C-5 Attachment Lakeview Asbestos Survey.pdf

White Shield, Inc Page i Office: (509) 547-0100 | Fax: (509) 547-8292 | www.whiteshield.com

ACBM Survey-18049 US-395 Lakeview-121322

December 13, 2022

USFS Pacific Northwest Region 63095 Deschutes Market Road Bend, Oregon 97701

Attention: Karen Bower, COR

Re: US Forest Service

Fremont-Winema National Forest Lakeview Ranger District

18049 US-395

Lakeview, OR 97630

Ms. Karen Bower, White Shield, Inc. per your request, completed a Good Faith Asbestos survey on the structures located at 18049 US-395 Lakeview, OR 97630. The compound consists of eleven wood framed forest service structures. The building materials observed consisted of Sheet Vinyl, Cove base, vinyl tile, insulation, and drywall.

White Shield Environmental Professional and Licensed AHERA Building Inspector Kyle Spencer completed the site reconnaissance and sampling on November 15th -16th, 2022. Asbestos containing building materials (ACBMS) were confirmed to be present in Buildings 2003 and 2102. The following report documents the work completed, provides analytical findings and recommendations.

We appreciate the opportunity to provide environmental services for you on this project.

Best Regards, Kyle A. Spencer Environmental Scientist

AAI Qualified Environmental Professional Licensed AHERA Building Inspector

Stuart Fricke Principal

Asbestos Containing Building Materials Survey 18049 US-395 Lakeview, OR 97630 December 13, 2022

White Shield, Inc Page ii

ACBM Survey-18049 US-395 Lakeview-121322

TABLE OF CONTENTS

1.0 INTRODUCTION

1.2 Hazardous Materials

1.2.1 Asbestos

2.0 GOOD FAITH ASBESTOS SURVEY

2.1 Methodology

2.1.1 Visual Inspection

2.1.2 Asbestos

3.0 SURVEY RESULTS

3.1 Asbestos

4.0 CONCLUSIONS

5.0 LIMITATIONS

LIST OF TABLES:

Table 1: Positive Asbestos Results

LIST OF APPENDICES:

Appendix A: Project Figures

• Figure 1: Site Vicinity Map

• Figure 2: Subject Property Location Map

• Figure 3: Asbestos Sample Location Map Building 2003

• Figure 4: Asbestos Sample Location Map Building 2102

Appendix B: Project Tables

• Asbestos Sample Survey Log

Appendix C: Project Analytical Results

• Laboratory Report – Bulk Asbestos PLM Analysis

• Chain of Custody

Appendix D: Project Documentation

• Sample Collection Requirements

• EPA / AHERA Certification

White Shield, Inc Page 1

ACBM Survey-18049 US-395 Lakeview-121322

1.0 INTRODUCTION

On November 15th & 16th, 2022, White Shield, Inc. environmental professionals and accredited asbestos containing building materials inspectors (inspectors) Kyle Spencer and Brad Reilly completed a Good Faith Asbestos survey of eleven (11) structures located at 18049 US-395 Lakeview, OR 97630. The compound consists of eleven wood framed forest service structures.

• Building 2003 is a single story 6800 sqft Office space. The building was constructed in two phase the outer two wings being added at a later date. The central wing consists of wood framed walls on concrete pad. The outer two wings consist of wood framed walls with crawlspace stem walls.

The roof of the building consisted of Cedar Shake. The building materials inside the structure consisted of Drywall, Sheet vinyl, vinyl tile, cove base, ceiling tile, carpet, and fiberglass insulation.

• Building 2004 is a single story 1700 Sqft office space. The roof of the building consisted of Cedar

Shake. The building materials inside the structure consisted of Drywall, Sheet vinyl, vinyl tile, cove base, ceiling tile, carpet, and fiberglass insulation.

• Building 2100 is a two story 4500 Sqft workshop with a 500 Sqft cellar. The roof of the building consisted of Cedar Shake. The building materials inside the structure consisted of Sheet vinyl, vinyl tile, ceiling tile, and fiberglass insulation.

• Building 2101 is a two story 4500 Sqft workshop with a 600 Sqft attic. The roof of the building consisted of Cedar Shake. The building materials inside the structure consisted of Drywall with concrete floors.

• Building 2102 is a single story 1200 Sqft garage/ Gym. The roof of the building consisted of Cedar

Shake. The building materials inside the structure consisted of vinyl tile, sheet vinyl, and cove base with Wood walls.

• Building 2207 is a two story 3700 Sqft workshop/ Office Space. The roof of the building consisted of Cedar Shake. The building materials inside the structure consisted of Drywall, Sheet vinyl, Cove base, and fiberglass insulation.

• Building 2215 is a two story 2100 Sqft garage. The roof of the building consisted of Cedar Shake.

The building materials inside the structure consisted of wood walls on concrete floors.

• Building 2403 is a two story 2700 Sqft garage. The roof of the building consisted of Cedar Shake.

The building materials inside the structure consisted of wood walls on concrete floors.

• Building 2505 is a two story 360 Sqft storage shed. The roof of the building consisted of Cedar Shake. The building materials inside the structure consisted of wood walls on concrete floors.

• Building 2605 is a two story 1200 Sqft storage shed. The roof of the building consisted of Cedar Shake. The building materials inside the structure consisted of wood walls on concrete floors.

• Building 2615 is a two story 3700 Sqft cold storage with a small office Space. The roof of the building consisted of Cedar Shake. The building materials inside the structure consisted of Thermal system insulation, Drywall, Vinyl tile, and Cove base.

White Shield, Inc Page 2

ACBM Survey-18049 US-395 Lakeview-121322

The purpose of this Good Faith Asbestos survey (survey) was to assess, sample and analyze suspect asbestos containing materials (ACBMs) that may be present in the building which could present an exposure risk during demolition or remodeling activities.

