

3%

Chrysotile

3%

Chrysotile

2%

Chrysotile

24%

Chrysotile/A mosite

Category I Non-Friable ACM: Asbestos-containing packings, gaskets, resilient floor coverings, or asphalt roofing products containing more than 1% asbestos as determined by using the method specified in 40 CFR Part

763, Subpart E, Appendix E, Section 1, Polarized Light Microscopy (PLM).

Thermal System Pipe

Insulation, Cloth, White

Friable RACM 30 Linear Feet Attic Above North Half Men's and Women's Restroom

*Per UDAQ definition.

Per EPA requirements, all materials analyzed as containing ≤10% asbestos are point counted utilizing EPA method 600/R-93/116 this information is summarized in Table 2.

Table 1

Roof Flashing, Black Non-Friable Category I 20 Linear Feet Fire Riser Roof

Heavy Paint, Tan

Over Concrete Non-Friable Category II

15,100

Square Feet Building Exterior

Fire Door Insulation, White Friable RACM

80 Square

Feet Fire Break Door

Heavy Paint, Tan

Over Brick Non-Friable Category II

2000 Square

Feet Building Exterior

Heavy Paint, Brown

Over Concrete Non-Friable Category II

2,175 Square

Feet Building Exterior

RACM: Regulated Asbestos-Containing Material (RACM)" means friable ACM, Category I non-friable ACM that has become friable, Category I non-friable ACM that will be or has been subjected to sanding, grinding, cutting, or abrading, or Category II non-friable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation project operations.

Locations found: Locations of building materials as described in this report indicate where they were found, but do not necessarily mean that these are the only locations where these materials may be encountered during the project.

Category II Non-Friable ACM: Any material, excluding Category I non- friable ACM, containing more than 1% asbestos as determined by using the methods specified in 40 CFR Part 763, Subpart E, Appendix E, Section 1, Polarized Light Microscopy (PLM) that, when dry, cannot be crumbled, pulverized, or reduced to powder by hand pressure.

Roof Decking, BlackRoof Sealant, Grey

Wall Batt Insulation, Foil Over Pink Wall Batt Insulation, Yellow

2'x4' Ceiling Tile, Wormygrooves/Pinholes Pattern, White

Table 3.

Ceiling Batt Insulation, Pink

Ceiling Batt Insulation, Brown Over Pink Ceiling Batt Insulation, Foil Over Yellow

Flex Duct Insulation, Black Over Pink Flex Duct Insulation, Black Over Yellow

Plaster Ceiling System, White Over Tan

Wall Board, White Over Brown Drywall/Joint Compound Wall System

MATERIAL TYPE

Per Hill AFB requirements, all materials containing any detectable amount of asbestos shall be handled as Asbestos Containing Material (ACM). Table 2 shows the summary of materials containing ≤1% that were identified via "Point Counting". Per EPA/UDAQ

≤1% is not considered to be an asbestos containing material, but special handling/packaging requirements are necessary per OSHA 29CFR 1926.1101 and

29CFR 1910.1001

QUANTITY

Drywall/Joint Compound Ceiling System

The following is a list of the "Suspect Materials" that were sampled as part of this inspection:

≤1% Chrysotile

Thermal System Pipe Insulation, Lagging White Over Yellow Thermal System Pipe Insulation Saddle, White, Thermal System Pipe Insulation, Cloth Over Yellow Thermal System Pipe Fitting Insulation, White Over Yellow

Drywall/Joint Compound Ceiling System, Multiple Locations Fire Door Insulation, White

Roof Batt Insulation, Foil Over Pink

Roof Shingle, Brown Over Paper, Black Roof Flashing, Black

Table 2.

ASBESTOS

Duct Insulation, Foil Over Yellow Thermal System Pipe Insulation, White Over Yellow

Plaster Wall System, Off-White Over Tan

2'x4' Ceiling Tile, Wormygrooves/Pinholes Pattern, Off-White

2'x4' Ceiling Tile, Pockmarks/Pinholes Pattern, White, 2'x4' Recessed Ceiling Tile, Pockmarks/Pinholes Pattern, White

2'x2' Ceiling Tile, Pockmarks Pinholes, White, 2'x2' Recessed Ceiling Tile, White, 2'x2', Ceiling Tile, Smooth Pattern, White Wood Over Fire Door Insulation

12" Acoustical Ceiling Tile, Wormygrooves/Pinholes Pattern, White Over Puck, Black

Heavy Paint, Tan Over Concrete Heavy Paint, Tan Over Brick

Heavy Paint, Brown Over Concrete Wall Coating, Black

Dock Sealant, Grey Over Yellow, Window Sealant, Black

Duct Sealant, Yellow Duct Sealant, Grey

Duct Sealant, Green, Vibration Collar, Black

Drywall/Joint Compound Wall System ≤1% Chrysotile 34,650

Square Feet Multiple Locations

*LOCATIONS FOUND

550 Square

Feet Multiple Locations

A total of 186 43

GM220562 Northeast None-Detected

GM220563 Southeast None-Detected

GM220560 Northwest

GM220559

North Center, North Fire

Riser Shed 17% Chrysotile

The following table summarizes the sampling data.

Homogenous Building Material, Description, Location, Quantity.

GM220555

GM220557

Northeast, North Fire

Riser Shed 24% Chrysotile

GM220549 Northeast, North Half None-Detected

GM220550 Northeast, North Half None-Detected

GM220551 North Center, North Half None-Detected

None-Detected

GM220552 North Center, North Half None-Detected

East Center, North Half None-Detected

Southwest, South Half None-Detected GM220554

GM220564

ResultsSample Location

Northeast None-Detected

GM220553

GM220558

Northeast, South Fire

Riser Shed 21% Chrysotile

GM220556

Southeast, North Fire

Riser Shed 23% Chrysotile

Southeast, South Half

GM220567 Southeast, HTC2 1% Chrysotile VIA

Point Count

GM220568

1% Chrysotile VIA

Point Count suspect materials assessed as part of the inspection.

