Attch 1. Statement of Work.pdf
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- Attached to
- OSI Carpet Federal contract opportunity
- Solicitation number
- FA462624Q0051
About this file
This document contains a Statement of Work (SOW) for replacing flooring in Building 610 at Malmstrom AFB, Montana. The contractor shall provide all labor, equipment, tools, and materials to remove existing flooring and install approximately 396 square yards of carpet tile, including 1,135 linear feet of 4-inch cove base, using the direct glue-down installation method. The contractor must purchase the carpet materials from one of the pre-approved Tier I contracts listed in the SOW. The performance period is 60 calendar days after the order to proceed, with work hours from 7:00 AM to 4:30 PM, Monday through Friday. The government will inspect and accept the work as it is completed. The contractor shall provide 48 carpet tiles for attic stock and is responsible for disposing of all waste generated during the project.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attach 1. Combo v5.pdf | ||
| Amendment 004.pdf | ||
| Combined Synopsis_Solictitation v4.pdf | ||
| Amendment 003.pdf | ||
| Attachment 3. Room Inventory.pdf | ||
| Attachment 2. COMBO v3.pdf | ||
| Attachment 1. Statement of Work v3.pdf | ||
| Amendment 002.pdf | ||
| QandA.pdf | ||
| Attachment 2. COMBO v2.pdf | ||
| Attachment 1. Statement of Work v2.pdf | ||
| Amendment 001.pdf | ||
| Questions and Answers.pdf | ||
| COMBO 07.11.2024_Final.pdf | ||
| Attch 2. WD 2015-5391 Rev 21.pdf | ||
| Attch 4. Photos of Bldg 610.pdf | ||
| Attch 3. Installation Perimeter Access Control.pdf |
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Text version
STATEMENT OF WORK
REPLACE FLOORING
IN BUILDING 610
MALMSTROM AFB, MT
1. GENERAL
1.1. Summary of work: The contractor shall provide all labor, equipment, tools, accessories, and materials (carpet and related items shall be purchased from mandatory Tier I contracts listed in paragraph 2.1) to properly remove existing and install approximately 396 square yards of carpet tile to include 1135 linear feet of 4” cove base, using the direct glue down method of installation in building 610, on Malmstrom AFB, MT.
1.2 Anti-Terrorism Awareness Training: In accordance with DoDI O-2000.16v1_AFI 31- 145-O, Antiterrorism (AT) Program Implementation, ensure Level I - AT Awareness Training is completed by all contractors within 30 days of requiring access, and annually thereafter. The training will be provided by the government. The objective of the training is to provide personnel with requisite knowledge necessary to remain vigilant and enable employment of AT tactics, techniques, and procedures.
1.3 Force Protection: Contractor personnel are required to abide by all real-world Force Protection Condition (FPCON) measures, random anti-terrorism measures (RAMs), shelter-in-place orders, evacuations and lock-down notices as directed. Examples include mandatory badge or ID checks, facility single points-of-entry and searches of hand carried items.
2. MATERIALS
2.1. The contractor shall provide all material to complete the installation in accordance with standard commercial practices. The contractor shall purchase the carpet materials by following the guidelines of the Air Force Installation Contracting Agency (AFICA) Carpet Ordering Guide Program. A listing of approved dealers previously established under the Tier I contracts as follows: (FA8003-23-C-0003, FA8003-23-C-0004, FA8003-23-C-0005, FA8003-23-C-0006, FA8003-23-C-0007, FA8003-23-C-0008, and FA8003-23-C-0009).
The carpet shall be purchased only from the pre-approved Tier I Contracts as in Attachment 2 of this SOW. The contractor is required to provide proof that the carpet was purchased from one of the pre-approved Tier I contracts. Cove base shall be 4” rubber of a complementary color (color must be approved by Facility Manager prior to purchase) in all areas.
3. EXECUTION
3.1. The performance period will be 60 calendar days after order to proceed. Working hours will be from 7:00 AM to 4:30 PM, Monday through Friday.
3.2. The contractor shall coordinate installation with the Office Manager (Anne Meyer 406-731-3558). This facility will be in use during installation.
3.3. The contractor shall install the flooring as recommended by the manufacturer, using the direct glue down method. The contractor shall provide all materials required to clean, patch, level, and prepare substrate for the new flooring. Flooring shall be installed in accordance with attached floor plan.
The contractor’s performance must meet or exceed The Carpet and Rug Institute’s Standard for Installation of Commercial Carpet, CRI 104-2002. Installation must be performed in strict compliance with all local, state, and federal regulations. The Occupational Safety and Health administration Hazard Communication Standard must be followed.
3.4. The government will inspect and accept the areas as the contractor completes them.
If any areas are found to be unacceptable when inspected by the government, the contractor shall re-perform until the newly installed area meets standard commercial practices.
3.5. Cove Base, Edge Guards and Transition Strips. In all area’s base will be replaced with 4” rubber. The contractor shall provide and install aluminum bend-down type edge guard and rubber /vinyl transition strips for direct glue down carpet where required in all other areas.
3.6 The contractor shall provide 48 carpet tiles for attic stock to the Facility Manager, for future repairs.
4. CLEAN UP
4.1. Clean up of the job site shall be the responsibility of the installation contractor. The contractor will perform a final vacuum on all carpeted surfaces when completed.
4.2 Waste generated by the Contractor in performance of the services specified with this SOW shall be disposed of by contractor off base in compliance with State and Local ordinances.
Attachment 1-Floor plans Attachment 2- Pre-Approved Contract Carpet Manufactures Attachment 3- Customer Carpet Selections
Attachment 1 Floor plans
Attachment 2 Pre-Approved Contract Carpet Manufactures
The following list of contractors are the pre-approved carpet vendors for the purchase of carpet product in accordance with the Tier I Contracts awarded by the Air Force Installation Contracting Agency (AFICA). All carpet Products must be referred to and purchased from one to the seven vendors below. These contracts have a locked in and not-to-exceed (NTE) pricing for carpet and is hereby mandated to be the only source options for purchase of carpet products used a Malmstrom AFB, Montana.