1.2 Hazardous Materials

1.2.1 Asbestos

Asbestos refers to a group of six types of naturally occurring minerals. Asbestos minerals are made up of fine, durable fibers and are resistant to heat, fire, and many chemicals. These minerals are commonly found in building materials for fireproofing and added durability. Building materials such as vinyl flooring, drywall/ texturing, and wall insulations/ Thermal System Insulation (TSI) among others. Asbestos was ultimately banned in 1989 from general use due to its lung cancer-causing side-effects and lung related diseases such as asbestoses when it becomes air-born. This ban on use has not prevented new building materials imported from other countries from containing asbestos. It remains a potential hazard even in new construction.

The ACM most likely to release asbestos fibers are those which are in a friable state. Friability describes the condition of asbestos. The definition of friable is any material, when dry, that is capable of being crumbled, pulverized, or reduced to powder by hand pressure (40 CFR 763).

Non-friable sources of asbestos are materials containing a cement or asphalt binder which may become friable and release fibers if the sources are exposed to actions such as abrasion, drilling, cutting, fracturing, or hammering. Non-friable sources of asbestos do not typically pose a significant exposure risk if they remain in good condition and are not disturbed. During renovation or demolition activities, non-friable sources may become friable and thus may pose an exposure risk.

The PLM method is the most commonly used method to analyze building materials for the presence of asbestos. This method utilizes the optical properties of minerals to identify the selected constituent. The use of this method enables identification of the type and the percentage of asbestos in a given sample.

The detection limit of the PLM method for asbestos identification is typically one percent (1%) asbestos.

2.0 GOOD FAITH ASBESTOS SURVEY

2.1 Methodology

Sampling or sample collection is the process of selecting representative samples from the materials / media being surveyed. This is done through observation and select sample collection by properly trained and certified environmental professionals.

2.1.1 Visual Inspection

White Shield environmental professionals completed an inspection of accessible areas of each building on the Subject Property included in this survey for the presence of ACM. The purpose of this assessment is for demolition or renovation. Regardless of the thoroughness of a survey, the possibility exists that some areas containing hazardous materials such as ACM.

White Shield, Inc Page 3

ACBM Survey-18049 US-395 Lakeview-121322

2.1.2 Asbestos

Suspect ACMs observed at the time of the inspection were sampled according to the guidelines set forth in 40 CFR Part 763, and later analyzed using Polarized Light Microscopy (PLM) in accordance with the United States Environmental Protection Agency (EPA) Method for Determination of Asbestos in Bulk Building Materials (EPA 600/R-93/116).

The regulations (40 CFR 763), requires that a minimum number of representative samples be collected from each homogeneous area. If asbestos is identified in any of the samples from a homogeneous area, the entire homogeneous area is considered to contain asbestos. Homogeneous areas, as defined by 40 CFR 763 are “an area of surfacing material or thermal system insulation that is uniform in color and texture. Homogeneous area means an area of surfacing material, thermal system insulation or other suspect ACM that is uniform in color and texture and/ or age”.

The aforementioned testing and analytical constraints can affect the findings and recommendations of this survey. Specifically, no assurance is given regarding the asbestos content of the samples beyond these parameters. Further investigation is not recommended unless the client can determine it is cost-effective to do so.

The asbestos survey also established whether any of the substrates sampled could be considered friable and/or significantly damaged and capable of immediate worker exposure.

3.0 SURVEY RESULTS

3.1 Asbestos

A total of one hundred twenty (120) bulk samples of suspect ACM were collected for analysis from eleven

(11) structures located at 18049 US-395 Lakeview, OR 97630. The samples were assigned individual sample numbers, sealed in plastic bags, and transported / shipped under proper chain-of-custody documentation to EMC Laboratories in Phoenix, Arizona for analysis. EMC is an American Industrial Hygiene Association (AIHA)-accredited laboratory that participates in the National Volunteer Laboratory Accreditation Program (NVLAP) quality assurance/quality control program.

Six suspect ACM samples collected from the building 2003 and three suspect ACM samples collected from the building 2102 were reported containing asbestos greater than 1%. Refer to Appendix A for analytical data.

Table 1: Positive Asbestos Results

Sample

ID

Estimated Quantities

Laboratory Layer Description PLM Analytical Results Condition

/ Friable Photograph

18049 US-395 Lake view, OR 97630 Building 2003

S26-FB 100 SQFT Fiber Board, Gray Chrysotile 15% Good /Yes

White Shield, Inc Page 4

ACBM Survey-18049 US-395 Lakeview-121322

Sample

ID

Estimated Quantities

Laboratory Layer Description PLM Analytical Results Condition

/ Friable Photograph

18049 US-395 Lake view, OR 97630 Building 2003

S30-VT

2600 SQFT

LAYER 1 Vinyl Tile, Tan LAYER 2 Mastic, Beige

Chrysotile 5% None Detected Good/No

S31-VT LAYER 1 Vinyl Tile, Tan LAYER 2 Mastic, Beige

S32-VT LAYER 1 Vinyl Tile, Tan

S33-VT LAYER 1 Vinyl Tile, Tan

S37-VT LAYER 1 Vinyl Tile, Tan

Chrysotile 5% None Detected Good/No No Photo

Building 2102

S7-SV

550 SQFT

Sheet Vinyl, Beige/ Off White Chrysotile 18% Good /Yes

S8-SV

LAYER 1 Sheet Vinyl, Beige/

Off White LAYER 2 Mastic, Tan

Chrysotile 18% Chrysotile 5% Good /Yes

S9-SV

LAYER 1 Sheet Vinyl, Beige/

Off White LAYER 2 Mastic, Tan

Chrysotile 18% Chrysotile 5% Good /Yes

Documentation of the laboratory results should be retained as a reference for future renovation/ demolition activities.

4.0 CONCLUSIONS

Asbestos was confirmed to be present in build 2003 in the vinyl tiles found under the carpet localized to the original structure comprising roughly 2600 Square Feet. Additionally asbestos was found in the heating ventilation and air condition (HVAC) room in the form of fiber board most likely intended as fire proofing.

