19990924_ACM_LBP_B13330_Final_Rpt_DO_0084_Part1.pdf
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- Replace Steam System Breakers DFAC, Bldg. 13330 Federal contract opportunity
- Solicitation number
- FA461019RA029
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Asbestos/Lead Report pt 1
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III
lilt
FINAL REPORT
FOR
CONTRACT # DACr\09-95-D-0020
DELI\TERY ORDER No. 0084 INCLUDING MODIFICATIONS
BUILDING No. 13330
V~~NDENBERGAIR FORCE BASE
CALIFORNIA
MIDWEST ENVIRONMENTAL CONTROL, INC.
ENVIRONMENTAL REMEDIATION SERVICES
4708 ANGOLA RD.
TOLEDO, OH 43615
TEL: (419) 382-9200
F~:(419)382-7890
ASBESTOS & LEAD ABATEMENT FINAL REPORT
CONTRACT # DACA09-95-D-0020
DELIVERY ORDER No. 0084 INCLUDING MODIFICATIONS
BUILDING No. 13330
VANDENBERG AIR FORCE BASE
CALIFORNIA
SECTION A
SECTIONB
SECTIONC
SECTIOND
SECTIONE
INITIAL PROJECT WORK AREA 1\.1ETHODS
REGULATING AUTHORITY NOTIFICATION
CONTRACTORS QUALITY CONTROL REPORTS
AIR AND BULK SAMPLE RESULTS
HAZARDOUS WASTE REPORTS
ASBESTOS & LEAD ABATEMENT FINAL REPORT
CONTRACT # DACA09-95-D-0020
DELIVERY ORDER No. 0084 INCLUDING MODIFICATIONS
BUILDING No. 13330
VANDENBERG AIR FORCE BASE
CALIFORNIA
INITIAL PROJECT WORK AREA METHODS
SECTION A
JobNumber • MEC99067
SITE ABATEMENTPLAN
for
Asbestos
Lead Containing Materials
Site
Building # 13330
VANDENBERG AIR FORCE BASE
Prepared For MidwestEnvironmental Control
4919 Forbes ne., Trailer #M PO Box 278
Edwards A.F~B., CA 93523-0278
@ 1999 J&H Environmental, Inc. All Rights Reserved
Asbestos & Lead Abatement Plan Bldg. 1#13330
1.0 SCOPE OF WORK
This scope ofwork includes: Removal and disposal ofasbestos Containing Materials(ACM), and interior door frames and ceramic wall tile containing Lead, located in building number 13330 at Vandenberg AFB. For measurements and location of all Asbestos andLeadmaterials referto survey report.
1.1 Non-friable asbestos-containing materials (ACM
• 2,880 square feet offloor tile & mastic
1.2 Friable asbestos.-containing materials (ACM),
• 45 Linear feet ofpipe insulation
1.3 The following materials contain Lead,
• Interior door frames
• Ceramicwall tile
After removaland disposal ofthe asbestos containing materials and the removal oflead componentfrom the area and conductingvisual inspection, final airclearance for asbestoswillbe collected.
2.0 GENERAL REQUIREMENTS
2.t Prepare Area Non-stationaryitems shouldbe removed from the workarea to prevent future contamination of the items and to facilitate the removalprocess.
2.2 Cover fixed objects
Items not beingremoved from the work area, such as lightfixtures etc, should be wet-wipedor REPA vacuumed and wrapped in placewith 6 milpolyethylene and sealedwithduet tape.
Electricaloutlets shouldbe sealedwith tape or covered with 6 mil polyethylene andthen taped andthe electricity shut off ar the breaker panel. All electricity shouldbe brought into the abatementarea through a ground fault interrupter (GFI).
2.3 Critical Barriers
Critical barriers shall be installed in order to reduce the chance of airborne asbestos fibers being released into theenvironment outside this containment. All ventsand airductsand otheropening insidethe work area shouldbe covered and sealedwith two layers of6 mil polyethylene.and duet tape. The first layer of polyethylene should be left in place until the areahaspassed finalvisual inspection andclearance airmonitoring.
Job# MEC99067 © 1999J& H Environmental, Inc. AllRightsReserved
Page# 10f8
Asbestos & Lead Abatement Plan Bldg. #13330
2.4 Floor cover
Sixmil polyethylene sheets should be used to cover the floorsnot included in removal plan.
Sheets maybe seamed together with spray adhesive and duet tape with a minimum 12 inch overlap at the seams.