Mohawk Contract #: FA8003-23-C-0003 POC: Annaleigh Warmack Phone: 706-459-4965 Email: Annaliegh_warmack@mohawkind.com
Engineered Floor (J&J) Contract #: FA8003-23-C-0004 POC: Rachell Byers Phone: 800-241-4585 Email: contract.team@engineeredfloors.com
Interface Contract #: FA8003-23-C-0005 POC: Brian Titus Phone: 801-839-6685 Email: brian.titus@interface.com
Mannington Contract #: FA8003-23-C-0006 POC: Jody Steger Phone: 703-489-5698 Email: jody.steger@mannington.com
Tarkett Contract #: FA8003-23-C-0007 POC: Rich Padgett Phone: 757-810-8893 Email: Richard.padgett@tarkett.com
Milliken Contract #: FA8003-23-C-0008 POC: Tammy Drake Phone: 706-880-5727 Email: tammy.drake@milliken.com mailto:Annaliegh_warmack@mohawkind.com mailto:contract.team@engineeredfloors.com mailto:brian.titus@interface.com mailto:jody.steger@mannington.com mailto:Richard.padgett@tarkett.com mailto:tammy.drake@milliken.com
Bentley Mills Contract #: FA8003-23-C-0009 POC: Mindy Dever Phone: 859-536-7846 Email: mindy.dever@bentleymills.com mailto:mindy.dever@bentleymills.com
MONTANA | WASHINGTON | IDAHO | NORTH DAKOTA | PENNSYLVANIA
4 0 6 . 7 6 1 . 3 0 1 0 t d h e n g i n e e r i n g . c om
1 8 0 0 R i v e r D r i v e N o r t h
G r e a t F a l l s , MT 5 9 4 0 1
June 21, 2019
Andrew Kaltenbach
Coffman Engineering, Inc.
751 Osterman Drive, Suite 104
Bozeman, Montana 59715
RE: PRE-RENOVATION ASBESTOS AND LEAD-IN-PAINT
INSPECTION - BUILDING 610, MAFB
MAFB OPPORTUNITY NO. 1053500
TD&H ENGINEERING JOB NO. 19-047-070
Dear Mr. Kaltenbach, In accordance with our Agreement for Engineering Services, TD&H Engineering, Inc.
(TD&H) performed a pre-renovation asbestos and lead-in-paint inspection of Building 610, located on MAFB, on May 22nd and 23rd, 2019. The asbestos and lead-in-paint inspections were performed in accordance with the Statement of Work (SOW) as detailed in the August 13th, 2018, document entitled "Add/Alt OSI, Bldg. 610”, Opportunity No. 1053500. This asbestos inspection report must be kept on site during all renovation activities.
PROJECT DESCRIPTION
The building is an approximately 7,200-square-foot, single-story building with a slab-on-grade foundation commonly known as Building 610. The floors are bare concrete or are covered by floor tile, ceramic tile, or carpet. Walls are either concrete masonry unit (CMU) or wood-framed and covered by drywall or ceramic wall tile. The ceilings are drywall or covered by a lay-in ceiling panel system.
Building 610 is scheduled to undergo possible renovations to meet the needs of the Air Force Office of Special Investigations (AFOSI) in fulfilling their mission. Asbestos and lead-in-paint inspections are required prior to the start of any renovation activities.
ASBESTOS INSPECTION
The Administrative Rules of Montana (ARM) 17.74.354 require an asbestos inspection be completed for all building materials prior to scheduled renovation activities to determine if asbestos-containing materials (ACM) are present. The National Emissions Standards for Hazardous Air Pollutants (NESHAP – 40 CFR 61) and the ARM regulate asbestos due to the respiratory hazard that airborne asbestos fibers present. The inspection was performed by Mr. Deven Vignali and Ms. Laura Hart of TD&H, both Montana-accredited asbestos inspectors, in accordance with the Environmental Protection Agency (EPA) – Asbestos Hazards and Emergency Response Act (AHERA) regulation 40 CFR 763. Documentation of accreditation is provided in Appendix A.
June 21, 2018 PAGE NO. 2 t d h e n g i n e e r i n g . c o m
Building materials were identified, categorized, numbered, and placed into homogeneous areas (HAs) for sample collection and laboratory analysis. The number of samples collected from building materials identified during the inspection is based on the following:
• Surfacing Materials: Three samples for spray-applied and trowel-applied surfacing materials between 10 and 1,000 square feet (SF), five samples for surfacing materials between 1,000 and 5,000 SF, and seven samples for surfacing materials over 5,000 SF.
• Thermal System Insulation: Three samples from each HA of thermal system insulation, which may include boiler insulation, mudded fittings, and expanded vermiculite insulation.
• Miscellaneous Materials: Three samples from each HA of miscellaneous material, such as ceiling tile, wallboard system, cove base mastic, floor tile and mastic, concrete, roofing materials, and brick mortar.
• Materials Less Than 10 SF: At least one sample from each HA of patching material, such as replacement floor tiles or patching plaster, and materials of less than 10 SF in total area.
A total of 31 suspect building materials were identified during the inspection. Bulk samples were collected from the materials in accordance with the currently recognized standard protocol developed under AHERA. Bulk samples were placed into containers and shipped to CA Labs, LLC (CA Labs), located in Baton Rouge, Louisiana, for analysis using Polarized Light Microscopy (PLM) in accordance with the EPA Method 600/R-93/116. CA Labs is accredited through the National Institute of Standards and Technology’s (NIST) National Voluntary Laboratory Accreditation Program (NVLAP). The point-counting technique employed by CA Labs in the analysis of these samples has a limit of detection of approximately 0.1% by volume on samples that contained asbestos at concentrations under 1%.
Three locations in the exterior CMU walls and two locations in the interior CMU walls were inspected for vermiculite insulation. No vermiculite was encountered, and the wall cavities had been filled with grout.
All the samples collected during the inspection were determined by laboratory analysis to be non-asbestos containing and were listed in the report as “None Detected”. These HAs are shown in Table 1. The analytical report provided by CA Labs is provided in Appendix B, and sample locations are shown on Figure 1 in Appendix C.