The locations of these two asbestos containing building materials (ACBMs) are presented in Appendix A.

Building 2102 contains asbestos sheet vinyl and accompanying mastic the sheet vinyl was found in the

White Shield, Inc Page 5

ACBM Survey-18049 US-395 Lakeview-121322 southern end of the building but looks to continue under the rest of the flooring totaling roughly 550 sqft.

Asbestos containing building materials should be removed prior to demolition or renovations by a licensed Asbestos abatement contractor.

During demolition and/or renovation activities, the potential exists for additional suspect ACM to be exposed. Such materials should be sampled and analyzed for asbestos content prior to any renovation and/or demolition activities that could impact these materials.

5.0 LIMITATIONS

White Shield subcontracted with EMC Laboratories to perform the asbestos analysis. No warranties expressed or implied, are made by White Shield or its subcontractor EMC Laboratories, or their employees as to the use of any information, apparatus, product or process disclosed in this report. Every reasonable effort has been made to assure correctness. If an asbestos contractor or other demolition/construction contractor is employed, such contractor should bring any discrepancies found in this report as it relates to current site conditions or newly discovered site conditions to the immediate attention of White Shield.

This report should not be used solely for asbestos abatement bidding purposes. Any quantities of ACM listed are estimates only and not meant to be used to solicit abatement quotations. These quantities should be confirmed by abatement contractors prior to submitting bids for abatement.

State-of-the-art practices have been employed to perform this hazardous materials survey. The scope of this evaluation was limited to areas that were considered reasonably accessible (i.e., less than 15 feet from the floor), or within range of a visual inspection through reasonable means. No demolition or product research was performed in attempts to reveal material compositions. The services consist of professional opinions and recommendations made in accordance with generally accepted engineering principles/practices. These services are designed to provide an analytical tool to assist the client. White Shield and its subcontractor EMC and their employees/representatives bear no responsibility for the actual condition of the structure or safety of this site pertaining to asbestos and/or lead contamination regardless of the actions taken by the survey team or the client.

Appendix A

Appendix A: Project Figures

Figure 1: Site Vicinity Map

Figure 2: Subject Property Location Map Figure 3: Asbestos Sample Location Map Building 2003 Figure 4: Asbestos Sample Location Map Building 2102

A p p e n d ix A

P ro je ct

F ig u re s

Loca�on Map Hazardous Materials Survey

18049 US-395

Lakeview, OR 97630Figure No.:

Date:

Completed By:

Reviewed By.:

Version:

Project No.:

December 12, 2022

K. Spencer

S. Spencer

WSI-001

0506-11-03-01

Site Vicinity Map Asbestos Building Materials Survey 18049 US-395, Lakeview, Oregon

Lake County Parcel: 39S20E04-A0-00800

Not To Scale

N

W

S

E

Subject Property 18049 US-395, Lakeview, Oregon

Lake County Parcel: 39S20E04-A0-00800

Lake County, Oregon

Sheet 01 of 04

Figure No.:

Date:

Completed By:

Reviewed By.:

Version:

Project No.: Sheet 02 of 04

October 29, 2021

C. Long

S. Spencer

WSI-001

0506-11-03-01

Subject Property Asbestos Building Materials Survey 18049 US-395, Lakeview, Oregon

Lake County Parcel: 39S20E04-A0-00800

Building Surveyed - Asbestos Containing Building Materials Iden�fied >1%

Building Surveyed - No Asbestos Containing Building Materials Iden�fied

Not To Scale

N

W

S

E

Explanation Sample Loca�on Non-Detect for Asbestos

Sample Loca�on >1% for Asbestos

Asbestos Containing Vinyl Tile

Date:

Completed By:

Reviewed By.:

Version:

Project No.:

December 13, 2021

K. Spencer

S. Spencer

WSI-001

0506-11-05 Sheet 03 of 04

Figure:

Asbestos Sample Loca�on Map Building 2003 Asbestos Building Materials Survey 18049 US-395, Lakeview, Oregon

Lake County Parcel: 39S20E04-A0-00800

' 4

/2

5' 7 3/8" 4' 6 1/4" 5' 7 3/8" 3' 3 1/2" 5' 7 3/8"

26' 7 5/8"

4'

9' 4 3/8"

' 4

/8

' 3

/4

' 7

/8

' 2

/4

5' 5' 10 1/4"

11' 11"

' 6

/4

3' 10 5/8"5'3' 5 7/8"

12' 4 1/2"

5'4' 7 1/4"5'

19' 3 3/4"

' 6

/8

16' 2 1/4"

Living Room

439.20 sq ft (38' 11 3/8" × 14')

Bedroom

59.80 sq ft

9' 4 3/8" × 6' 4 5/8"

Hallway

67.84 sq ft

9' 4" × 7' 3 1/4"

Bedroom

98.12 sq ft

Bedroom

93.50 sq ft

KitchenBedroom

122.01 sq ft (16' 2 1/4" × 7' 6 1/2")

0' 4' 8' 12' 1:91

Page 1/1

S1-DW

D1-LR-Floor

S8-CT

S5-DW

S4-DW

S11-Fp

S3-DW S7-CT

S2-DW

S6-CT

S10-SV

S9-SV

A

B

C

D

5 6

D2-LR-Window Stool

D3-KT-Floor

D4-KT-Window Stool

D5-BR1-Floor

D6-BR1

Window Stool

D7-BR2-Floor

D8-BR

Window Stool

Project 74

SUBMITTED BY

Kyle Spencer kyle@alleci.com

CREATED ON

2022-11-16

DETAILS

Total area: 5829.81 sq ft Living area: 5829.81 sq ft Floors: 1 Rooms: 20

THIS FLOOR PLAN IS PROVIDED WITHOUT

WARRANTY OF ANY KIND. SENSOPIA

DISCLAIMS ANY WARRANTY INCLUDING,

WITHOUT LIMITATION, SATISFACTORY QUALITY

OR ACCURACY OF DIMENSIONS.