Sample # samples reference the

North Center, HTC4

GM220565 East Center, HTC1 2% Chrysotile VIA

Point Count

None-Detected

GM220561

GM220566 South Center, HTC3 3% Chrysotile VIA

Point Count

West Center, HTC7 1% Chrysotile VIA

Point Count

Roof Decking, Black, South Fire Riser Shed 130

Square Feet

Heavy Paint, Tan Over Concrete, Exterior

Building, 13,100 Square Feet

Roof Flashing, Black, Multiple Roof Locations, 20 Linear Feet

Roof Sealant, Grey, South Fire Riser Shed Roof, 20 Linear Feet

GM220571 Northeast, HTB3 3% Chrysotile VIA

Point Count

GM220572 Southeast, HTB2 3% Chrysotile VIA

Point Count

Roof Shingle, Brown Over Paper, Black, Roof, 24,180 Square Feet

Northeast, HTC5 2% Chrysotile VIA

Point Count

GM220569 South Center, HTC6 2% Chrysotile VIA

Point Count

GM220570

GM220573 East Center, HTB1 3% Chrysotile VIA

Point Count

GM220574 Southeast, HBC1 2% Chrysotile VIA

Point Count

GM220575 Southeast, HBC2 2% Chrysotile VIA

Point Count

GM220576 Southwest, HBC3 1% Chrysotile VIA

Point Count

Heavy Paint, Tan Over Brick, Exterior

Building, 2,000 Square Feet

Heavy Paint, Brown Over Concrete, Exterior

Building, 2,175 Square Feet

GM220577 Northwest, Room 4 None-Detected

Dock Sealant, Grey Over Yellow, Exterior

Building, 1,200 Linear Feet

GM220578 Northeast, South Half None-Detected

GM220579 Southeast, North Half None-Detected

GM220580 Northeast, DS1 None-Detected

Wall Coating, Black, Multiple Locations, 10,400

Square Feet

GM220581 East Center, DS2 None-Detected

GM220582 Southeast, DS3 None-Detected

GM220583 Northeast, WS1 None-Detected

Duct Sealant, Yellow, Multiple Locations, 700

Linear Feet

GM220587 Southwest, WS3 None-Detected

GM220588 Northeast, Room 10 None-Detected

GM220589 Southeast, Room 10 None-Detected

Window Sealant, Black, Exterior Building, 800

Linear Feet

GM220584 Northwest, WS5 None-Detected

GM220585 East Center, WS2 None-Detected

GM220586 West Center, WS4 None-Detected

GM220590 East Center, Room 10 None-Detected

GM220591 Northeast, Room 20 None-Detected

GM220592 North Center None-Detected

Duct Sealant, Green, South Half Upper

Mechanical Room, 400 Linear Feet

GM220593 South Center None-Detected

GM220594 East Center None-Detected

GM220595 Southeast None-Detected

Duct Sealant, Grey, South Half Upper

Mechanical Room, 400 Linear Feet

GM220596 South Center None-Detected

GM220597 East Center None-Detected

GM220598 Center None-Detected

Flex Duct Insulation, Black Over Pink, Multiple

Locations, 600 Linear Feet

GM220599 Center None-Detected

GM220600 Northeast None-Detected

GM220601 Center, Room 14, D1 None-Detected

Vibration Collar, Black, South Half, Upper

Mechanical Room 80 Linear Feet

GM220602

South Center, Room 11, D3 None-Detected

GM220603 Center, Room 13, D2 None-Detected

GM220604

Southeast, South Half

Cubical Area None-Detected

Duct Insulation, Foil Over Yellow, Multiple

Locations, 2,500 Square Feet

GM220605

Northwest, South Half

Cubical Area None-Detected

GM220606

Southwest, South Half

Upper Mechanical Room None-Detected

GM220607

West Center, South Half

Upper Mechanical Room None-Detected

Flex Duct Insulation, Black Over Yellow, Multiple Locations, 600 Linear Feet

GM220608

South Center, South Half

Upper Mechanical Room None-Detected

GM220609

Southeast, South Half

Upper Mechanical Room None-Detected

GM220610 Northeast, Room 20 None-Detected

Southeast, South Cubical

Area None-Detected

GM220613

Northeast, South Half upper Mechanical Room None-Detected

Thermal System Pipe Insulation, White Over

Yellow, Multiple Locations, 3,500 Linear Feet

GM220617 West Center, Room 13, P4 None-Detected

GM220618 East Center Room 12, P5 None-Detected

GM220619

Northeast, South Half upper Mechanical Room None-Detected

GM220614 Southeast, Room 19, P1 None-Detected

GM220615 North Center, Hall, P2 None-Detected

GM220616 West Center, Room 20, P3 None-Detected

GM220611

Southeast, South Half

Upper Mechanical Room None-Detected

GM220612

GM220620

Southeast, South Half

Cubical Area None-Detected

GM220621

Center, Hall Outside Room

None-Detected

GM220622

Southeast, South Half

Upper Mechanical Room None-Detected

Thermal System Pipe Insulation, Lagging White

Over Yellow, Multiple Locations, 100 Linear

Feet

Thermal System Pipe Insulation Saddle, White, Multiple Locations, 150 Linear Feet