June 21, 2018 PAGE NO. 3
Table 1 Non-Asbestos-Containing Building Materials
Building 610, MAFB
Homogenous Area (HA)
Sample Description Location-Room
C2.1 2’x4’ Ceiling Panel – Random pinholes and fissures
A105/B106, A112-A123, B104, and B105
C2.2 2’x4’ Ceiling Panel – Random pinholes and long, parallel fissures
A119
C3.1 2’x2’ Ceiling Panel – Random pinholes and parallel fissures
A102, A103, A106, and A108- A110
C3.2 2’x2’ Ceiling Panel – Randomly-placed and -sized pinholes
A102, A104, A106, and A108- A110
C3.3 2’x2’ Ceiling Panel – Small, randomly-placed pinholes
A102, A106, A109, and A110
C3.4 2’x2’ Ceiling Panel – Random pinholes and small random fissures
A102 and A109
D1.1 Drywall with Joint Compound A101-A105, A107, A109-A111, A123, M101, and M102
D1.2 Drywall with Joint Compound A112-A122
D1.3 Drywall with Joint Compound A105/B106, B101-B105, and B107
F2.1/M2.1 12”x12” Floor Tile w/ Mastic – Off-white with gray pattern
A104 and A111
F2.2/M2.2 12”x12” Floor Tile w/ Mastic – Gray with red, blue, and green spots
A101, A105, and B101
F4.1 Leveling Compound under F2.2/M2.2, M4.2, and M4.3
A105, A109, and A110
F4.2 Leveling Compound under M4.4 A122
G1.1 Concrete Throughout
G2.1 CMU B102, M101, and Exterior
M4.1 Carpet Mastic – Blue, red, and gray chevrons
A102, A103, A115/B106, B104, B105, and B107
M4.2 Carpet Mastic – Gray with blue and white specks
A109
M4.3 Carpet Mastic – Light blue with blue and green specks
A110
M4.4 Carpet Mastic – Gray, green, light blue, and red parallel lines
A112-A123
M5.1 4”x4” Ceramic Wall Tile – Dark gray A106, A108, and B103
M5.2 4”x4” Ceramic Wall Tile – Light gray A106 and A108
M5.3 2”x2” Ceramic Floor Tile – Dark gray A106-A108
June 21, 2018 PAGE NO. 4
Table 1 Non-Asbestos-Containing Building Materials
Building 610, MAFB
Homogenous Area (HA)
Sample Description Location-Room
M5.4 2”X4” Ceramic Wall Tile – Gray A107
M5.5 2”x2” Ceramic Floor Tile – Light gray B103
M5.6 8”x8” Ceramic Wall Tile – Off-white with blue dots
Exterior
M6.1 4” Cove Base Mastic – Gray A101, A104, A105, A112-A123, and B101
M6.2 4” Cove Base Mastic – Tan A109-A111
S1.1 Orange-peel Surfacing – White A101, A102, and A123
S1.2 Orange-peel Surfacing – Off-White A105/B106, A112-A122, B103- B105, B107
T2.1 Pipe Wrap M101
LEAD-BASED PAINT INSPECTION
A lead-based paint (LBP) survey was conducted to identify painted components that may require specialized handling to comply with Occupational Safety and Health Association (OSHA) requirements or special disposal under the Resource Conservation and Recovery Act (RCRA), which is administered by the EPA. The survey was performed by an experienced technician with training as an LBP risk assessor.
Lead-Based Paint LBP is of concern both as a source of direct exposure through ingestion of paint chips and as a contributor to lead in interior dust and exterior soil. Regulatory agencies which have addressed lead-based paint include the EPA, Department of Housing and Urban Development (HUD), OSHA, and the Consumer Products Safety Commission (CPSC).
There is no state program for lead.
HUD guidelines define lead-based paint as:
• Paint in liquid form which contains 0.06%, by weight, calculated as lead metal in total nonvolatile content of the liquid paint, or
• Paint already applied which tests equal to or greater than 1.0 milligrams per square centimeter (mg/cm2) when using X-Ray Fluorescence (XRF) technology, or 5,000 milligrams per kilogram (mg/kg) (0.5% by weight) when using atomic absorption spectroscopic analysis (AA).
Lead-Containing Paint The term “lead-containing paint” (LCP) is used for paint that contains lead at concentrations less than the HUD guidelines or EPA disposal regulations. The OSHA standard for lead in the construction industry does not recognize a minimum safe concentration of lead. If any painted surface has any detectable level of lead, it must be presumed to present an occupational exposure to lead for OSHA-regulated construction work until a negative exposure assessment or exposure monitoring establishes otherwise.
June 21, 2018 PAGE NO. 5
Methods A Niton X-ray fluoroscope (XRF) was used to test paint for lead. The XRF instrument provided a real concentration of LBP based on the generated spectra and an algorithm programmed into the instrument. The XRF was standardized prior to the start, at mid-day, and after the conclusion each day of LBP surveying against lead-based paint standards provided by the manufacturer of the XRF.
Painted surfaces were placed into HAs by identical colors, substrates, and building component types.
Results One HA tested positive for lead-based paint, and nine HAs were analyzed as lead-containing and are shown in Table 2. Results of all painted surfaces analyzed are contained in Appendix D, and XRF sample locations are shown in Appendix E.
Table 2 HAs Testing Positive for Lead-in-Paint
Building 610, MAFB
HA Substrate Color Component Highest
XRF Reading (mg/cm2)
LCP
or
LBP
Location
1 Metal Tan Ceiling 0.02 LCP M101 and M102
3 Drywall Off-White Wall 0.02 LCP M102
12 Metal Dark Blue Equipment 0.05 LCP M101
13 Metal Red
Orange Pipe 0.04 LCP M101
15 Metal White Pipe 0.07 LCP A101
18 Wood Tan Shelf 0.16 LCP A101 and A103
Paper Wrap Over Fiberglass Insulation
Tan HVAC 5.3* LBP B102
45 CMU Off-White Wall 0.05 LCP B103 and M101
47 Metal Tan Conduit 0.03 LCP Exterior
48 Metal Tan Gutter
Protector
0.03 LCP Exterior
*This reading may be a false positive as the XRF may have read the lead content in any soldered fittings that may have been present in the copper waterline underneath the wrap.
RECOMMENDATIONS
The following recommendations for materials containing asbestos or lead are based on our observations and the anticipated scope of renovation.
Asbestos Since none of the materials suspect for asbestos were determined by laboratory analysis to be ACM, no further action is required regarding asbestos. Additional sampling may be necessary if site activities expose other suspect materials not described in this report.
June 21, 2018 PAGE NO. 6
Lead Work involving components covered with paint containing lead is governed by OSHA regulations. Disposal of lead, paint containing lead or building materials covered with paint containing lead is governed by EPA regulations.
Environmental Protection Agency. EPA’s Lead-Based Paint Renovation, Repair and Painting Program Rule contained in 40 CFR Part 745, Subpart E, requires workers to be trained to use lead-safe work practices and requires renovation firms to be EPA-certified;
these requirements became effective April 22, 2010. Since the building involved in the renovation is not a child occupied facility or pre-1978 housing, only the EPA regulations described below will apply.
EPA Regulations for Disposal of Lead-Based Paint Components. When a waste stream with a concentration of 5 milligrams per liter or more when tested using the Toxicity Characteristic Leaching Procedure (TCLP) exceeds the Resource Conservation and Recovery Act (RCRA) TCLP Rule (40 CFR 261.24) regulatory standard for hazardous waste disposal, then disposal of lead-based painted components will require specialized handling and disposal in landfills classified to accept the hazardous waste. LPB surfaces should not be sanded or handled in such a way that lead could be liberated from the painted surfaces.
Occupational Safety and Health Administration. The lead-based and lead-containing surfaces found in this survey are intact and if not disturbed do not present a hazard to employees involved in the renovation. If these components are disturbed in a manner such as described below, then a hazardous condition may result and will need to be addressed according to OSHA regulations.
The OSHA standard for Lead in Construction, 29 CFR 1926, does not recognize a safe level of lead in dried paint to which workers may be exposed in an occupational setting.
Consequently, any disturbance to painted surfaces which contain a measurable quantity of lead must be considered as having the potential to create a risk to workers.