0’ 16’ 1:219

▼ 1st Floor TOTAL AREA:5829.81 sq ft • LIVING AREA:5829.81 sq ft • ROOMS:20

' 4

/4

' 8

/8

5' 5/8"

21' 6 1/8"

7' 9 3/4"

' 5

/4

5' 1/4"

' 3

/4

' 1

/8

7' 10 1/2"

15' 8 5/8"

15' 8 1/2"21' 9 1/4"

11' 5/8"

11' 7/8"

' 1

/8

' 4

11' 11 7/8" 8' 8 3/4"

23' 4 1/8"

' 9

' 8

/2

' 8

/8

' 8

11' 1 3/8"

' 8

' 5

15' 8"

15' 7 7/8"

9' 10 7/8"

9' 10 7/8"8' 6 7/8" 7' 3"

17' 9 1/2"

' 8

/8

' 2

/4

' 1

/2

' 1

/8

' 5

/8

26' 9 3/8"

' 1

/8

' 1

/8

' 9

/4

' 2

/8

Shared Office 21' 6 1/4" × 44' 8 7/8"

Private Office

Bathroom

Bathroom

Hall

Open Space 15' 8 5/8" × 23' 3 7/8"

Private Office 21' 9 1/4" × 11' 4 7/8"

Other 11' 5/8" × 8' 7/8"

Bathroom

Closet

Hall 21' 9" × 7' 1"

Bathroom Reception

25' 1 5/8" × 23' 4 7/8"

Private Office

Closet

Hall

Hall Closet

Private Office 8' 4 1/4" × 11' 4"

Shared Office 23' 4 1/8" × 15' 8 5/8"

Waiting Room 11' 1 3/8" × 5' 8"

Storage 11' 3 1/4" × 11' 5"

Shared Office 15' 8" × 23' 3 5/8"

Storage

Private Office Private OfficeShared Office

17' 9 5/8" × 15' 2 1/4"

Private Office 12' 10 1/2" × 8' 5/8"

Private Office

Private Office

Kitchenette 12' 10 1/4" × 8' 5/8"

Meeting Room 26' 9 3/8" × 22' 9 1/4"

Bathroom

Hall 23' 9 3/8" × 35' 1 1/8"

S1

S2

S3

S5 S19

S14 S16S10

S11 S12

S20 S21

S22

S6S26

S31 S37

S30

S33

S35

S34

S36

S15 S10

S17

S23

S24

S25

S18

S9 S4 S32

S8 S7

8’ 24’

Explanation Sample Loca�on Non-Detect for Asbestos

Sample Loca�on >1% for Asbestos

Asbestos Containing Sheet Vinyl

Poten�al Asbestos Containing Sheet Vinyl Under Plywood

Date:

Completed By:

Reviewed By.:

Version:

Project No.:

December 13, 2021

K. Spencer

S. Spencer

WSI-001

0506-11-05 Sheet 04 of 04

Figure:

Asbestos Sample Loca�on Map Building 2102 Asbestos Building Materials Survey 18049 US-395, Lakeview, Oregon

Lake County Parcel: 39S20E04-A0-00800

Project 68

SUBMITTED BY

Kyle Spencer kyle@alleci.com

CREATED ON

2022-11-16

DETAILS

Total area: 1148.82 sq ft Living area: 1148.82 sq ft Floors: 1 Rooms: 1

0' 2' 4' 6' 8' 1:66

▼ Ground Floor TOTAL AREA:1148.82 sq ft • LIVING AREA:1148.82 sq ft • ROOMS:1

' 1

' 1

/8

' 2

/8

14' 4 5/8"

19' 6"

15' 3"3' 10 1/2"

3' 10 3/4"9' 10 1/8"5' 7 3/4"

19' 4 5/8"

' 3

/4

19' 4 5/8"

Other 19' 6" × 29' 2 7/8"

Bathroom

Storage 19' 4 5/8" × 29' 3 1/4"

S7

S8

S1

S2

S3

S10

S4

S5S6

S9

Appendix B: Project Tables Asbestos Sample Survey Log

A p p e n d ix B

P ro je ct

T ab le sAppendix B

Project:

Project Information:

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

Drywall, White/ Brown None Detected

Drywall, White/ Brown None Detected

Drywall, White/ Brown None Detected

Drywall, White/ Brown None Detected

Drywall, White/ Brown None Detected

Building 2003

158623

S3-DW

Fremont-Winema National Forest

Kyle Spencer

Yes

NAFair

FairS2-DW Yes

NA

Yes

NA

NA

S1-DW

S4-DW Fair

Fair

Yes

S5-DW NAFairYes

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 1 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

Drywall, White/ Brown None Detected

Drywall, White/ Brown None Detected

Ceiling Tile, Beige/ White None Detected

Ceiling Tile, Beige/ White None Detected

Ceiling Tile, Beige/ White None Detected

NA

NAFairYes

Fair

Yes Fair

S9-CT Yes NAFair

NA

NA

Yes

Yes Fair

S6-DW

S7-DW

S8-CT

S10-CT

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 2 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

LAYER 1 Vinyl Tile, White None Detected

LAYER 2 Mastic, Yellow/ Tan None Detected

LAYER 3 Vinyl Tile, Brown None Detected

LAYER 1 Vinyl Tile, White None Detected

LAYER 2 Mastic, Yellow/ Tan None Detected

LAYER 3 Vinyl Tile, Brown None Detected

LAYER 1 Vinyl Tile, White None Detected

LAYER 2 Mastic, Yellow/ Tan None Detected

LAYER 3 Vinyl Tile, Brown None Detected

LAYER 1 Vinyl Tile, White None Detected

LAYER 2 Mastic, Yellow/ Tan None Detected

LAYER 3 Vinyl Tile, Black None Detected

LAYER 1 Vinyl Tile, White None Detected

LAYER 2 Mastic, Yellow/ Tan None Detected

LAYER 3 Vinyl Tile, Black None Detected

NAFairNoS11-VT

NA

S13-VT

NA

FairNo

NANo Fair

S12-VT

S15-VT No Fair NA

S14-VT No Fair

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 3 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