GM220626 South Center, Room 11A None-Detected

GM220627

Southeast, South Cubical

Area None-Detected

GM220628

Southeast, South Half upper Mechanical Room None-Detected

Thermal System Pipe Fitting Insulation, White

Over Yellow, Multiple Locations, 60 Linear

Feet

GM220623

Northeast, South Half upper Mechanical Room None-Detected

GM220624

Southeast, South Cubical

Area None-Detected

GM220625 West Center, Room 20, P3 None-Detected

GM220629

Northeast, South Half upper Mechanical Room None-Detected

GM220630

North Center, Main Hall, North Half None-Detected

GM220631 North Center, Room 21, None-Detected

Plaster Wall System, Off-White Over Tan

Multiple Locations, 1,500 Square Feet

GM220632

Northeast, North Men's

Restroom, PC1 None-Detected

GM220633

South Center, North

Men's Restroom, PC2 None-Detected

GM220634

Center, North Women's

Restroom, PC3 None-Detected

Plaster Ceiling System, White Over Tan, Multiple Locations. 570 Square Feet

GM220635

Northeast, North Men's

Restroom, PW1 None-Detected

GM220636

South Center, North

Men's Restroom, PW2 None-Detected

GM220637

East Center, North

Women's Restroom, PW3 None-Detected

Wall Board, White Over Brown, Multiple

Locations, 640 Square Feet

GM220638

North Center, North Fire

Riser Shed, WB1 None-Detected

GM220639

West Center, North Fire

Riser Shed, WB2 None-Detected

GM220640

Center, North Fire Riser

Shed, WB3 None-Detected

GM220641

South Center, South Fire

Riser Shed, WB4 None-Detected

GM220642

North Center, South Fire

Riser Shed, WB5 None-Detected

GM220643

West Center, South Fire

Riser Shed, WB6 None-Detected

GM220644

Southeast, North

Entrance, W1

≤1% Chrysotile VIA

Point Count

GM220645 Northwest, Room 22, W2 None-Detected

GM220646 Southeast, Room 16, W3 None-Detected

≤1% Chrysotile VIA

Point Count

GM220652

Southeast, Room 4

Hallway, W9

≤1% Chrysotile VIA

Point Count

GM220647

West Center, Room 15, W4

≤1% Chrysotile VIA

Point Count

GM220648 East Center, Room 14, W5 ≤1% Chrysotile VIA

Point Count

GM220649 South Center, Room 6, W6 ≤1% Chrysotile VIA

Point Count

Drywall/Joint Compound Wall System, Multiple Locations, 34,650 Square Feet

GM220656

Northeast, Southeast

Entry Hall, W13

≤1% Chrysotile VIA

Point Count

GM220657

South Center, Room 10, W14

≤1% Chrysotile VIA

Point Count

GM220658

West Center, Room 10, W15

≤1% Chrysotile VIA

Point Count

GM220653 Southeast, Room 6A, W10 None-Detected

GM220654 Northeast, Room 8, W11 None-Detected

GM220655 East Center, Room 9, W12 ≤1% Chrysotile VIA

Point Count

GM220650 Northwest, Room 6, W7 ≤1% Chrysotile VIA

Point Count

GM220651 Southwest, Room 4, W8

GM220659 Northwest, Room 14, W17 None-Detected

GM220660

Northeast, South

Entrance, W18

≤1% Chrysotile VIA

Point Count

GM220661

West Center, Room J1, DC1

≤1% Chrysotile VIA

Point Count

Fire Door Insulation, White, Center Hall Way, 200 Square Feet

Drywall/Joint Compound Ceiling System, Multiple Locations, 550 Square Feet

GM220662 Southeast, Room J2, DC2 None-Detected

GM220663

North Center, North

Entrance, DC3

≤1% Chrysotile VIA

Point Count

GM220664 Northeast, Entrance, DC5 ≤1% Chrysotile VIA

Point Count

GM220665 Center, Sliding Door 24%

Chrysotile/Amosite

GM220666 Center, Sliding Door 21%

Chrysotile/Amosite

GM220667 Southeast None-Detected

Ceiling Batt Insulation, Pink, South Half Upper

Mechanical Room, 200 Square Feet

GM220668 Southeast None-Detected

GM220669 Southwest None-Detected

GM220670 Southwest None-Detected

Roof Batt Insulation, Foil Over Pink, South Half

Upper Mechanical Room, 24,180 Square Feet

GM220671 Northwest None-Detected

GM220672 South Center, Room 6, W6 None-Detected

GM220673 South Center, Room 10 None-Detected

Ceiling Batt Insulation, Foil Over Yellow, South

Half Upper Mechanical Room, 200 Square Feet

GM220674 East Center, Room 11A None-Detected

GM220675 North Center, Room, 13 None-Detected

GM220676 Center, Room 21 None-Detected

Ceiling Batt Insulation, Brown Over Pink, Multiple Locations, 500 Square Feet

GM220677 Southwest None-Detected

GM220678 Southwest None-Detected

GM220679 None-Detected

Wall Batt Insulation, Foil Over Pink, Multiple

Locations, 2,400 Square Feet

GM220680 West Center, Room 10, None-Detected

GM220681 East Center, Room 15 None-Detected

GM220682 Southwest, Room 17 None-Detected

GM220683 North Center, Room 21, None-Detected

GM220684 Northeast, South Half None-Detected

None-Detected

Wall Batt Insulation, Yellow, Multiple

Locations, 6,000 Square Feet

GM220686 Southwest, Room 18 None-Detected

GM220687 South Center, Room 19 None-Detected

GM220688 Hallway Outside Room 19 None-Detected

GM220689 North Center, Room 20 None-Detected

None-Detected

GM220691 Northeast, Room 13 None-Detected

2'x4' Ceiling Tile, Wormygrooves/Pinholes

Pattern, White, Multiple Locations, 2,000

Square Feet

GM220692 West Center, Room 13 None-Detected

GM220693 South Center, Room 14 None-Detected

GM220694 West Center, Room 15 None-Detected

GM220695

Southeast, Women's

Restroom None-Detected

None-Detected

GM220700 Northeast, Room 10 None-Detected

GM220701 Center, Room 10 None-Detected

GM220696 South West, Room 6 None-Detected

GM220697 South Center, Room 6 None-Detected

GM220698 North Center, Room 10 None-Detected

GM220702 South Center, Room 10 None-Detected

GM220699 Center, Room 10

GM220690 South Center, Room 10

GM220685 Southwest, Room 17

Southwest

2'x4' Ceiling Tile, Wormygrooves/Pinholes

Pattern, Off-White, Upper Ceiling, Multiple

Locations, 1,000 Square Feet

Cell: (801)940-2970

Supervisor: Taylor Brimberry: DSN: (801)586-7094

Asbestos/LBP Shop 75 CES(CEOHA)

Asbestos/LBP Shop Personnel

DSN:(801)777-8006

CONTACT INFORMATION

Table 4.

POTENTIAL FOR ADDITIONAL MATERIALS:

This inspection report only encompasses the areas/materials designated within the scope of work that was provided at the date of inspection (see title page for inspection date). Should the scope of the project be altered in any way or any materials found that are not identified in this report shall require additional assessment. This report cannot be used for any other projects within the building.

Any questions or concerns regarding this inspection report or if any new suspect asbestos containing material

(ACM) is encountered, stop work and contact the personnel listed below for further assistance/assessment.

None-Detected

GM220706 Hallway Outside Room 6 None-Detected

GM220710 Southwest, Room 6 None-Detected

GM220703 West Center, Room 4 None-Detected

GM220704 Southwest, Room 6 None-Detected

GM220707 South Center, Room 14 None-Detected

GM220708 Southeast, Room 14 None-Detected

GM220709 North Center, Room 14

None-Detected

GM220726 None-Detected

GM220727

None-Detected

GM220713 None-Detected

GM220714 South, Main North Hall None-Detected

GM220715 Southwest, Room 17 None-Detected

None-Detected

GM220712 None-Detected North Center, Room 13

North None-Detected

GM220721 Northwest None-Detected

Southwest, Room 18 None-Detected

GM220717 Northeast, Room 19 None-Detected

GM220718 Southwest, Room 20 None-Detected

None-Detected

GM220724

GM220711 West Center, Room 13

GM220705 South Center, Room 6

2'x2' Ceiling Tile, Pockmarks/Pinholes Pattern, White, Multiple Locations, 2,040 Square Feet

South Center, Room 14

2'x4' Recessed Ceiling Tile, Pockmarks/Pinholes Pattern, White, Multiple

Locations, 400 Square Feet

GM220716

None-Detected

GM220719 Southwest, Room 22 None-Detected

GM220720

12" Acoustical Ceiling Tile, Wormygrooves/Pinholes Pattern, White Over

Puck, Black, Room 10 Storage Room, 150

Square Feet

West Center, Men's

Restroom

East Center, Men's

Restroom

2'x2', Ceiling Tile, Smooth Pattern, White, Multiple Locations, 550 Square Feet

GM220767 Room 18

GM220722 Southeast

GM220766 Room 12

East Center

GM220723

West Center, Women's

Restroom

Center Building, Main

Hallway

2'x4' Ceiling Tile, Pockmarks/Pinholes Pattern, White, Multiple Locations, 18,200 Square Feet

2'x2' Recessed Ceiling Tile, Pockmarks/Pinholes, White, South Half, Storage Room 150 Square Feet

GM220765 Room 7 None-Detected

Wood Over Fire Door Insulation, Brown, Multiple Locations, 250 Square Feet

None-Detected

GM220768 Room 22 None-Detected

GM220769

East Center, Women's

Restroom

None-Detected

GM220728 Southeast None-Detected

GM220729 Northwest None-Detected

GM220725

None-Detected

None-Detected

SCOPE OF WORK:

XL Number Substrate Component Color Lead Reading Paint

Condition

265 Metal Door Frame Brown 4.01 Good

277 Ceramic Window Sill Tile Off-White 14.17 Good

301 Ceramic 4" Wall Tile Green 5.1 Good

302 Ceramic 4" Wall Tile Green 11.33 Good

307 Metal Partition Tan 0.8 Good

313 Ceramic Sink White 8.77 Good

343 Metal Door Frame White 8.82 Fair

350 Concrete Floor Line Yellow 0.95 Poor

351 Concrete Floor Line Red 0.9 Poor

360 Metal Fire Alarm Red 1.2 Good

365 Ceramic Window Sill Tile Tan 8.87 Poor

424 Metal Fire Hydrant Brown 11.84 Poor

488 Metal Radius Vent Brown 0.95 Poor

489 Metal Radius Vent Brown 11.81 Poor

490 Metal Radius Vent Brown 9.43 Poor

491 Metal Radius Vent Brown 6.41 Poor

492 Metal Radius Vent Brown 5.57 Poor

DEPARTMENT OF THE AIR FORCE

75TH CIVIL ENGINEERING (CEOHA)

HILL AIR FORCE BASE, UTAH

1-Table 1 below, summarizes the painted/coated building components that tested positive for Lead Based

Paint/Coating. These components should be segregated or abated prior to renovation or demolition, and a composite TCLP taken of the waste before disposal.