2.5 WaD cover (not included in removal)
Two layers of6 mil polyethylene are used to cover the insidewalls including windows. The sheets should be hung from the top of the wall, The vertical sheets shouldbe overlapped and seam sealedwith spray adhesive and duct tape.
3.0 Establishing A Decontamination ll!!!!
The decontamination unit (Decon) is designed to allow passage to and from the wok area during the removaloperations. A typicalunit consistsofa clean room, a shower room, and an equipment room separatedby airlocks, consists of3' x 3' area and triple"Z' flap.
3.1 Clean room
No asbestos-contaminated and / or Lead containing items should enter this room. Workers use this area to suit up, store street clothes, and don respiratory protection prior to enter the work area.
3.2 Shower room
AlI persons are required to pass through the shower room after exiting work area..The contractor's supervisorwill be responsible to ensure all personneland equipment are decontaminated prior to entering the cleanroom.
3.3 Equipment room
This is a contaminatedarea where equipment, boots or shoes, hard-hats, goggles, and any additional contaminated work clothes are stored. Workers place disposable clothing such as coveralls and hoods in binsbefore leavingthis area for the shower room. Respirators are worn untilworkers enter the showerand thoroughly wash them withwater. The equipment room may require cleanup several times daily to prevent asbestos and Lead materials from being tracked into the shower and clean room.
Water used during this process willbe filtered through a 20 and then 5 micron water filter prior to being discharge in the public water system.
4.0 Waste load-out area
This is an area normally separated from the decontamination unit whichis used as a short term storage area for baggedwaste andas a portfortransferring waste to the dumpsite. An enclosure willbe constructedto form an airlockbetweenthe exitofthe load-out area and an enclosed dumpsite.
Job# MEC99067 © 1999 J & H Environmental, Inc. AIl Rights Reserved
Page /I 2of8
Materials will be placed in 6 mil bags while wet. Samples then will be collected from the waste to profile it for Lead Content as required under RCRA and State of California Department of Toxic Substances.
Transfer all bags to load-out area and wet wipe all bags, then place each bag in a second bag.
Properly label all bags according to State and Federal standard. These decontaminated bags will be transported to a temporary hazardous waste dumpsite, which must be lined with two layers of 6 mil polyethylene.
5.0 ENGINEERING CONTROL
Engineering controls will include the use of high efficiency particulate air-filtered (HEPA) vacuums, ventilation and negative air filtration systems. The use of negative air filtration system includes:
1 Changing the air within the containment area approximately once every 15 minutes.
2 Establishing condition in which air from all portions of the containment area is being pulled toward the negative air filtration system.
Whenever an isolated containment is erected, an electronic negative pressure recording gauge will be utilized to provide a record of the relative negative pressure within the isolated work area and a smoke test shall be performed to verify air movement in to the direction of the negative air filtration system.
The exhaust units should be located so that the makeup air enters the work area primarily through the decontamination facility and traverses the work area as much as possible. Provide HEPA filters that are individually tested and certified by the manufacturer and able to trap 99.97% of all particles 0.3 microns in diameter & larger. The exhaust units should be started prior to removal and should run continuously to maintain a constant negative pressure until decontamination of the work area is complete.
Replace the pre-filters two to four times a day or when accumulations of particulate matter becomes visible. Intermediate filters must be replaced once every day, and the HEPA filter may be replace prior to removal, if needed.
6.0 WORK PROCEDURES
EPA regulations which cover the removal of asbestos materials (40 CFR, part 61, subparts A&B) require wetting of asbestos containing materials before removal begins and keeping the material wet while removal is in progress and until it is bagged for disposal.
Components containing Lead Based Paint will be dismantled and removed according to the set guidelines by the Department ofHousing and Urban Development (HUD).
Work procedures for asbestos and Lead containing materials shall be conducted using the "wet method".
Job # MEC99067 © 1999 J & H Environmental, Inc. All Rights Reserved
Page # 3 of8
6.1 Removal of pipe insulation & elbows
• Clean and isolate the work area.
• Glove bag system may be used to remove the insulation from straight runs and elbows.
• Glove bag shall be made of6 mil thick plastic and shall be seamless at the bottom.
Each glove bag shall be installed so that it completely covers the circumference of pipe or elbows.
• Glove bags may be used only once and may not be moved.
• Glove bags shall not be used on surfaces whose temperature exceeds 1500 F.
• Prior to disposal, glove bags shall be collapsed by removing air within them using
HEP A vacuum.
• At least two persons shall perform the removal.