LAYER 1 Vinyl Tile, White None Detected

LAYER 2 Mastic, Yellow/ Tan None Detected

LAYER 3 Vinyl Tile, Black None Detected

LAYER 1 Cove Base, Off White None Detected

LAYER 2 Mastic, Beige None Detected

LAYER 1 Cove Base, Off White None Detected

LAYER 2 Mastic, Beige None Detected

LAYER 1 Cove Base, Off White None Detected

LAYER 2 Mastic, Beige None Detected

LAYER 1 Cove Base, Dk. Brown None Detected

LAYER 2 Mastic, Beige None Detected

S16-VT No Fair NA

S17-CB No Fair NA

S19-CB No Fair NA

S18-CB Yes Fair NA

S20-CB No Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 4 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

LAYER 1 Cove Base, Dk. Brown None Detected

LAYER 2 Mastic, Beige None Detected

LAYER 1 Cove Base, Dk. Brown None Detected

LAYER 2 Mastic, Beige None Detected

Sheet Vinyl, Beige/ Off White None Detected

Sheet Vinyl, Beige/ Off White None Detected

Sheet Vinyl, Beige/ Off White None Detected

S21-CB No Fair NA

S23-SV Yes Fair NA

S22-CB No Fair NA

S25-SV Yes Fair NA

S24-SV Yes Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 5 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

Fiber Board, Gray Chrysotile 15%

Insulation, White None Detected

Insulation, Gray None Detected

Insulation, Yellow None Detected

LAYER 1 Vinyl Tile, Tan Chrysotile 5%

LAYER 2 Mastic, Beige None Detected

S29-I Yes Fair NA

S30-VT No Fair NA

S28-I Yes Fair NA

S26-FB Yes Fair NA

S27-I Yes Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 6 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

LAYER 1 Vinyl Tile, Tan Chrysotile 5%

LAYER 2 Mastic, Beige None Detected

LAYER 1 Vinyl Tile, Tan Chrysotile 5%

LAYER 2 Mastic, Beige None Detected

LAYER 1 Vinyl Tile, Tan Chrysotile 5%

LAYER 2 Mastic, Beige None Detected

Sheet Vinyl, Gray/ Off White None Detected

S33-VT No Fair NA

S34-SV Yes Fair NA

S31-VT No Fair NA

S32-VT No Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 7 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

Sheet Vinyl, Gray/ Off White None Detected

Sheet Vinyl, Gray/ Off White None Detected

LAYER 1 Vinyl Tile, Tan Chrysotile 5%

LAYER 2 Mastic, Beige None Detected

Ceiling Tile, Beige/ White None Detected

Felt Paper, Black None Detected

S39-FB Yes Fair NA

S37-VT No Fair NA

S38-VT No Fair NA

S35-SV Yes Fair NA

S36-SV Yes Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 8 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

LAYER 1 Drywall, White/ Brown None Detected

LAYER 2 Texture, White None Detected

LAYER 1 Drywall, White/ Brown None Detected

LAYER 2 Texture/ Paint, White None Detected

LAYER 1Drywall, White/ Brown None Detected

LAYER 2Texture/ Paint, White None Detected

LAYER 1Drywall, White/ Brown None Detected

LAYER 2Texture/ Paint, White None Detected

LAYER 1Drywall, White/ Brown None Detected

LAYER 2Texture, White None Detected

S4-DW Yes Fair NA

S5-DW Yes Fair NA

S2-DW Yes Fair NA

S3-DW Yes Fair NA

S1-DW Yes Fair NA

Building 2004

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 9 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

LAYER 1Sheet Vinyl, Pebble Pattern None Detected

LAYER 2Mastic, Green None Detected

LAYER 1Sheet Vinyl, Pebble Pattern None Detected

LAYER 2Mastic, Green None Detected

LAYER 1Sheet Vinyl, Pebble Pattern None Detected

LAYER 2Mastic, Green None Detected

Ceiling Tile, Beige None Detected

S8-SV Yes Fair NA

S9-CT Yes Fair NA

S6-SSV Yes Fair NA

S7-SV Yes Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 10 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

Ceiling Tile, Beige None Detected

Ceiling Tile, Beige None Detected

LAYER 1Cove Base, Beige/ Gray None Detected

LAYER 2Cove Base Mastic, Clear/ Yellow None Detected

LAYER 1Cove Base, Beige/ Gray None Detected

LAYER 2Cove Base Mastic, Clear/ Yellow None Detected

LAYER 1Cove Base, Beige/ Gray None Detected

LAYER 2Cove Base Mastic, Clear/ Yellow None DetectedS14-CB Yes Fair NA

S12-CB Yes Fair NA

S13-CB Yes Fair NA

S10-CT Yes Fair NA

S11-CT Yes Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 11 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

Insulation, Yellow None Detected

Insulation, Yellow None Detected

Insulation, Yellow None Detected

Felt Paper, Black/ Red None Detected

S18-FP Yes Fair NA

S16-I Yes Fair NA

S17-I Yes Fair NA

S15-I Yes Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 12 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

LAYER 1Sheet Vinyl, Beige None Detected

LAYER 2Mastic, Yellow/ Black None Detected

LAYER 1Sheet Vinyl, Beige None Detected

LAYER 2Mastic, Yellow None Detected

LAYER 1Sheet Vinyl, Beige None Detected

LAYER 2Mastic, Yellow None Detected

LAYER 1Vinyl Floor Tile, Brown w /White Specs. None Detected

LAYER 2Mastic, Yellow None Detected

LAYER 1Vinyl Floor Tile, Brown w /White Specs. None Detected

LAYER 2Mastic, Yellow None Detected

S4-VT No Fair NA

S5-VT No Fair NA

S2-SV Yes Fair NA

S3-SV Yes Fair NA

S1-SV Yes Fair NA

Building 2100

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 13 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