DEMOLISH BUILDING

XRF Analyzer Used: XRF Analyzer XL3t 300 (Serial #96588)

5-This inspection report only encompasses the areas/materials designated within the scope of work that was provided at the date of the inspection (see title page for date). This report must be modified should the scope of the project be altered in any way or additional materials not previously identified within this report are encountered. This report may not be used for any other projects within the building.

LIMITED LEAD-BASED PAINT IDENTIFICATION REPORT INFORMATION

Table 1.

2-The condition column is the condition only of the painted/coated component (See final page for all readings/samples).

3-The U.S. Department of Housing and Urban Development defines Lead-based paint as any paint, varnish, stain, or other applied coating that has 1 mg/cm² as measured by an X-ray Fluorescence (XRF) Analyzer or laboratory analysis or 0.5 percent by weight (5,000 µg/g by dry weight) by laboratory analysis, or more of lead. All other components tested were less than 0.80 mg/cm².

4-Any effort to disturb lead paint can create lead dust. Ensure that appropriate abatement, cleanup, and disposal will be accomplished and that appropriate safety measures are taken IAW 29 CFR 1926.62. If you have any questions concerning this report, contact the Asbestos/LBP Shop: Taylor Brimberry at 586-7094.

255 1.09 393 0.98

256 0.94 394 1.20

257 0.96 POS 395 1.03

Range: .8 to 1.2 Paint Range: .8 to 1.2

Side Condition Color PbL(mg/cm2) NEG/POS

North Good Off-White 0.01 NEG

South Good Off-White 0.01 NEG

South Good Varnish 0.01 NEG

South Good Off-White 0.01 NEG

South Good Off-White 0.01 NEG

North Poor Off-White 0.60 NEG

East Good Brown 0.01 NEG

North Good Brown 4.01 POS

North Good Brown 0.01 NEG

East Good White 0.01 NEG

East Good White 0.01 NEG

East Good White 0.01 NEG

East Good White 0.01 NEG

East Good White 0.01 NEG

North Good Brown 0.04 NEG

North Good Brown 0.01 NEG

South Good White 0.01 NEG

South Good Brown 0.01 NEG

East Good Brown 0.09 NEG

East Good Off-White 14.17 POS

West Good Off-White 0.01 NEG

East Good White 0.30 NEG

South Good White 0.01 NEG

South Good Green 0.01 NEG

East Good Brown 0.01 NEG

East Good White 0.63 NEG

East Good Green 0.40 NEG

East Poor Green 0.01 NEG

East Good Green 0.01 NEG

East Good Grey 0.01 NEG

Per 20

Second

Reading

Calibration

Range

Substrate

Room 11A Communication Closet

Drywall

Metal

WallRoom 11A Communication Closet

Room 21 Door Frame Wood

Post

Calibration

PbL

(mg/cm²)XRF Analyzer XL3t 300 (Serial #96588)

Per 20

Second

Reading

259 Room 22 Door Jamb Metal

258 Room 22 Wall Drywall

Pre

Calibration PbL (mg/cm²)

Calibration

Range

Model# Serial #

XL Number Room/Area Structure

264 North Entry Door Frame Metal

267 Room19A Window Sill Tile Ceramic

266 North Entry Door Metal

260 Room 22 Door Wood

263 Room 21 Wall Wood

262 Room 21 Door Trim Wood

269 Room19A Door Frame Metal

268 Room19A Wall Drywall

271 Room 16 Window Sill Tile Ceramic

270 Room 19 Heater Pipe Metal

265 North Entry Door Frame Metal

276 Room 14 Chari Rail Wood

279 Room 11B Wall Drywall

278 Room 14 Wall Drywall

273 End of North hall Door Frame Metal

272 Room 20 Chair Rail Wood

275 Room 15A Door Wood

274 Room 15A Door Frame Wood

281 Room 11B Wall Block

280 Room 11B Wall Block

283 Room 11A Communication Closet Door Frame Wood

282 Room 11A Communication Closet Door Trim Wood

277 Room 14 Window Sill Tile Ceramic

285 Room 11A Communication Closet Door Trim Wood

284 Room 11A Communication Closet Door Frame Wood

287 Water Heater

257 0.96 POS 395 1.03

Range: .8 to 1.2 Paint Range: .8 to 1.2

Side Condition Color PbL(mg/cm2) NEG/POS

East Good Green 0.01 NEG

East Good Pink 0.01 NEG

North Good Black 0.01 NEG

East Good Grey 0.01 NEG

East Good Grey 0.01 NEG

West Good White 0.01 NEG

North Fair White 0.01 NEG

East Fair Black 0.01 NEG

East Good Black 0.01 NEG

East Good White 0.01 NEG

Center Good Off-White 0.01 NEG

North Good Off-White 0.01 NEG

North Good Off-White 0.40 NEG

North Good Green 5.10 POS

East Good Green 11.33 POS

Center Good Light Green 0.01 NEG

Center Good Green 0.01 NEG

Center Good White 0.08 NEG

South Good White 0.01 NEG

South Good Tan 0.80 POS

South Good White 0.01 NEG

North Good White 0.01 NEG

East Good Varnish 0.36 NEG

East Good White 0.59 NEG

West Good Off-White 0.28 NEG

West Good White 8.77 POS

South Good Tan 0.01 NEG

West Good White 0.3 NEG

West Good Green 0.55 NEG

West Good Off-White 0.48 NEG

Pre

Calibration PbL (mg/cm²)

Calibration

Range

Model# Serial # Post

Calibration

PbL

(mg/cm²)

Calibration

RangeXRF Analyzer XL3t 300 (Serial #96588)