The OSHA standard cites a Permissible Exposure Level (PEL) of 50 micrograms of lead per cubic meter of air (μg/m3) and an Action Level (AL) of 30 μg/m3. Any amount above these levels triggers several safety and health provisions, including, but not limited to:
1. A respiratory protection program
2. Personal protective clothing and equipment
3. Changing areas including segregated storage of work and non-work clothing
4. Hand-washing facilities
5. Blood testing
6. Employee training
Also, if an employee is performing any of the following tasks:
1. Manual demolition, dry scraping, or dry sanding
2. Heat gun applications
3. Power tool cleaning
4. Other industrial operations involving lead as specified in the OSHA standards, then all of the above-mentioned safety items must be provided to the employees. If it is found that either the AL or the PEL is being exceeded, then other safety requirements must be met.
June 21, 2018 PAGE NO. 7
A negative exposure assessment (NEA) should be completed on employees that are performing the work. The NEA would ensure that good work practices may prevent employee exposure to elevated concentrations of airborne lead. The NEA should be performed on the same employees, using the same methods and using the same tools that will be used for the duration of the project.
Recommended Response Actions. TCLP sampling of the waste stream may be required by
High Plains Sanitary Landfill which serves the Great Falls area if LBP is present. If results are greater than 5.0 milligrams per liter, either removal of LBP or chemical fixation may be needed. If neither of these solutions is practical, the components must be disposed of in a
Class I landfill.
Any work with LBP and LCP that has the potential to expose workers to airborne lead at or above the PEL should be performed by a certified lead abatement contractor.
LIMITATIONS
This asbestos and lead-in-paint inspection report was prepared based on information gathered during two site visits and interpretations of laboratory analytical results provided by CA Labs. The inspection report has been prepared to provide information concerning the various types of building materials that were considered suspect for containing asbestos or lead-in-paint and to inform you of which building materials tested positive.
Most building components were visible and accessible at the time of our site visits.
However, additional suspect materials may be encountered during renovation activities.
TD&H should be contacted if work will disturb materials in addition to those included in this report. TD&H may need to be present during work activities if the potential exists to disturb materials that were not accessible during our site work.
This asbestos and lead-in-paint inspection report is intended for use by Coffman Engineering, Inc. and its clients. The scope of services performed by TD&H Engineering may not be appropriate to satisfy the needs of other users, and any use or re-use of this document, or the findings presented herein, is at the sole risk of the user.
June 21, 2018 PAGE NO. 8
We appreciate this opportunity to provide these industrial hygiene-consulting services to you. Should you have questions or need further clarification about information contained herein, please feel free to contact us at (406) 761-3010.
Sincerely, Laura Hart EI Oran Grotbo MT-4587 Exp. 2020.26.04 MT-2566 Exp. 2020.26.04 Industrial Hygiene Technician Project Manager
TD&H ENGINEERING TD&H ENGINEERING
Deven Vignali MTA-5445 Exp. 12/13/2019 Industrial Hygiene Technician
TDH ENGINEERING
APPENDICES: A DOCUMENTATION OF ACCREDITATION
B ASBESTOS LABORATORY REPORTS
C ASBESTOS SAMPLE LOCATIONS
D XRF SAMPLE RESULTS
E XRF SAMPLE LOCATIONS
J:\2019\19-047 Coffman MAFB Add_ALT OSI Bldg 610\INDUSTRIAL HYGIENE\19-047 Bldg 610 Asbestos and LBP Report.doc
APPENDIX A
DOCUMENTATION OF
ACCREDITATION
APPENDIX B
ASBESTOS LABORATORY
REPORTS
Attn:
Customer Project:
Reference #: Date: 5/31/2019
Analysis and Method
Discussion
Qualifications
A "trace asbestos" will be reported if the analyst observes far less than 1% asbestos. CA Labs defines "trace asbestos" as a few fibers detected by the analyst in several preparations and will indicate as such under these circumstances.
Quantification of <1% will actually be reported as <=1% (allowable variance close to 1% is high). Such results are ideal for point counting, and the technique is mandatory for friable samples (NESHAP, Nov. 1990 and clarification letter 8 May 1991) under 1% percent asbestos and the "trace asbestos". In order to make all initial PLM reports issued from CA Labs NESHAP compliant, all <1% asbestos results (except floor tiles) will be point counted at no additional charge.
CA Labs is accredited by the National Voluntary Accreditation Program (NVLAP) for selected test methods for airborne fiber analysis (TEM), and for bulk asbestos fiber analysis (PLM). All analysts have a college degree in a natural science (geology, biology, or environmental science) or are recognized by a state professional board in one these disciplines .Extensive in-house training programs are used to augment education background of the analyst. The group leader of polarized light has received supplemental McCrone Research training for asbestos identification. This report is not covered by the scope of AIHA accreditation. Analysis performed at CA Labs, LLC 12232 Industriplex, Suite 32 Baton Rouge, LA 70809.
Fibrous talc containing samples may even contain a related asbestos fiber known as anthophyllite. Under certain conditions the same fiber may actually contain both talc and anthophyllite (a phenomenon called intergrowth). Again, TEM detection methods are recommended. CA Labs PLM report comments will denote suspected amounts of asbestiform anthophyllite with talc, where further analysis is recommended.
Some samples (floor tiles, surfacings, etc.) may contain fibers too small to be detectable by PLM analysis and should be analyzed by TEM bulk protocols.
Laboratory Analysis Report - Polarized Light
TD & H Engineering Oran Grotbo
1800 River Drive North
Great Falls, MT 59401 Building 610
CBR19052661
CA Labs
Dedicated to
Quality
CA Labs, L.L.C.
12232 Industriplex, Suite 32
Baton Rouge, LA 70809
Phone 225-751-5632
Fax 225-751-5634
NVLAP #200772-0
TDSHS #300370
CDPHE #AL-18111
LELAP #03069
Materials Characterization - Bulk Asbestos Analysis
Summary of polarizing light microscopy (PLM / Stereomicroscopy bulk asbestos analysis) using the methods described in 40CFR Part 763
Appendix E to Subpart E (Interim and EPA 600 / R-93 / 116 (Improved). The sample is first viewed with the aid of stereomicroscopy. Numerous liquid slide preparations are created for analysis under the polarized microscope where identifications and quantifications are preformed. Calibrated liquid refractive oils are used as liquid mouting medium. These oils are used for identification (dispersion staining). A calibrated visual estimation is reported, should any asbestiform mineral be present. Other techniques such as acid washing are used in conjugation with refractive oils for detection of smaller quantities of asbestos. All asbestos percentages are based on calibrated visual estimation traceable to NIST standards for regulated of asbestos. Traceability to measurement and calibration is achieved by using known amounts and types of asbestos from standards where analyst and laboratory accuracy are measured. As little as 0.001% asbestos can be detected in favorable samples, while detection in unfavorable samples may approach the detection limit of 0.50% (well above the laboratory definition of trace).
Vermiculite containing samples may have trace amounts of actinolite-tremolite, where not found be PLM should be analyzed using TEM methods and / or water separation techniques. Suspected actinolite/vermiculite presence will be indicated through the sample comment section of this report.