LAYER 1Vinyl Floor Tile, Brown w /White Specs. None Detected

LAYER 2Mastic, Yellow None Detected

Ceiling Tile, White/ Beige None Detected

Ceiling Tile, White/ Brown None Detected

Ceiling Tile, White/ Tan None Detected

Insulation, Yellow None Detected

S10-I Yes Fair NA

S8-CT Yes Fair NA

S9-CT Yes Fair NA

S6-VT No Fair NA

S7-CT Yes Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 14 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

Insulation, Yellow None Detected

Insulation, Yellow None Detected

Felt Paper, Brown/ Black None Detected

LAYER 1Drywall, White/ Brown None Detected

LAYER 2Joint Compound, Off White None Detected

LAYER 1Drywall, White/ Brown None Detected

LAYER 2Texture/ Paint, Off White/ Lt. Gray None Detected

S1-DW Yes Fair NA

S2-DW Yes Fair NA

S12-I Yes Fair NA

S13-FP Yes Fair NA

S11-I Yes Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 15 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

LAYER 1Drywall, White/ Brown None Detected

LAYER 2Texture/ Paint, Off White/ Lt. Gray None Detected

LAYER 1Drywall, White/ Brown None Detected

LAYER 2Joint Compound, Off White None Detected

LAYER 3Texture/ Paint, Off White/ Lt. Gray None Detected

Felt, Black None Detected

LAYER 1 Vinyl Tile, Off White None Detected

LAYER 2 Mastic, Yellow None Detected

LAYER 1 Vinyl Tile, Off White None Detected

LAYER 2 Mastic, Yellow None Detected

S2-VT No Fair NA

S5-FP Yes Fair NA

S1-VT No Fair NA

S3-DW Yes Fair NA

S4-DW Yes Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 16 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

Vinyl Tile, Off White None Detected

LAYER 1 Cove Base, Brown None Detected

LAYER 2 Mastic, Beige None Detected

LAYER 1 Cove Base, Brown None Detected

LAYER 2 Mastic, Beige None Detected

LAYER 1 Cove Base, Brown None Detected

LAYER 2 Mastic, Beige None DetectedS6-CB No Fair NA

S4-CB No Fair NA

S5-CB No Fair NA

S3-VT No Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 17 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

Sheet Vinyl, Beige/ Off White Chrysotile 18%

LAYER 1 Sheet Vinyl, Beige/ Off White Chrysotile 18%

LAYER 2 Mastic, Tan Chrysotile 5%

LAYER 1 Sheet Vinyl, Beige/ Off White Chrysotile 18%

LAYER 2 Mastic, Tan Chrysotile 5%

Felt Paper, Black None Detected

LAYER 1Drywall, White/ Lt. Brown None Detected

LAYER 2Fiber Mesh, White None Detected

LAYER 3Texture, White/ Lt. Blue None Detected

NA

Building 2207

S10-FP Yes Fair NA

S1-DW Yes Fair NA

S8-SV Yes Fair

S9-SV Yes Fair

S7-SV Yes Fair

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 18 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

LAYER 1Drywall, White/ Lt. Brown None Detected

LAYER 2Texture, White/ Lt. Blue None Detected

LAYER 1Drywall, White/ Lt. Brown None Detected

LAYER 2Texture, White/ Lt. Blue None Detected

LAYER 1Drywall, White/ Lt. Brown None Detected

LAYER 2Textured Paint, Lt. Blue None Detected

LAYER 1Drywall, White/ Lt. Brown None Detected

LAYER 2Texture, White/ Lt. Blue None Detected

S4-DW Yes Fair NA

S5-DW Yes Fair NA

S2-DW Yes Fair NA

S3-DW Yes Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 19 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

Sheet Vinyl, Gray/ Pebble Pattern None Detected

LAYER 1Sheet Vinyl, Gray/ Pebble Pattern None Detected

LAYER 2Adhesive, Yellow None Detected

Sheet Vinyl, Gray/ Pebble Pattern None Detected

LAYER 1Cove Base, Gray None Detected

LAYER 2Cove Base Adhesive, Brown/Yellow None Detected

LAYER 1Cove Base, Gray None Detected

LAYER 2Cove Base Adhesive, Brown/Yellow None DetectedS10-CB No Fair NA

S8-SV Yes Fair NA

S9-CB No Fair NA

S6-SV Yes Fair NA

S7-SV Yes Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 20 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

LAYER 1Cove Base, Gray None Detected

LAYER 2Cove Base Adhesive, Brown/Yellow None Detected

Insulation, Yellow None Detected

Insulation, Yellow None Detected

Insulation, Yellow None Detected

Felt Paper, Black None Detected

S14-I Yes Fair NA

S15-FP Yes Fair NA

S12-I Yes Fair NA

S13-I Yes Fair NA

S11-CB No Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 21 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

Felt Paper, Black None Detected

Felt Paper, Black None Detected

Felt Paper, Black None Detected

Window Putty/ Paint, White/ Brown None Detected

Building 2215

Building 2403

Building 2505

Building 2605

S1-FP Yes Fair NA

S1-WP Yes Fair NA

S1-FP Yes Fair NA

S1-FP Yes Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 22 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

Window Putty/ Paint, White/ Brown None Detected

Window Putty/ Paint, White/ Brown None Detected

Felt Paper, Black None Detected

TSI, White None Detected

TSI, White None Detected

Building 2615

S2-TSI Yes Fair NA

S4-FP Yes Fair NA

S1-TSI Yes Fair NA

S2-WP No Fair NA

S3-WP No Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 23 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

TSI, White None Detected

LAYER 1Drywall, White/ Brown/ Off White None Detected

LAYER 2Texture/ Paint, White/ Off White None Detected

Drywall, White/ Brown/ Off White None Detected

LAYER 1Drywall, White/ Brown/ Off White None Detected

LAYER 2Texture/ Paint, White/ Off White None Detected

LAYER 1Vinyl Tile, Off White None Detected

LAYER 2Mastic, Clear/ Yellow None Detected

LAYER 3Vinyl Tile, Lt. Blue None Detected

LAYER 4Mastic, Clear/ Yellow None Detected

S7-VT No Fair NA

S6-DW Yes Fair NA

S4-DW Yes Fair NA

S5-DW Yes Fair NA

S3-TSI Yes Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 24 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