289 Room 12 Wall Drywall

290 Room 12 Wall Drywall

291 Room 12 Door Frame Metal

Per 20

Second

Reading

Per 20

Second

Reading

XL Number Room/Area Structure Substrate

288 Room 12 Wall Drywall

295 East Entry Door Frame Metal

296 East Entry Door Metal

297 East Entry Pipe Metal

292 Room 12 Door Metal

293 East Entry Wall Drywall

294 East Entry Heater Metal

301 Men's Restroom 4" Wall Tile Ceramic

302 Men's Restroom 4" Wall Tile Ceramic

303 Men's Restroom 1" Floor Tile Ceramic

298 Men's Restroom Ceiling Drywall

299 Men's Restroom Wall Drywall

300 Men's Restroom Pipe Metal

307 Men's Restroom Partition Metal

308 Men's Restroom Toilet Ceramic

309 Men's Restroom Urinal Ceramic

304 Men's Restroom 1" Floor Tile Ceramic

305 Men's Restroom 1" Floor Tile Ceramic

306 Men's Restroom Sink Ceramic

313 Janitors Closet J1 Sink Ceramic

314 Janitors Closet J1 Water Heater Metal

315 Janitors Closet J1 Door Metal

310 Men's Restroom Door Wood

311 Men's Restroom Door Frame Metal

312 Janitors Closet J1 Wall Block

316 Janitors Closet J1 Door Metal

317 Janitors Closet J1 Door Metal

257 0.96 POS 395 1.03

Range: .8 to 1.2 Paint Range: .8 to 1.2

Side Condition Color PbL(mg/cm2) NEG/POS

West Good Green 0.01 NEG

East Good Green 0.33 NEG

West Good Off-White 0.01 NEG

North Poor Off-White 0.01 NEG

North Poor Off-White 0.01 NEG

North Good Tan 0.11 NEG

South Good White 0.21 NEG

South Good White 0.17 NEG

South Good White 0.17 NEG

East Fair Off-White 0.01 NEG

West Good Off-White 0.11 NEG

West Good Off-White 0.01 NEG

West Good Off-White 0.01 NEG

East Good Off-White 0.01 NEG

West Good Off-White 0.01 NEG

West Good Grey 0.45 NEG

West Good Grey 0.01 NEG

West Fair Grey 0.01 NEG

West Good Off-White 0.01 NEG

Center Good Yellow 0.04 NEG

Center Good Grey 0.01 NEG

North Good Off-White 0.01 NEG

West Good Off-White 0.01 NEG

West Good Off-White 0.14 NEG

West Good Green 0.01 NEG

South Fair White 8.82 POS

South Fair White 0.01 NEG

South Fair White 0.01 NEG

South Fair White 0.01 NEG

South Fair Off-White 0.01 NEG

PbL

(mg/cm²)

Calibration

RangeXRF Analyzer XL3t 300 (Serial #96588)

Per 20

Second

Reading

Per 20

Second

Reading

XL Number Room/Area Structure Substrate

Pre

Calibration PbL (mg/cm²)

Calibration

Range

Model# Serial # Post

Calibration

321 Room 9 Ladder Metal

322 Room 9 Ladder Rung Metal

323 Room 9 Wall Ceramic

318 Room J1 Door Frame Metal

319 Room J1 Wall Block

320 Room J2 Shelves Wood

327 Room 7 Door Frame Metal

328 Room 10 Door Frame Wood

329 Room 10 Wall Drywall

324 Room 9 Door Trim Wood

325 Room 9 Door Frame Wood

326 Room 9 Door Trim Wood

333 Room 5 Roll-Up Door Metal

334 Room 5 Door Frame Metal

335 Room 5 Door Metal

330 Room 10 Chair Rail Wood

331 Room 10 Heater Metal

332 Room 7 Door Frame Wood

339 Room 5 Window Trim Wood

340 Room 6 Window Frame Wood

341 Room 6 Wall Panel Wood

336 Room 5 Wall Drywall

337 Room 5 Electrical Shed Metal

338 Room 5 Electrical Shed Metal

345 South End of Hall North Half Door Trolley Metal

346 South End of Hall North Half Wall Concrete

347 South End of Hall North Half Chair Rail Wood

342 Room 6 Door Frame Wood

343 South End of Hall North Half Door Frame Metal

344 South End of Hall North Half Door Metal

257 0.96 POS 395 1.03

Range: .8 to 1.2 Paint Range: .8 to 1.2

Side Condition Color PbL(mg/cm2) NEG/POS

East Good Off-White 0.01 NEG

North Poor Off-White 0.01 NEG

North Poor Yellow 0.95 POS

North Poor Red 0.90 POS

North Good Off-White 0.01 NEG

North Good Off-White 0.01 NEG

South Good Off-White 0.01 NEG

South Fair Black 0.01 NEG

South Fair Black 0.01 NEG

South Fair Black 0.03 NEG

West Fair White 0.01 NEG

West Good Yellow 0.01 NEG

South Good Red 1.20 POS

West Good Blue 0.01 NEG

West Good Off-White 0.01 NEG

East Good Off-White 0.01 NEG

East Good Varnish 0.01 NEG

West Good Tan 8.87 POS

South Good Tan 0.01 NEG

South Good Green 0.44 NEG

North Good Green 0.28 NEG

South Good Off-White 0.01 NEG

South Good Off-White 0.01 NEG

South Good Off-White 0.01 NEG

South Good Brown 0.01 NEG

South Good Dark Brown 0.33 NEG

North Good White 0.01 NEG

South Good Tan 0.02 NEG

South Good Brown 0.02 NEG

South Good White 0.08 NEG

Per 20

Second

Reading

Per 20

Second

Reading

XL Number Room/Area Structure Substrate

348 Room 4 Door Frame Metal

Pre

Calibration PbL (mg/cm²)

Calibration

Range

Model# Serial # Post

Calibration

PbL

(mg/cm²)

Calibration

RangeXRF Analyzer XL3t 300 (Serial #96588)

352 Room 4 Wall Block

353 Room 4 Wall Concrete

354 Room 4 Wall Drywall

349 Room 4 Floor Line Concrete

350 Room 4 Floor Line Concrete

351 Room 4 Floor Line Concrete

358 Room 4 Roll Up Door Metal

359 Room 4 Eye Wash Metal

360 Room 4 Fire Alarm Metal

355 Room 4 Ladder Metal

356 Room 4 Ladder Rung Metal

357 Room 4 Ladder Mount Metal

364 Room 8 Door Wood

365 Room 8 Window Sill Tile Ceramic

366 Room 8 Chair Rail Wood

361 South Half Hall Wall Drywall

362 South Half Hall Chair Rail Wood

363 Room 8 Door Frame Metal

370 South Half Men's Restroom Wall Drywall

371 South Half Men's Restroom 4" Wall Tile Ceramic

372 South Half Men's Restroom 4" Wall Tile Ceramic

367 Room 8A Wall Drywall

368 Room 8A Wall Block

369 Room 8A Baseboard Wood

376 South Half Men's Restroom Partition Metal

377 South Half Men's Restroom Urinal Ceramic

373 South Half Men's Restroom 4" Wall Tile Ceramic

374 South Half Men's Restroom Sink Corian

375 South Half Men's Restroom Partition Metal

257 0.96 POS 395 1.03

Range: .8 to 1.2 Paint Range: .8 to 1.2

Side Condition Color PbL(mg/cm2) NEG/POS

South Good White 0.01 NEG

South Good Tan 0.01 NEG

East Good Varnish 0.01 NEG

East Good Off-White 0.01 NEG

East Fair Off-White 0.01 NEG

East Fair Off-White 0.1 NEG

South Good White 0.01 NEG

South Good White 0.01 NEG

South Fair White 0.01 NEG

South Fair White 0.21 NEG

South Fair White 0.4 NEG

West Good White 0.01 NEG

West Good White 0.62 NEG

South Good Brown 0.01 NEG

South Good Brown 0.01 NEG

West Fair Tan 0.01 NEG

West Poor Brown 0.12 NEG

West Poor Brown 0.01 NEG

West Fair Tan 0.01 NEG

West Fair Tan 0.01 NEG

West Fair Tan 0.58 NEG

West Good Brown 0.01 NEG

West Good Black 0.01 NEG

West Poor Tan 0.01 NEG

West Fair Tan 0.01 NEG

West Fair Tan 0.01 NEG

West Fair Grey 0.01 NEG

West Fair Red 0.1 NEG

West Fair Tan 0.01 NEG

West Fair Tan 0.01 NEG

Pre

Calibration PbL (mg/cm²)