Labs
A
C
Overview of Project Sample Material Containing Asbestos
Customer Project: Building 610 CA Labs Project #: CBR19052661
No Asbestos Detected.
Glossary of abbreviations (non-asbestos fibers and non-fibrous minerals):
This report relates to the items tested. This report is not to be used by the customer to claim product certification, approval or endorsement by NVLAP, NIST, AIHA LAP, LLC, or any other agency of the federal government. This report may not be reproduced except in full without written permission from CA Labs. These results are submitted pursuant to CA Labs' current terms and sale, condition of sale, including the company's standard warranty and limitations of liability provisions and no responsibility or liability is assumed for the manner in which the results are used or interpreted. Unless notified in writing to return the samples covered by this report, CA Labs will store the samples for a period of ninety (90) days before discarding. A shipping or handling fee may be assessed for the return of any samples.
ca - carbonate gypsum - gypsum bi - binder or - organic ma - matrix mi - mica ve - vermiculite ot - other pe - perlite qu - quartz fg - fiberglass mw - mineral wool wo - wollastinite ta - talc sy - synthetic ce - cellulose br - brucite ka - kaolin (clay) pa - palygorskite (clay)
Asbestos type / calibrated visual estimate percent
List of Affected Building
Material Types
Sample # Layer
Analysts Physical Description of
Subsample
CA Labs
Dedicated to
Quality
CA Labs, L.L.C.
12232 Industriplex, Suite 32
Baton Rouge, LA 70809
Phone 225-751-5632
Fax 225-751-5634
NVLAP #200772-0
TDSHS #300370
CDPHE #AL-18111
LELAP #03069
Labs
A
Polarized Light Asbestiform Materials Characterization
Customer Info: Attn: Customer Project:
5/31/2019
5 day 5/28/2019
Phone # 5/22/2019
Fax # 19-047
Laboratory Director
Chris Williams
15% fg
50% ce 35% qu, pe
C2.2A 1 White Surfacing Y None Detected 100% qu, bi
2 Tan Ceiling Tile Y None Detected
15% fg
50% ce 35% qu, pe
C2.1C 1 White Surfacing Y None Detected 100% qu, bi
2 Tan Ceiling Tile Y None Detected
15% fg
50% ce 35% qu, pe
C2.1B 1 White Surfacing Y None Detected 100% qu, bi
2 Tan Ceiling Tile Y None Detected
Analyst Alicia Stretz
1. Fire Damage significant fiber damage - reported percentages reflect unaltered fibers
2. Fire Damage no significant fiber damages effecting fibrous percentages
3. Actinolite in association with Vermiculite
4. Layer not analyzed - attached to previous positive layer and contamination is suspected
5. Not enough sample to analyze
6. Anthophyllite in association with Fibrous Talc
7. Contamination suspected from other building materials
8. Favorable scenario for water separation on vermiculite for possible analysis by another method
9. < 1% Result point counted positive
10. TEM analysis suggested
Kyle Hoffpauir Senior Analyst
Analysis Method: Interim (40CFR Part 763 Appendix E to Subpart E) / Improved (EPA-600 / R-93/116)
Preparation Method: HCL acid washing for carbonate based samples, chemical reduction for organically bound components, oil immersion for identification of asbestos types by dispersion attaining / becke line method.
ca - carbonate gypsum - gypsum bi - binder or - organic ma - matrix mi - mica ve - vermiculite ot -other pe - perlite qu - quartz fg - fiberglass mw - mineral wool wo - wollastinite ta - talc sy - synthetic ce - cellulose br - brucite ka - kaolin (clay) pa - palygorskite (clay) Approved Signatories:
Y None Detected 100% qu, biC2.1A 1 White Surfacing
CBR19052661
Homo-geneo us
(Y/N)
Asbestos type / calibrated visual estimate percent
Non-asbestos fiber type / percent
Non-fibrous type
/ percent
Sample # Com ment
Layer
Analysts Physical Description of
Subsample
NVLAP #200772-0
TDSHS #300370
CDPHE #AL-18111
LELAP #03069
406-761-3010 Date Of Sampling:
406-727-2872 Purchase Order #:
Oran Grotbo CA Labs Project #:
TD & H Engineering
Building 610 1800 River Drive North
Great Falls, MT 59401 Date:
Turnaround Time: Samples Received:
CA Labs
Dedicated to
Quality
CA Labs, L.L.C.
12232 Industriplex, Suite 32
Baton Rouge, LA 70809
Phone 225-751-5632
Fax 225-751-5634
Labs
A
5/31/2019
5 day 5/28/2019
Phone # 5/22/2019
Fax # 19-047
Laboratory Director
Chris Williams
Kyle Hoffpauir Senior Analyst
Analyst Alicia Stretz
Analysis Method: Interim (40CFR Part 763 Appendix E to Subpart E) / Improved (EPA-600 / R-93/116)
Preparation Method: HCL acid washing for carbonate based samples, chemical reduction for organically bound components, oil immersion for identification of asbestos types by dispersion attaining / becke line method.
ca - carbonate gypsum - gypsum bi - binder or - organic ma - matrix mi - mica ve - vermiculite ot -other pe - perlite qu - quartz fg - fiberglass mw - mineral wool wo - wollastinite ta - talc sy - synthetic ce - cellulose br - brucite ka - kaolin (clay) pa - palygorskite (clay) Approved Signatories:
100% qu, bi
2 Tan Ceiling Tile Y None Detected
15% fg
50% ce 35% qu, pe
Y None Detected
15% fg
50% ce 35% qu, pe
C3.1A 1 White Surfacing Y None Detected
15% fg
50% ce 35% qu, pe
C2.2C 1 White Surfacing Y None Detected 100% qu, bi
2 Tan Ceiling Tile Y None Detected
35% qu, pe
C2.2B 1 White Surfacing Y None Detected 100% qu, bi
Asbestos type / calibrated visual estimate percent
Non-asbestos fiber type / percent
Non-fibrous type
/ percent
2 Tan Ceiling Tile Y None Detected
15% fg
50% ce
406-761-3010 Date Of Sampling:
406-727-2872 Purchase Order #:
Sample # Com ment
Layer
Analysts Physical Description of
Subsample
Homo-geneo us
(Y/N)
CA Labs Project #:
TD & H Engineering
Building 610
CBR19052661
1800 River Drive North
Great Falls, MT 59401 Date:
Turnaround Time: Samples Received:
1. Fire Damage significant fiber damage - reported percentages reflect unaltered fibers
2. Fire Damage no significant fiber damages effecting fibrous percentages
3. Actinolite in association with Vermiculite
4. Layer not analyzed - attached to previous positive layer and contamination is suspected
5. Not enough sample to analyze
6. Anthophyllite in association with Fibrous Talc
7. Contamination suspected from other building materials
8. Favorable scenario for water separation on vermiculite for possible analysis by another method
9. < 1% Result point counted positive
10. TEM analysis suggested
2 Tan Ceiling Tile
CA Labs
Dedicated to
Quality
CA Labs, L.L.C.