LAYER 1Vinyl Tile, Off White None Detected

LAYER 2Mastic, Clear/ Yellow None Detected

LAYER 3Vinyl Tile, Lt. Blue None Detected

LAYER 4Mastic, Clear/ Yellow None Detected

LAYER 1Vinyl Tile, Off White None Detected

LAYER 2Mastic, Clear/ Yellow None Detected

LAYER 3Vinyl Tile, Lt. Blue None Detected

LAYER 4Mastic, Clear/ Yellow None Detected

LAYER 1Cove Base, Dk. Brown None Detected

LAYER 2Mastic, Beige None Detected

S9-VT No Fair NA

S10-CB No Fair NA

S8-VT No Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 25 of 26

Client: White Shield AHERA Inspector:

Contact: Certification No.:

Phone: Date: December 13, 2022

Site Address: 18049 US-395 Lakeview, OR 97630 ECI Project No 0506-11-01

Sample ID Laboratory Layer Description PLM Analytical Results Discrete Friable Condition Photograph

158623

Fremont-Winema National Forest

Kyle Spencer

Table 1: Asbestos Survey Log

Fremont-Winema National Forest

LAYER 1Cove Base, Dk. Brown None Detected

LAYER 2Mastic, Beige None Detected

LAYER 1Cove Base, Dk. Brown None Detected

LAYER 2Mastic, Beige None Detected

Felt Paper, Black None Detected

S13-FP Yes Fair NA

S11-CB No Fair NA

S12-CB No Fair NA

*ACM= Asbestos Containing Material, L = LayerND = None detected Page 26 of 26

Appendix C: Project Analytical Results Laboratory Report - Bulk Asbestos PLM Analysis

Chain of Custody

A p p e n d ix C

P ro je ct

A n al yt ic al

R es u lt sAppendix C

Asbestos Detected

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0282996

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 153

FOX ISLAND WA 98333

ECI ENVIRONMENTAL

Date Received: 11/21/2022

12/08/2022Date Analyzed:

0506-11Job# / P.O. #:

EMC LABS, INC.

Collected: 11/17/2022

EPA Method: Project Name: LAKEVIEW BLDG 2003

Submitted By: KYLE SPENCERAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

12/08/2022Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose Fiber Fibrous Glass

NoDrywall, White/ Brown None Detected0282996-001

S1-DW

10% 2%

Gypsum Carbonates Mica Quartz

88%

Cellulose Fiber Fibrous Glass

NoDrywall, White/ Brown None Detected0282996-002

S2-DW

10% 2%

Gypsum Carbonates

Fibrous Glass

NoDrywall, Pink/ Brown None Detected0282996-003

S3-DW

10% 2%

Gypsum Carbonates

Fibrous Glass

NoDrywall, White/ Brown None Detected0282996-004

S4-DW

10% 2%

Gypsum Carbonates

Fibrous Glass

NoDrywall, White/ Brown None Detected0282996-005

S5-DW

10% 2%

Gypsum Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0282996

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 153

FOX ISLAND WA 98333

ECI ENVIRONMENTAL

Date Received: 11/21/2022

12/08/2022Date Analyzed:

0506-11Job# / P.O. #:

EMC LABS, INC.

Collected: 11/17/2022

EPA Method: Project Name: LAKEVIEW BLDG 2003

Submitted By: KYLE SPENCERAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

12/08/2022Date Reported:

EPA 600/R-93/116

Asbestos Type

Cellulose Fiber Fibrous Glass

NoDrywall, White/ Brown None Detected0282996-006

S6-DW

10% 2%

Gypsum Carbonates

Fibrous Glass

NoDrywall, White/ Brown None Detected0282996-007

S7-DW

10% 2%

Gypsum Carbonates

Mineral Wool

NoCeiling Tile, Beige/ White None Detected0282996-008

S8-CT

40% 40%

Carbonates Perlite Binder/Filler

20%

Mineral Wool

NoCeiling Tile, Beige/ White None Detected0282996-009

S9-CT

40% 40%

Carbonates

Mineral Wool

NoCeiling Tile, Beige/ White None Detected0282996-010

S10-CT

40% 40%

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0282996

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 153

FOX ISLAND WA 98333

ECI ENVIRONMENTAL

Date Received: 11/21/2022

12/08/2022Date Analyzed:

0506-11Job# / P.O. #:

EMC LABS, INC.

Collected: 11/17/2022

EPA Method: Project Name: LAKEVIEW BLDG 2003

Submitted By: KYLE SPENCERAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

12/08/2022Date Reported:

EPA 600/R-93/116

Asbestos Type

NoLAYER 1 Vinyl Tile, White

None Detected0282996-011 S11-VT Carbonates

100%

Cellulose FiberNoLAYER 2 Mastic, Yellow/ Tan

None Detected 2%

Quartz Carbonates

98%

NoLAYER 3 Vinyl Tile, Brown

None Detected

Carbonates

NoLAYER 1 Vinyl Tile, White

None Detected0282996-012 S12-VT Carbonates

Mastic, Yellow/ Tan

None Detected 2%

Quartz

Vinyl Tile, Brown

None Detected

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0282996

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 153

FOX ISLAND WA 98333

ECI ENVIRONMENTAL

Date Received: 11/21/2022

12/08/2022Date Analyzed:

0506-11Job# / P.O. #:

EMC LABS, INC.