Calibration

Range

Model# Serial # Post

Calibration

378 South Half Men's Restroom Toilet Ceramic

379 South Half Men's Restroom 8" Floor Tile Ceramic

380 South Half Men's Restroom Door Wood

PbL

(mg/cm²)

Calibration

RangeXRF Analyzer XL3t 300 (Serial #96588)

Per 20

Second

Reading

Per 20

Second

Reading

XL Number Room/Area Structure Substrate

384 South Cubicle Area Wall Drywall

385 South Cubicle Area Chair Rail Wood

386 South Cubicle Area Door Wood

381 South Half Men's Restroom Door Frame Metal

382 Storage Room Ladder Metal

383 Storage Room Ladder Rung Metal

390 South Entry Pipe Metal

391 South Entry Door Frame Metal

392 South Entry Door Metal

387 South Cubicle Area Door Frame Wood

388 South Cubicle Area Door Trim Wood

389 South Entry Heater Metal

396 North West Exterior Wall Block

397 North West Exterior Double Door Frame Metal

398 North West Exterior Double Door Metal

393 North West Exterior Wall Concrete

394 North West Exterior Handrail Metal

395 North West Exterior Handrail Post Metal

402 North West Exterior Wall Brick

403 North West Exterior Motor Cover Metal

404 North West Exterior Shed Metal

399 North West Exterior Down Spout Metal

400 North West Exterior Window Frame Metal

401 North West Exterior Window Sill Concrete

405 North West Exterior Shed Frame Metal

406 North West Exterior Roll Up Door Metal

407 West Exterior Roll Up Door Channel Metal

257 0.96 POS 395 1.03

Range: .8 to 1.2 Paint Range: .8 to 1.2

Side Condition Color PbL(mg/cm2) NEG/POS

West Fair Tan 0.01 NEG

West Fair Tan 0.01 NEG

West Fair Tan 0.01 NEG

West Poor Brown 0.01 NEG

West Poor Brown 0.01 NEG

West Poor Brown 0.01 NEG

West Poor Tan 0.32 NEG

West Fair Tan 0.15 NEG

West Fair Tan 0.01 NEG

West Good Grey 0.01 NEG

West Fair Brown 0.01 NEG

West Fair Red 0.02 NEG

West Poor Grey 0.04 NEG

West Fair Grey 0.08 NEG

West Fair Brown 0.01 NEG

South Poor Green 0.01 NEG

South Poor Brown 11.84 POS

South Fair Tan 0.01 NEG

South Fair Tan 0.01 NEG

South Good Brown 0.37 NEG

South Good Brown 0.01 NEG

South Poor Brown 0.01 NEG

South Poor Brown 0.57 NEG

South Poor Brown 0.01 NEG

South Poor Black 0.01 NEG

South Poor Black 0.01 NEG

South Fair Tan 0.01 NEG

South Good Brown 0.01 NEG

South Good Brown 0.01 NEG

South Poor Brown 0.01 NEG

Pre

Calibration PbL (mg/cm²)

Calibration

Range

Model# Serial # Post

Calibration

PbL

(mg/cm²)

Calibration

RangeXRF Analyzer XL3t 300 (Serial #96588)

409 West Exterior Roll Up Man Door Metal

410 West Exterior Roll Up Door Hinge Metal

411 West Exterior Hand Rail Post Metal

Per 20

Second

Reading

Per 20

Second

Reading

XL Number Room/Area Structure Substrate

408 West Exterior Roll Up Door Angle Metal

415 West Exterior Roll Up Door Metal

416 West Exterior Roll Up Door Frame Metal

417 West Exterior HVAC Unit Metal

412 West Exterior Hand Rail Metal

413 West Exterior HVAC Unit Metal

414 West Exterior Expansion 2x8 Wood

421 South Exterior Electrical Box Metal

422 South Exterior Wall Concrete

423 South Exterior Fire Hydrant Metal

418 West Exterior HVAC Unit Stand Metal

419 West Exterior HVAC Unit Stand Metal

420 South Exterior Pipe Metal

427 South Exterior Gutter Metal

428 South Exterior Downspout Metal

429 South Exterior Awning Post Metal

424 South Exterior Fire Hydrant Metal

425 South Exterior Awning Roof Metal

426 South Exterior Awning Siding Metal

433 South Exterior Man Door Frame Metal

434 South Exterior Over Head Drip Edge Metal

435 Fire Riser Room Fire Riser Roof Metal

430 South Exterior Handrail Post Metal

431 South Exterior Handrail Metal

432 South Exterior Man Door Metal

436 Fire Riser Room Drip Edge Metal

437 Fire Riser Room Door Metal

257 0.96 POS 395 1.03

Range: .8 to 1.2 Paint Range: .8 to 1.2

Side Condition Color PbL(mg/cm2) NEG/POS

South Poor Brown 0.06 NEG

South Poor Tan 0.01 NEG

East Poor Brown 0.41 NEG

East Poor Brown 0.28 NEG

East Poor Brown 0.32 NEG

East Fair Tan 0.06 NEG

East Fair Tan 0.05 NEG

East Fair Brown 0.37 NEG

East Good Brown 0.01 NEG

East Good Brown 0.01 NEG

East Fair Brown 0.01 NEG

East Poor Brown 0.01 NEG

East Poor Brown 0.11 NEG

East Poor Brown 0.01 NEG

East Poor Brown 0.01 NEG

East Poor Brown 0.01 NEG

East Poor Brown 0.01 NEG

East Fair Brown 0.01 NEG

East Poor Tan 0.01 NEG

East Poor Tan 0.01 NEG

East Fair Tan 0.01 NEG

East Fair Tan 0.01 NEG

East Fair Tan 0.01 NEG

East Fair Brown 0.01 NEG

East Fair Brown 0.01 NEG

East Poor Black 0.08 NEG

North Poor Red 0.01 NEG

North Poor Brown 0.54 NEG

North Poor Grey 0.01 NEG

North Poor Brown 0.33 NEG

PbL

(mg/cm²)

Calibration

RangeXRF Analyzer XL3t 300 (Serial #96588)

Per 20

Second

Reading

Per 20

Second

Reading

XL Number Room/Area Structure Substrate

Pre

Calibration PbL (mg/cm²)