12232 Industriplex, Suite 32
Baton Rouge, LA 70809
Phone 225-751-5632
Fax 225-751-5634
NVLAP #200772-0
TDSHS #300370
CDPHE #AL-18111
LELAP #03069
Oran Grotbo
Labs
A
5/31/2019
5 day 5/28/2019
Phone # 5/22/2019
Fax # 19-047
Laboratory Director
Chris Williams
1. Fire Damage significant fiber damage - reported percentages reflect unaltered fibers
2. Fire Damage no significant fiber damages effecting fibrous percentages
3. Actinolite in association with Vermiculite
4. Layer not analyzed - attached to previous positive layer and contamination is suspected
5. Not enough sample to analyze
6. Anthophyllite in association with Fibrous Talc
7. Contamination suspected from other building materials
8. Favorable scenario for water separation on vermiculite for possible analysis by another method
9. < 1% Result point counted positive
10. TEM analysis suggested
Kyle Hoffpauir Senior Analyst
Analyst Alicia Stretz
Analysis Method: Interim (40CFR Part 763 Appendix E to Subpart E) / Improved (EPA-600 / R-93/116)
Preparation Method: HCL acid washing for carbonate based samples, chemical reduction for organically bound components, oil immersion for identification of asbestos types by dispersion attaining / becke line method.
ca - carbonate gypsum - gypsum bi - binder or - organic ma - matrix mi - mica ve - vermiculite ot -other pe - perlite qu - quartz fg - fiberglass mw - mineral wool wo - wollastinite ta - talc sy - synthetic ce - cellulose br - brucite ka - kaolin (clay) pa - palygorskite (clay) Approved Signatories:
15% fg
50% ce 35% qu, pe
C3.2B 1 White Surfacing Y None Detected 100% qu, bi
2 Tan Ceiling Tile Y None Detected
15% fg
50% ce 35% qu, pe
C3.2A 1 White Surfacing Y None Detected 100% qu, bi
2 Tan Ceiling Tile Y None Detected
15% fg
50% ce 35% qu, pe
C3.1C 1 White Surfacing Y None Detected 100% qu, bi
2 Tan Ceiling Tile Y None Detected
Non-asbestos fiber type / percent
Non-fibrous type
/ percent
C3.1B 1 White Surfacing Y None Detected 100% qu, bi
Sample # Com ment
Layer
Analysts Physical Description of
Subsample
Homo-geneo us
(Y/N)
Asbestos type / calibrated visual estimate percent
Turnaround Time: Samples Received:
406-761-3010 Date Of Sampling:
406-727-2872 Purchase Order #:
CA Labs
Dedicated to
Quality
CA Labs, L.L.C.
12232 Industriplex, Suite 32
Baton Rouge, LA 70809
Phone 225-751-5632
Fax 225-751-5634
NVLAP #200772-0
TDSHS #300370
CDPHE #AL-18111
LELAP #03069
Oran Grotbo CA Labs Project #:
TD & H Engineering
Building 610
CBR19052661
1800 River Drive North
Great Falls, MT 59401 Date:
Labs
A
5/31/2019
5 day 5/28/2019
Phone # 5/22/2019
Fax # 19-047
Laboratory Director
Chris Williams
1. Fire Damage significant fiber damage - reported percentages reflect unaltered fibers
2. Fire Damage no significant fiber damages effecting fibrous percentages
3. Actinolite in association with Vermiculite
4. Layer not analyzed - attached to previous positive layer and contamination is suspected
5. Not enough sample to analyze
6. Anthophyllite in association with Fibrous Talc
7. Contamination suspected from other building materials
8. Favorable scenario for water separation on vermiculite for possible analysis by another method
9. < 1% Result point counted positive
10. TEM analysis suggested
Kyle Hoffpauir Senior Analyst
Analyst Alicia Stretz
15% fg
50% ce 35% qu, pe
Analysis Method: Interim (40CFR Part 763 Appendix E to Subpart E) / Improved (EPA-600 / R-93/116)
Preparation Method: HCL acid washing for carbonate based samples, chemical reduction for organically bound components, oil immersion for identification of asbestos types by dispersion attaining / becke line method.
ca - carbonate gypsum - gypsum bi - binder or - organic ma - matrix mi - mica ve - vermiculite ot -other pe - perlite qu - quartz fg - fiberglass mw - mineral wool wo - wollastinite ta - talc sy - synthetic ce - cellulose br - brucite ka - kaolin (clay) pa - palygorskite (clay) Approved Signatories:
2 Tan Ceiling Tile Y None Detected
15% fg
50% ce 35% qu, pe
C3.3B 1 White Surfacing Y None Detected 100% qu, bi
2 Tan Ceiling Tile Y None Detected
15% fg
50% ce 35% qu, pe
C3.3A 1 White Surfacing Y None Detected 100% qu, bi
2 Tan Ceiling Tile Y None Detected
35% qu, pe
C3.2C 1 White Surfacing Y None Detected 100% qu, bi
Asbestos type / calibrated visual estimate percent
Non-asbestos fiber type / percent
Non-fibrous type
/ percent
2 Tan Ceiling Tile Y None Detected
15% fg
50% ce
406-761-3010 Date Of Sampling:
406-727-2872 Purchase Order #:
Sample # Com ment
Layer
Analysts Physical Description of
Subsample
Homo-geneo us
(Y/N)
TD & H Engineering
Building 610
CBR19052661
1800 River Drive North
Great Falls, MT 59401 Date:
Turnaround Time: Samples Received:
CA Labs
Dedicated to
Quality
CA Labs, L.L.C.
12232 Industriplex, Suite 32
Baton Rouge, LA 70809
Phone 225-751-5632
Fax 225-751-5634
NVLAP #200772-0
TDSHS #300370
CDPHE #AL-18111
LELAP #03069
Oran Grotbo CA Labs Project #:
Labs
A
5/31/2019
5 day 5/28/2019
Phone # 5/22/2019
Fax # 19-047
Laboratory Director
Chris Williams
1. Fire Damage significant fiber damage - reported percentages reflect unaltered fibers
2. Fire Damage no significant fiber damages effecting fibrous percentages
3. Actinolite in association with Vermiculite
4. Layer not analyzed - attached to previous positive layer and contamination is suspected
5. Not enough sample to analyze
6. Anthophyllite in association with Fibrous Talc
7. Contamination suspected from other building materials
8. Favorable scenario for water separation on vermiculite for possible analysis by another method
9. < 1% Result point counted positive
10. TEM analysis suggested
Kyle Hoffpauir Senior Analyst
Analyst Alicia Stretz
100% qu, ca
Analysis Method: Interim (40CFR Part 763 Appendix E to Subpart E) / Improved (EPA-600 / R-93/116)
Preparation Method: HCL acid washing for carbonate based samples, chemical reduction for organically bound components, oil immersion for identification of asbestos types by dispersion attaining / becke line method.