• Wet the material with amended water solution using equipment capable of providing a fine spray mist, in order to reduce airborne fiber concentrations when the material is disturbed.
• Saturate the material to the substrate.
• Remove the material and place in asbestos bags, while still wet.
• Double bagging ofwaste material is required.
• Material removed from the pipe shall not be dropped or thrown to the floor.
• After completion of all stripping work, pipes and elbows from which asbestos containing materials have been removed shall be wet brushed and sponged or cleaned by some equivalent method to remove all visible residue.
• Remove all bags and equipment from the work area.
• Use HEPA vacuum to clean and remove any residue.
6.2 Removal of floor tile & mastic
• Clean and isolate the work area.
• Wet the material with amended water.
• Remove the material while still wet and place in 6 mil asbestos bags.
• Scrapers and chemicals (approved by EPA) can be used to remove the mastic.
• After gross removal, use wire brushes, pads and wet rags to clean the floor area which might be contaminated.
• On daily basis, wet wipe or REPA vacuuming the floor area.
• Maintain high humidity in the work area by misting or spraying to assist in fiber settling and reduce airborne concentration.
• Equipment and tools shall be cleaned prior to removal from area.
• Remove all bags, equipment and tools from area.
• Use HEPA vacuum to clean and remove any residue.
6.3 Removal of Door frames & ceramic tile (Lead)
• Clean and isolate the work area.
• Wet thematerial with amended water.
• Remove any screws, nails, or fasteners
• Use hammer or bars to remove tiles
Job # MEC99067 © 1999 J & H Environmental, Inc. All Rights Reserved
Page # 4 of8
Asbestos &. Lead Abatement Plan Bldg. #13330
• All Lead components shall be placed or wrappedin 6 milplasticsheeting
• Paint removal can be used to remove paint from the door frames
• Use lIEPA vacuum and wet wiping techniques to clean and remove any residue.
6.4 Final Detail
Once thegross portionofthe asbestos-containing materials and the Lead basedPaintedparts are removed, the remaining components will be detail cleaned to the point ofno visible material. The contractor's competent personwill notify the SiteHealthand SafetyOfficer for a visual inspection Oncethe Site Healthand SafetyOfficer and contractor's competent personare satisfied that the area is cleanthe contractor's competent personwill mist the entirework area with a "lock-down" encapsulant and determine the settingtimefor the encapsulating compound.
Thenthe final air clearance for asbestos and will becollected fromthe area. The air samples' analysis willbe performed usingNIOSHMethod 7400 "A?' counting rules,
7.0 SITE SECURITY
The work area shall be restricted, access is only to authorized, trained, and protected personnel.
Thesemayinclude the contractor's employees, employees ofsubcontractors, and COE, representatives, state and localinspectors and anyotherdesignated individuals. A log book shall be maintained in the clean-room area ofthe worker decontamination unit. Anyone who enters the work area must record name,affiliation, time in and timeout for each entry.
Access to the work areashall be througha single worker decontamination unit located at the entrance to work site. All other means ofaccess (doors, windows, etc.) shall be blocked or locked so as to prevent entryto or exit from the work area.
Personsentering the regulated work area willbe required to dress in a full body disposable protective coveralls and wear a minimum of air -purifying respirators (1/2 Face) equipped with REPA filter cartridges. Rubbergloves and other protectiveequipment willbe provided to workers during abatement.
8.0 AIR MONITQRIN~
Background air samples willbecolleeted prior to any activity takingplace. Samples will be collected with a minimum total volume of 1200 literswith a flowrate between8 to 16 liters per minute.
Areaair samples, for asbestos andLead, both inside andoutside the work areawill be collected on a daily bases during the abatement phase. The air samples will be collected using 25 nun cassettes, with a cellulose ester membrane size of 0.8 urnfor asbestosand 37."5 mm cassettes, withacellulose estermembrane sizeof O~8 to 1.2umfor Lead.
Twenty-five percentofthe contractorswork force who are workinginside the containment area
Job # MEC99067 e 1999J & H Environmental, Inc. All RightsReserved
Page # 5 of8
Asbestos & Lead Abatement Plan Bldg. 1113330 will be monitored daily during the work hours. These personal air sampleswill be collectedat a flow rate between 0.5 to 2.5 liters per minute from the breathingzone of the worker(s). An excursionair sample(30 minuteduration) will be taken daily for asbestos personal monitoring.