Calibration

Range

Model# Serial # Post

Calibration

441 East Exterior Safety Rail Metal

442 East Exterior Dock Edge Concrete

443 East Exterior Wall Brick

438 Fire Riser Room Door Frame Wood

439 Fire Riser Room Water Valve Metal

440 East Exterior Safety Rail Metal

447 East Exterior Double Door Metal

448 East Exterior Awning Post Metal

449 East Exterior Handrail post Metal

444 East Exterior Wall Concrete

445 East Exterior Wall Concrete

446 East Exterior Double Door Frame Metal

453 Center East Door Door Frame Metal

454 East Exterior Door Metal

455 East Exterior Window Frame Metal

450 East Exterior Handrail Metal

451 East Exterior Gutter Metal

452 East Exterior Down Spout Metal

459 East Exterior Awning Siding Metal

460 East Exterior Awning Roof Metal

461 East Exterior Awning Gutter Metal

456 East Exterior 2x8 Divider Wood

457 East Exterior Down Spout Metal

458 East Exterior Awing Trim Metal

465 East Exterior Stair Hand Rail Metal

466 East Exterior Stair Concrete

467 East Exterior Stair Han Rail Metal

462 East Exterior Down Spout Metal

463 East Exterior Security Bars Metal

464 East Exterior Stair Hand Rail Metal

257 0.96 POS 395 1.03

Range: .8 to 1.2 Paint Range: .8 to 1.2

Side Condition Color PbL(mg/cm2) NEG/POS

North Fair Tan 0.14 NEG

North Fair Tan 0.17 NEG

North Poor Tan 0.01 NEG

North Poor Grey 0.01 NEG

North Fair Tan 0.01 NEG

North Fair Brown 0.01 NEG

North Fair Tan 0.01 NEG

West Good Red 0.01 NEG

West Good Red 0.05 NEG

East Good Green 0.01 NEG

East Good Red 0.01 NEG

West Good Black 0.01 NEG

West Fair Grey 0.01 NEG

West Fair Green 0.01 NEG

West Fair Maroon 0.03 NEG

West Fair Red 0.70 NEG

West Fair Black 0.01 NEG

West Fair Red 0.02 NEG

Center Poor Brown 0.33 NEG

Center Poor Brown 0.32 NEG

West Poor Brown 0.95 POS

Center Poor Brown 11.81 POS

South Poor Brown 9.43 POS

North Poor Brown 6.41 POS

North Poor Brown 5.57 POS

Per 20

Second

Reading

Per 20

Second

Reading

XL Number Room/Area Structure Substrate

468 North Exterior Wall Concrete

Pre

Calibration PbL (mg/cm²)

Calibration

Range

Model# Serial # Post

Calibration

PbL

(mg/cm²)

Calibration

RangeXRF Analyzer XL3t 300 (Serial #96588)

472 North Exterior Vault Lid Metal

473 North Exterior Vault lid Metal

474 Exterior North Fire Riser Room Steam Support Post Metal

469 North Exterior Wall Brick

470 North Exterior HVAC Unit Stand Metal

471 North Exterior HVAC Unit Metal

478 South Half, North West Attic Tank Metal

479 South Half, North West Attic Support Angle Metal

480 North Half, Southwest Attic HVAC Unit Metal

475 South Half, North West Attic Tank Metal

476 South Half, North West Attic Tank Metal

477 South Half, North West Attic Pump Metal

484 North Half, Southwest Attic Angle Metal

485 North Half, Southwest Attic Beam Metal

486 Exterior Roof Roof Cap Metal

481 North Half, Southwest Attic Compressor Metal

482 North Half, Southwest Attic Compressor Metal

483 North Half, Southwest Attic Compressor Metal

490 Exterior Roof Radius Vent Metal

491 Exterior Roof Radius Vent Metal

492 Exterior Roof Radius Vent Metal

487 Exterior Roof Roof Flashing Metal

488 Exterior Roof Radius Vent Metal

489 Exterior Roof Radius Vent Metal

Reviewed on: 4/25/2022

ENVIRONMENTAL RESTORATION (AFCEC/CZOM)

AF Form 813 Review Requestor: James Morris, (777-3423) 75 CEG

813 ID: 40291

Installation Restoration Program (IRP) Comments:

There is no known surface contamination beneath or adjacent to Buildings 483. However, any construction project has the potential to uncover previously undocumented contamination. If unusual soil stains or odors are encountered during any excavation that may be required for this project, or if you have questions regarding the wells, please contact the Restoration POC, Mr.

Lindsay Burt (775-3301).

Environmental Restoration funds cannot be used to address contamination discovered during a construction project (MILCON or non-MILCON) per Section 6.4 of AFI 32-7020 (7 Nov 2014). If a construction project generates actions that result in the need to address contamination, or a need to change Environmental Restoration Program timelines to address contamination, the costs of such actions are not eligible for the use of Environmental Restoration funds and shall be funded as part of the construction project. This includes the handling, mitigation, and disposal or other disposition of contamination discovered before or during the construction activity. Excavations that result in the need for soil disposal will either dispose of clean soil at the on-base Construction and Debris landfill or use as fill for another on-base project.

Contaminated soil will be disposed of at a permitted landfill.

Environmental Restoration Reviewer: Lindsay Burt, 775-3301

HILL AIR FORCE BASE

Construction Project Water Quality Compliance Planning CHECKLIST hafb_construction_site_checklist_24march2021.docx PRINTED: 24 March 2021

Instructions - This checklist should be used by the design engineer to determine the necessary design considerations and the submittals for a Stormwater Pollution Prevention Plan (SWPPP) and/or Erosion Control Plan (ECP) review. Once submitted by the Hill AFB PM, it will be used by 75 CEG/CEIE to review and approve these documents. (**This checklist is not all inclusive; consult with CEIE for site-specific issues.)

General The attached form is a list of typical stormwater review criteria for all construction projects.

o The Design Engineer should check each item on the list; if an item is not applicable to this project, the item should be noted as N/A o Upon submittal for plan review, the Design Engineer should sign this form indicating the checklist and all required documents have been submitted o Hill Air Force Base (AFB) Project Manager (PM) must review documents from the Design Engineer and check what is included with the packet and sign this checklist prior to submittal to 75 CEG/CEIE o A copy of this checklist must accompany the plans with all subsequent reviews, 75 CEG/CEIE will not accept plans for review without this signed checklist.

o In providing approvals, 75 CEG/CEIE assumes that applicants have not made any errors and have complied with all applicable regulations. If after an approval, an error is discovered, or it is discovered that some aspect of approved drawings does not comply with applicable regulations, the applicant shall, at their own expense, revise the drawings and modify any infrastructure as necessary to correct the problem. Applicants and their design professionals shall remain responsible for their projects at all times.

The Hill AFB PM is responsible for compliance with all Department of Defense (DoD), Air Force Instruction (AFI), Unified Facilities Criteria (UFC), and State of Utah Division of Water Quality (DWQ) requirements. In addition, the Hill AFB PM is responsible for compliance with the DoD Implementation of Stormwater Requirements under Section 438 of the Energy Independence and Security Act (EISA) and obtaining all necessary permits and approvals.

Permit Requirements

• Utah Pollutant Discharge Elimination System (UPDES) Municipal Separate Storm Sewer System (MS4) Permit

(UTR090000) Part 4.2.4 and Part 4.2.5

• UPDES Construction General Permit (CGP) (UTRC00000)

PROJECT NAME:

PROJECT ADDRESS/LOCATION:

I have personally reviewed this submittal and verify that it is complete and that all items have been addressed and comply with current Base Codes and Requirements.