ca - carbonate gypsum - gypsum bi - binder or - organic ma - matrix mi - mica ve - vermiculite ot -other pe - perlite qu - quartz fg - fiberglass mw - mineral wool wo - wollastinite ta - talc sy - synthetic ce - cellulose br - brucite ka - kaolin (clay) pa - palygorskite (clay) Approved Signatories:
F2.1/M2.1B 1 White Floor Tile Y None Detected
100% qu, ca
2 Tan Mastic Y None Detected 100% qu, bi
F2.1/M2.1A 1 White Floor Tile Y None Detected
100% qu, bi
2 Tan Ceiling Tile Y None Detected
15% fg
50% ce 35% qu, pe
C3.4A 1 White Surfacing Y None Detected
100% qu, bi
2 Tan Ceiling Tile Y None Detected
15% fg
50% ce 35% qu, pe
Asbestos type / calibrated visual estimate percent
Non-asbestos fiber type / percent
Non-fibrous type
/ percent
C3.3C 1 White Surfacing Y None Detected
406-761-3010 Date Of Sampling:
406-727-2872 Purchase Order #:
Sample # Com ment
Layer
Analysts Physical Description of
Subsample
Homo-geneo us
(Y/N)
TD & H Engineering
Building 610
CBR19052661
1800 River Drive North
Great Falls, MT 59401 Date:
Turnaround Time: Samples Received:
CA Labs
Dedicated to
Quality
CA Labs, L.L.C.
12232 Industriplex, Suite 32
Baton Rouge, LA 70809
Phone 225-751-5632
Fax 225-751-5634
NVLAP #200772-0
TDSHS #300370
CDPHE #AL-18111
LELAP #03069
Oran Grotbo CA Labs Project #:
Labs
A
5/31/2019
5 day 5/28/2019
Phone # 5/22/2019
Fax # 19-047
Laboratory Director
Chris Williams
1. Fire Damage significant fiber damage - reported percentages reflect unaltered fibers
2. Fire Damage no significant fiber damages effecting fibrous percentages
3. Actinolite in association with Vermiculite
4. Layer not analyzed - attached to previous positive layer and contamination is suspected
5. Not enough sample to analyze
6. Anthophyllite in association with Fibrous Talc
7. Contamination suspected from other building materials
8. Favorable scenario for water separation on vermiculite for possible analysis by another method
9. < 1% Result point counted positive
10. TEM analysis suggested
Kyle Hoffpauir Senior Analyst
Analyst Alicia Stretz
100% qu, bi
Analysis Method: Interim (40CFR Part 763 Appendix E to Subpart E) / Improved (EPA-600 / R-93/116)
Preparation Method: HCL acid washing for carbonate based samples, chemical reduction for organically bound components, oil immersion for identification of asbestos types by dispersion attaining / becke line method.
ca - carbonate gypsum - gypsum bi - binder or - organic ma - matrix mi - mica ve - vermiculite ot -other pe - perlite qu - quartz fg - fiberglass mw - mineral wool wo - wollastinite ta - talc sy - synthetic ce - cellulose br - brucite ka - kaolin (clay) pa - palygorskite (clay) Approved Signatories:
2 Tan Mastic Y None Detected
100% qu, bi
F2.2/M2.2B 1 Gray Floor Tile Y None Detected 100% qu, ca
2 Tan Mastic Y None Detected
100% qu, bi
F2.2/M2.2A 1 Gray Floor Tile Y None Detected 100% qu, ca
2 Tan Mastic Y None Detected
100% qu, bi
F2.1/M2.1C 1 White Floor Tile Y None Detected 100% qu, ca
Asbestos type / calibrated visual estimate percent
Non-asbestos fiber type / percent
Non-fibrous type
/ percent
2 Tan Mastic Y None Detected
406-761-3010 Date Of Sampling:
406-727-2872 Purchase Order #:
Sample # Com ment
Layer
Analysts Physical Description of
Subsample
Homo-geneo us
(Y/N)
TD & H Engineering
Building 610
CBR19052661
1800 River Drive North
Great Falls, MT 59401 Date:
Turnaround Time: Samples Received:
CA Labs
Dedicated to
Quality
CA Labs, L.L.C.
12232 Industriplex, Suite 32
Baton Rouge, LA 70809
Phone 225-751-5632
Fax 225-751-5634
NVLAP #200772-0
TDSHS #300370
CDPHE #AL-18111
LELAP #03069
Oran Grotbo CA Labs Project #:
Labs
A
5/31/2019
5 day 5/28/2019
Phone # 5/22/2019
Fax # 19-047
Laboratory Director
Chris Williams
1. Fire Damage significant fiber damage - reported percentages reflect unaltered fibers
2. Fire Damage no significant fiber damages effecting fibrous percentages
3. Actinolite in association with Vermiculite
4. Layer not analyzed - attached to previous positive layer and contamination is suspected
5. Not enough sample to analyze
6. Anthophyllite in association with Fibrous Talc
7. Contamination suspected from other building materials
8. Favorable scenario for water separation on vermiculite for possible analysis by another method
9. < 1% Result point counted positive
10. TEM analysis suggested
Kyle Hoffpauir Senior Analyst
Analyst Alicia Stretz
100% qu, ma, ca
Analysis Method: Interim (40CFR Part 763 Appendix E to Subpart E) / Improved (EPA-600 / R-93/116)
Preparation Method: HCL acid washing for carbonate based samples, chemical reduction for organically bound components, oil immersion for identification of asbestos types by dispersion attaining / becke line method.
ca - carbonate gypsum - gypsum bi - binder or - organic ma - matrix mi - mica ve - vermiculite ot -other pe - perlite qu - quartz fg - fiberglass mw - mineral wool wo - wollastinite ta - talc sy - synthetic ce - cellulose br - brucite ka - kaolin (clay) pa - palygorskite (clay) Approved Signatories:
G2.1B 1 Gray Grout Y None Detected
100% qu, ma, ca
G2.1A 1 Gray Grout Y None Detected 100% qu, ma, ca
G1.1C 1 Gray Concrete Y None Detected
100% qu, ma, ca
G1.1B 1 Gray Concrete Y None Detected 100% qu, ma, ca
G1.1A 1 Gray Concrete Y None Detected
100% qu, ca
2 Tan Mastic Y None Detected 100% qu, bi
Asbestos type / calibrated visual estimate percent
Non-asbestos fiber type / percent
Non-fibrous type
/ percent
F2.2/M2.2C 1 Gray Floor Tile Y None Detected
406-761-3010 Date Of Sampling:
406-727-2872 Purchase Order #:
Sample # Com ment
Layer
Analysts Physical Description of
Subsample
Homo-geneo us
(Y/N)
TD & H Engineering
Building 610
CBR19052661
1800 River Drive North
Great Falls, MT 59401 Date:
Turnaround Time: Samples Received:
CA Labs
Dedicated to
Quality
CA Labs, L.L.C.