Shouldanyexterior area air sample exceed 0.01 flcc, analysis by Phase Contrast Microscopy (PCM), duringthe asbestosremoval, the work will be stopped and the Project Industrial Hygienist or Project Health and SafetyOfficerwilldetermine what action shall be taken to reduce the airborne fiber concentration to / or below 0.01 flee.
Post asbestosabatement air sampling willbe conducted using highvolumepumpwith the flow rate between8 to 16liters per minute, and the sample volume shall be no less than 1200 liters.
AU collected air samplesfor asbestos willbeanalyzed using NIOSH Method 7400, "A" counting rules. Allcollected air samples for Lead will be analyzed utilizing GFAA technique described as the 7082 Protocol.
9.0 RESPIRATORY PROTECTION
Contractor is responsible for providing respirators, and allemployees assigned to work in this containment are required to wear a minimum half-face respirator equippedwithHEPA filters, and must be approvedby both the Mine Safetyand Health Administration (MSHA) and the National Institute for Occupational Safetyand Health (NIOSH)
Should anyone asbestos abatementworker's g-hour TimeWeighted Average(TWA) equal to or exceed0.1 flcc, the respirators must be upgraded to a PAPR or type "C" supplied air until exposurelevel is reduced to below O. 1 flee.
Should anyone lead abatementworker's 8-hour TimeWeighted Average (lWA) equal to or exceed50 JigPh / m3; the respirators must be upgraded to a PAPR or type "C" supplied air until exposurelevel is reduced to below theSuug Ph / m3.
10.0 SIGNS
Two types ofwarning signs that demarcatethe regulatedarea shall be providedand displayed around the building . The first warningsignsshallbear the following information for asbestos, DANGER
ASBESTOS
CANCERAND LUNGDISUSE BAZARD
AUTHORIZED PERSONNEL ONLY
RESPIRATORS AND PROTECTIVE CLOTHING ARE
REQUIRED IN THIS AREA
Job# MEC99067 @ 1999J & H Environmental, Inc. All Rights Reserved
Page #6 of8
Asbestos & Lead Abatement Plan
The second sign should read as follows:
Bldg. #13330
WARNING
LEAD PAINT REMOVAL HAZARD
UNAUTHORIZED ENTRY PROHIBITED
NO SMOKING, EATING OR DRINKING ALLOWED IN THE WORK AREA
Labels shall be affixed to all the bags containing asbestos and shall containthe following information:
DANGER
CONTAINS ASBESTOS FmERS
AVOID CREATING DUST
CANCER AND LUNG DISEASE HAZARD
HazardousWaste labelsshall be affixed to all containersthat containLead Containing Waste materials as defined by the waste profileanalysis.
11.0 DISPOSAL
Allasbestos and Lead Based Paintwastematerials shall be disposed ofin double6 mil impermeable bags as a minimum. The waste materials shall bekept in a wet state until the bags are completely sealed and.labeled" Do not overfill the disposal bags, remember wet material is much heavier than dry. Care must betaken when placing heavyor sharp objects in to the plastic disposalbags to preventaccidental spills. Excess air shouldbe removedfrom the bags with the use ofa HEPA equippedvacuum prior to sealing with duet tape.
Asbestos Waste After the waste is sealed in the properlylabeled asbestos bags, the waste maybe removedfrom the containment area. Prior to transporting the bags through the waste load-out area they should be wet wiped, HEPA vacuumed, or rinsed off to prevent the transferofany fibers to the outside environment.
Lead Waste The waste material willbe placed in 6 mil bags whilewet. Samples then will be collectedfrom the waste to profile it for Lead Content as requiredunder RCRA·andState ofCalifornia Department ofToxic Substances regulationsprior to disposal. These collected samples shall be sent to the laboratory'for analysis.
Basedon the test results ofthe collectedsamples from the waste, ifthe results are lessthan; 5 ppm byTCLP (40CFR 261.24), or 1000 mglkg by TTLC (22CCR ..66261.24) and 5.0 mgIL by STLC (22 CCR -66261.24), the waste will be treatedas construction waste.
Allwasteshouldbe placed(not thrown) into the containersfor transport to the landfill. All
Job# MEC99067 e 1999 J & H Environmental, Inc. All RightsReserved
Page# 70f8
Asbestos & Lead Abatement Plan wastes shall be disposed by S & R services as follows;
Bldg. #13330
Asbestos Waste will bedisposed offat; LA PAZ COUNTY LANDFILL Parker, Arizona.
Lead Paint Chips willbe treated at; Cbem-Tech Systems, Inc.