Design Engineer Signature:

Print Name:

Date:

Hill AFB Project Manager Signature: Date:

Hill AFB SWPPP Reviewer Signature: Date:

CEIE USE ONLY:

Municipal Industrial High Priority Area? YES NO

COMMENTS (see attached) PROCEED

HILL AIR FORCE BASE

Construction Project Water Quality Compliance Planning CHECKLIST

Suggested Resources:

• HAFB Guidance Document for Stormwater Management, 2006

• Utah DWQ Construction Activities Stormwater Permit: 801-536-4391 https://deq.utah.gov/Permits/water/updes/stormwatercon.htm

Contact Information:

• Davis Weber Canal Company: 801-774-6973

• Fife’s Ditch Company: 801-540-0571

• American Water:

o Mark Persico – 801-940-6998 o Colby Goodliffe– 801-695-9785 or 385-245-3297

• Corps of Engineers: 801-295-8380

• 75 CEG/CENM: Dave Murray – 801-777-2118

• SABER: Cody Duncan – 801-777-8489

• 75 CEG/CEIE: Michelle Cottle – 801-777-5041 https://deq.utah.gov/Permits/water/updes/stormwatercon.htm

Hill AFB Project Manager and 75 CEG/CEIE PLAN REVIEW CHECKLIST

PROJECT NAME:

DESIGN ENGINEER Hill AFB PM

USE ONLY

INCLUDED N/A

ANTICIPATED

SUBMITTAL

DATE

SUBMITTAL ITEM YES NO N/A

DESIGN

Project name/title Coordination with American Water for sanitary sewer discharges

Coordination with IWTP for industrial wastewater discharges Permit/coordination with Army Corps of Engineers, if impacting wetlands

Permit/coordination with Davis/Weber Canal Company, if impacting canal

Coordination letter from water users, if impacting Fife’s Ditch Easement/covenant documents, if needed Storm drainage calculations (separate document) for pipe system, surface route, and/or detention/retention ponds.

Stamped and certified by a Utah-licensed professional engineer (PE), with the following statement:

“I hereby certify that this report for the onsite drainage of the project was prepared by me (or under my direct supervision) in accordance with the provisions of Specification Section 01 57 20 Environmental Protection and Section 438 of the EISA, and was designed to comply with the provisions thereof. I understand that the Hill AFB project manager does not, and will not, assume liability for drainage facility designs.”

Rationale for long-term BMP selection to include an evaluation of LID methods

Final stabilization plan

STORMWATER POLLUTION PREVENTION PLAN

SWPPP prepared using the Utah DWQ Construction General Permit (CGP) template

If project is greater than 5 acres: SWPPP prepared by a PE or other certified/qualified individual (see CGP Part 7.2)

Copy of UPDES NOI (required prior to pre-construction kickoff meeting)

Vicinity map with project location identified

EROSION CONTROL PLAN

Existing contour lines (gray scale) at one-foot (1’) intervals Proposed contour lines at one-foot (1’) intervals Locations of materials/equipment/stockpile storage Storm drain system clearly identified (existing and proposed) Direction of stormwater flow Limits of disturbance Locations and details for all erosion and sediment control

BMPs

POST-CONSTRUCTION STORMWATER CONTROLS

Rationale for BMP selection Anticipated BMP pollutant removal Impacts to water quality Maintenance plan for each long-term BMP to include recommended routine maintenance, recommended inspection schedule, inspection requirements

REQUEST FOR ENVIRONMENTAL IMPACT ANALYSIS Report Control Symbol

RCS:40291

INSTRUCTIONS: Section I to be completed by Proponent; Section II and III to be completed by Environmental Planning Function. Continue on seperate sheets as necessary. Reference appropriate item number(s).

SECTION I - PROPONENT INFORMATION

1*) ENVIRONMENTAL MGT

2. FROM (Proponent organization and functional address symbo 2a. TELEPHONE NO.

75 CEG (James Morris)

1. TO (Environmental Planning Function)

3. TITLE OF PROPOSED ACTION

Demolish and remove all improvements and associated infrastructure for Building 483.

777-3423

4. PURPOSE AND NEED FOR ACTION (Identify decision to be made and need date)

5. DESCRIPTION OF PROPOSED ACTION AND ALTERNATIVES (DOPAA) (Provide sufficient details for evaluation of the total action.)

See Page 2

See Page 2

14. GEOLOGY AND SOILS (Topography, minerals, geothermal, Installation Restoration Program, seismicity, etc.)

6. PROPONENT APPROVAL (Name and Grade) 6a. SIGNATURE 6b. DATE

SECTION II - PRELIMINARY ENVIRONMENTAL SURVEY. (Check appropriate box and describe potential environmental effects Including cumulative effects.) (+ = positive effect; 0 = no effect; - = adverse effect; U = unknown

7. AIR INSTALLATION COMPATIBLE USE ZONE/LAND USE (Noise, accident potential, encroachment, etc.)

+ 0 - U

8. AIR QUALITY (Emissions, attainment status, state implementation plan, etc.)

9. WATER RESOURCES (Quality, quantity, source, etc.)

10. SAFETY AND OCCUPATIONAL HEALTH (Asbestos/radiation/chemical exposure, explosives safety quantity-distance, bird/wildlife aircraft hazard, etc.)

11. HAZARDOUS MATERIALS/WASTE (Use/storage/generation, solid waste, etc.)

12. BIOLOGICAL RESOURCES (Wetlands/floodplains, threatened or endangered species, etc.)

13. CULTURAL RESOURCES (Native American burial sites, archeological, historical, etc.)

15. SOCIOECONOMIC (Employment/population projections, school and local fiscal impacts, etc.)

16. OTHER (Potential impacts not addressed above.)

James.L.Morris James Morris 16-Feb-2022

X

X

X

X

X

X

X

X

X

X

SECTION III - ENVIRONMENTAL ANALYSIS DETERMINATION

17. PROPOSED ACTION QUALIFIES FOR CATEGORICAL EXCLUSION (CATEX) (see below for list of CATEXs); OR

PROPOSED ACTION DOES NOT QUALIFY FOR A CATEX; FURTHER ENVIRONMENTAL ANALYSIS IS REQUIRED.

X

18. REMARKS

32 CFR 989 CATEX A2.3.11 Actions similar to other actions which have been determined to have an insignificant impact in a similar setting as established in an EIS or an EA resulting in a FONSI. The EPF must document application of this CATEX on AF Form 813, specifically identifying the previous Air Force approved environmental document which provides the basis for this determination.

NEPA approval is contingent upon implementation of all other programs requirements, not just environmental requests.

19. ENVIRONMENTAL PLANNING FUNCTION CERTIFICATION

(Name and Grade)

THIS FORM CONSOLIDATES AF FORM 813 and 814.

PREVIOUS EDITIONS OF BOTH FORMS ARE OBSOLETE.

Stephen Vlaming 09-Mar-2022

AF IMT 813, 19990901, V1

19a. SIGNATURE 19b. DATE

//E-SIGNED 3- 9-22//

Vlaming, Stephen

AF IMT 813, SEP 99, CONTINUATION SHEET

4. PURPOSE AND NEED FOR ACTION (Identify decision to be made and need date)

4.1 Objective:

Demolish and remove all improvements and associated infrastructure for building 483, Hill Air Force Base, Utah.

4.2 Need Back:

3/2/2022 12:00:00AM

4.3 Who Wants the Project:

75 CEG. James Morris is the base POC (801) 777-3423

4.4 Why is the action required:

Demolish and remove all improvements and associated…