Collected: 11/17/2022

EPA Method: Project Name: LAKEVIEW BLDG 2003

Submitted By: KYLE SPENCERAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

12/08/2022Date Reported:

EPA 600/R-93/116

Asbestos Type

NoLAYER 1 Vinyl Tile, White

None Detected0282996-013 S13-VT Carbonates

Mastic, Yellow/ Tan

None Detected 2%

Quartz

Vinyl Tile, Brown

None Detected

Carbonates

Vinyl Tile, White

None Detected0282996-014 S14-VT Carbonates

Mastic, Yellow/ Tan

None Detected 2%

Quartz Gypsum

Vinyl Tile, Black

None Detected

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0282996

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 153

FOX ISLAND WA 98333

ECI ENVIRONMENTAL

Date Received: 11/21/2022

12/08/2022Date Analyzed:

0506-11Job# / P.O. #:

EMC LABS, INC.

Collected: 11/17/2022

EPA Method: Project Name: LAKEVIEW BLDG 2003

Submitted By: KYLE SPENCERAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

12/08/2022Date Reported:

EPA 600/R-93/116

Asbestos Type

NoLAYER 1 Vinyl Tile, White

None Detected0282996-015 S15-VT Carbonates

Mastic, Yellow/ Tan

None Detected 2%

Quartz Gypsum

Vinyl Tile, Black

None Detected

Carbonates

Vinyl Tile, White

None Detected0282996-016 S16-VT Carbonates

Mastic, Yellow/ Tan

None Detected 2%

Quartz Gypsum

Vinyl Tile, Black

None Detected

Carbonates

Cove Base, Off White

None Detected0282996-017 S17-CB Carbonates

Mastic, Beige

None Detected 1%

Quartz

99%

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0282996

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 153

FOX ISLAND WA 98333

ECI ENVIRONMENTAL

Date Received: 11/21/2022

12/08/2022Date Analyzed:

0506-11Job# / P.O. #:

EMC LABS, INC.

Collected: 11/17/2022

EPA Method: Project Name: LAKEVIEW BLDG 2003

Submitted By: KYLE SPENCERAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

12/08/2022Date Reported:

EPA 600/R-93/116

Asbestos Type

NoLAYER 1 Cove Base, Off White

None Detected0282996-018 S18-CB Carbonates

Mastic, Beige

None Detected <1%

Quartz

Cove Base, Off White

None Detected0282996-019 S19-CB Carbonates

Mastic, Beige

None Detected <1%

Quartz

Cove Base, Dk. Brown

None Detected0282996-020 S20-CB Carbonates

Mastic, Beige

None Detected 1%

Quartz

Cove Base, Dk. Brown

None Detected0282996-021 S21-CB Carbonates

Mastic, Beige

None Detected 1%

Quartz

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0282996

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 153

FOX ISLAND WA 98333

ECI ENVIRONMENTAL

Date Received: 11/21/2022

12/08/2022Date Analyzed:

0506-11Job# / P.O. #:

EMC LABS, INC.

Collected: 11/17/2022

EPA Method: Project Name: LAKEVIEW BLDG 2003

Submitted By: KYLE SPENCERAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

12/08/2022Date Reported:

EPA 600/R-93/116

Asbestos Type

NoLAYER 1 Cove Base, Dk. Brown

None Detected0282996-022 S22-CB Carbonates

Mastic, Beige

None Detected <1%

Quartz

Fibrous Glass

NoSheet Vinyl, Beige/ Off White None Detected0282996-023

S23-SV

10% 3%

Carbonates

87%

Cellulose FiberNoSheet Vinyl, Beige/ Off White None Detected0282996-024

S24-SV

15%

Carbonates

85%

Cellulose FiberNoSheet Vinyl, Beige/ Off White None Detected0282996-025

S25-SV

15%

Carbonates

85%

Cellulose FiberYesFiber Board, Gray Chrysotile0282996-026

S26-FB

15% 3%

Carbonates Mica

82%

Fibrous Glass Cellulose Fiber

NoInsulation, White None Detected0282996-027 S27-I

95% 2%

Gypsum

3%

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0282996

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 153

FOX ISLAND WA 98333

ECI ENVIRONMENTAL

Date Received: 11/21/2022

12/08/2022Date Analyzed:

0506-11Job# / P.O. #:

EMC LABS, INC.

Collected: 11/17/2022

EPA Method: Project Name: LAKEVIEW BLDG 2003

Submitted By: KYLE SPENCERAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

12/08/2022Date Reported:

EPA 600/R-93/116

Asbestos Type

Fibrous GlassNoInsulation, Gray None Detected0282996-028 S28-I

95%

Gypsum

5%

Fibrous GlassNoInsulation, Yellow None Detected0282996-029 S29-I

95%

Gypsum

5%

YesLAYER 1 Vinyl Tile, Tan

Chrysotile0282996-030

S30-VT

5%

Carbonates

95%

Mastic, Beige

None Detected 2%

Quartz

Vinyl Tile, Tan

Chrysotile0282996-031

S31-VT

5%

Carbonates

NoLAYER 2 Mastic, Beige

None Detected

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0282996

NVLAP#101926-0

Client ID

Client:

Address: P.O. BOX 153

FOX ISLAND WA 98333

ECI ENVIRONMENTAL

Date Received: 11/21/2022

12/08/2022Date Analyzed:

0506-11Job# / P.O. #:

EMC LABS, INC.

Collected: 11/17/2022

EPA Method: Project Name: LAKEVIEW BLDG 2003

Submitted By: KYLE SPENCERAddress:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

12/08/2022Date Reported:

EPA 600/R-93/116

Asbestos Type

YesLAYER 1 Vinyl Tile, Tan

Chrysotile0282996-032

S32-VT

5%

Carbonates

Mastic, Beige

None Detected

Carbonates

Vinyl Tile, Tan

Chrysotile0282996-033

S33-VT

5%

Carbonates

Mastic, Beige

None Detected

Carbonates

NoSheet Vinyl, Gray/ Off White None Detected0282996-034 S34-SV Carbonates

Fibrous Glass Synthetic Fiber

NoSheet Vinyl, Gray/ Off White None Detected0282996-035

S35-SV

15%…