12232 Industriplex, Suite 32
Baton Rouge, LA 70809
Phone 225-751-5632
Fax 225-751-5634
NVLAP #200772-0
TDSHS #300370
CDPHE #AL-18111
LELAP #03069
Oran Grotbo CA Labs Project #:
Labs
A
5/31/2019
5 day 5/28/2019
Phone # 5/22/2019
Fax # 19-047
Laboratory Director
Chris Williams
1. Fire Damage significant fiber damage - reported percentages reflect unaltered fibers
2. Fire Damage no significant fiber damages effecting fibrous percentages
3. Actinolite in association with Vermiculite
4. Layer not analyzed - attached to previous positive layer and contamination is suspected
5. Not enough sample to analyze
6. Anthophyllite in association with Fibrous Talc
7. Contamination suspected from other building materials
8. Favorable scenario for water separation on vermiculite for possible analysis by another method
9. < 1% Result point counted positive
10. TEM analysis suggested
Kyle Hoffpauir Senior Analyst
Analyst Alicia Stretz
100% qu, bi
Analysis Method: Interim (40CFR Part 763 Appendix E to Subpart E) / Improved (EPA-600 / R-93/116)
Preparation Method: HCL acid washing for carbonate based samples, chemical reduction for organically bound components, oil immersion for identification of asbestos types by dispersion attaining / becke line method.
ca - carbonate gypsum - gypsum bi - binder or - organic ma - matrix mi - mica ve - vermiculite ot -other pe - perlite qu - quartz fg - fiberglass mw - mineral wool wo - wollastinite ta - talc sy - synthetic ce - cellulose br - brucite ka - kaolin (clay) pa - palygorskite (clay) Approved Signatories:
2 Yellow Mastic Y None Detected
100% qu, ma, ca
M4.2A 1 Tan Carpet Y None Detected 100% sy
2 Gray Leveling Plaster Y None Detected
100% qu, bi
M4.1C 1 Yellow Mastic Y None Detected 100% qu, bi
M4.1B 1 Yellow Mastic Y None Detected
100% qu, ma, ca
M4.1A 1 Yellow Mastic Y None Detected 100% qu, bi
Asbestos type / calibrated visual estimate percent
Non-asbestos fiber type / percent
Non-fibrous type
/ percent
G2.1C 1 Gray Grout Y None Detected
406-761-3010 Date Of Sampling:
406-727-2872 Purchase Order #:
Sample # Com ment
Layer
Analysts Physical Description of
Subsample
Homo-geneo us
(Y/N)
TD & H Engineering
Building 610
CBR19052661
1800 River Drive North
Great Falls, MT 59401 Date:
Turnaround Time: Samples Received:
CA Labs
Dedicated to
Quality
CA Labs, L.L.C.
12232 Industriplex, Suite 32
Baton Rouge, LA 70809
Phone 225-751-5632
Fax 225-751-5634
NVLAP #200772-0
TDSHS #300370
CDPHE #AL-18111
LELAP #03069
Oran Grotbo CA Labs Project #:
Labs
A
5/31/2019
5 day 5/28/2019
Phone # 5/22/2019
Fax # 19-047
Laboratory Director
Chris Williams
1. Fire Damage significant fiber damage - reported percentages reflect unaltered fibers
2. Fire Damage no significant fiber damages effecting fibrous percentages
3. Actinolite in association with Vermiculite
4. Layer not analyzed - attached to previous positive layer and contamination is suspected
5. Not enough sample to analyze
6. Anthophyllite in association with Fibrous Talc
7. Contamination suspected from other building materials
8. Favorable scenario for water separation on vermiculite for possible analysis by another method
9. < 1% Result point counted positive
10. TEM analysis suggested
Kyle Hoffpauir Senior Analyst
Analyst Alicia Stretz
100% qu, bi
Analysis Method: Interim (40CFR Part 763 Appendix E to Subpart E) / Improved (EPA-600 / R-93/116)
Preparation Method: HCL acid washing for carbonate based samples, chemical reduction for organically bound components, oil immersion for identification of asbestos types by dispersion attaining / becke line method.
ca - carbonate gypsum - gypsum bi - binder or - organic ma - matrix mi - mica ve - vermiculite ot -other pe - perlite qu - quartz fg - fiberglass mw - mineral wool wo - wollastinite ta - talc sy - synthetic ce - cellulose br - brucite ka - kaolin (clay) pa - palygorskite (clay) Approved Signatories:
2 Yellow Mastic Y None Detected
100% qu, bi
M4.3A/F4.1
B 1 Tan Carpet Y None Detected 80% sy 20% qu, ma
2 Yellow Mastic Y None Detected
100% qu, ma, ca
M4.2C 1 Tan Carpet Y None Detected 100% sy
3 Gray Leveling Plaster Y None Detected
2 Yellow Mastic Y None Detected 100% qu, bi
Asbestos type / calibrated visual estimate percent
Non-asbestos fiber type / percent
Non-fibrous type
/ percent
M4.2B 1 Tan Carpet Y None Detected 100% sy
406-761-3010 Date Of Sampling:
406-727-2872 Purchase Order #:
Sample # Com ment
Layer
Analysts Physical Description of
Subsample
Homo-geneo us
(Y/N)
TD & H Engineering
Building 610
CBR19052661
1800 River Drive North
Great Falls, MT 59401 Date:
Turnaround Time: Samples Received:
CA Labs
Dedicated to
Quality
CA Labs, L.L.C.
12232 Industriplex, Suite 32
Baton Rouge, LA 70809
Phone 225-751-5632
Fax 225-751-5634
NVLAP #200772-0
TDSHS #300370
CDPHE #AL-18111
LELAP #03069
Oran Grotbo CA Labs Project #:
Labs
A
5/31/2019
5 day 5/28/2019
Phone # 5/22/2019
Fax # 19-047
Laboratory Director
Chris Williams
1. Fire Damage significant fiber damage - reported percentages reflect unaltered fibers
2. Fire Damage no significant fiber damages effecting fibrous percentages
3. Actinolite in association with Vermiculite
4. Layer not analyzed - attached to previous positive layer and contamination is suspected
5. Not enough sample to analyze
6. Anthophyllite in association with Fibrous Talc
7. Contamination suspected from other building materials
8. Favorable scenario for water separation on vermiculite for possible analysis by another method
9. < 1% Result point counted positive
10. TEM analysis suggested
Kyle Hoffpauir Senior Analyst
Analyst Alicia Stretz
100% qu, bi
Analysis Method: Interim (40CFR Part 763 Appendix E to Subpart E) / Improved (EPA-600 / R-93/116)
Preparation Method: HCL acid washing for carbonate based samples, chemical reduction for organically bound components, oil immersion for identification of asbestos types by dispersion attaining / becke line method.
ca - carbonate gypsum - gypsum bi - binder or - organic ma - matrix mi - mica ve - vermiculite ot -other pe -…
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