3650 26th Street, Los Angeles, CA 90022
Lead Components will be disposed ofat; U.S. Ecology Highway 95, 12 miles South ofBeatty Beatty, NY 89003
Allwastes willbe manifested as hazardous waste with proper classification basedon test classification results, and must be signed by base representative as the generatorofthe waste.
13.0 RECORDKEEPING
A project log, entry-exit log for the work area, record oftoolboxsafety, safetymeeting, and other project documents required by contractualagreement will be maintained on site. A daily quality control report is to be submitted to the corps ofEngineers.
In addition to the above, all contractor personnel records, include medical exams, EPA-accredited training, respiratory fit...testing, safetytraining recordswillbe kept up to date as by government regulations.
14.0 EMERGENCY TELEPHONE NUMBERS
I
EricOmales Midwest Environmental Project Quality Control (805) 705·3513
Rigoberto Flores Midwest Environmental Supervisor (805) 258-8060 Pager (805) 274-6779
Tom Sullivan
Jason Sullivan
J&H Environmental, Inc. Project Manager
J&H Environmental, Inc. Safety officer
(949) 654-0979 Pager (714) 568-2344
(714) 583-0661 Pager (714) 297-1478
J& HEnvironmental, Inc. will provideProject Monitoring and Quality Assurance servicesfor this project.
Job# MEC99067 e 1999J & H Environmental, Inc. All Rights Reserved
Page#8of8
.BASECIVIL":"ENGINEERING WORK CLEARANCE REQUEST-, ..'. · IS•• In$tfuctlon$ on R_v(J($_J
1. CI••fance Is ,Iqu••tld to P(~c••~ with wOlk at - .....................-...--------------------.....;.-..-------_ on Work Order No. • ConUlct No. OA{;n. 0 1- '75""-D - DO;2Q • Involving a.cI~ltlon 01 utl~tY:d\aturbanc. p., Ittlch.d sketch. This .,.1 .~ "IS ·0 has not baen staked 01 cleally mlrked. .q ~1- 3.VLt
A. PAVEMENTS
8. DRAINAOE SYSTEMS
C. RAILROAD TRACKS
3. DATE CLEARANCE ..AEaUIREO.
JuJ
5. SIGNATURe OF REQUeSTING OF ICIAl.
ORGANIZATION
8.
a A. ELECTRICAL DISTRIBUTION A
S B. STEAM DISTRIBUTION
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C. WATER DISTRIB~TION.·.
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a, G. PAVEMENTS/GROUNDS N E e R I
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12. BAse OPERATIONS
1'ELEPHON () ~ ..... _
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15. OTHER (SpecIfy}
17. TYPED~~~ROOf~~~?FFICeR ICht-f of Op,retloM Rlght~, 't-'olEngfn~gfJf~r~·',;~;'i.·· . ·~~.i~lr~~.I ..'1G.:eCOhi~f, SngicleeringFlight' ··.'·~/~·'·\";r·~ ..~~ JlJA IAF FO.RM 103, AUG ·S4.(EF-V1) IPfrFORMPROJ
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No exco...U'(.\-f;of\ neecl~,-lJ ~1'Yt6r Dcvn~ of-· 'f/~ful~r ~· PAtf,+\cV\ ~Alfs I tVItL Ce.IArvu'C o-v-c..{I ·-h'/~s r FORM 103, AUG 84'(EF-V1J (REVERSE) :,''.: '-. . ... >;'.0:'
·· >('>.,~'4l:.~~,!ri:t~;i:? I .' ,~ 0 00 • o' INSTRUCTIONS':>,', 0 0 • o:·:?~\1~(:;.;)t;·i:~f'\:.:~";1;:~~~i.f'1'..~ 0 0
11,. ~C~"t~!~,~l~~!~'1~~~r~l!~.~;~/~.~'!~.tll~r.,~lJrwork Icon trsct or !f!.hqlJ.'~!'th.t ~~_~ d/~':'!f~ .•/(~!~;.~~"~{~~(~!~!~~f(/fitt~~'rt::~~~~. ut/~fj;( serv/c••, 1!(t!t~~Pnl?!l!~Y.f,~~4~~"II!~,,~~~1f'''!!!~~9!', .~.'~. system; or,rQ'"!.qn.,~~!,vltf~~~D(.'!J~/~~-f~t~P!ktw!~:,~.,'\U: ,'~~~IJl.t.I:~:< r.quit.~'~~;i.~rill(r~!r~'lP£tfA'J~~!~:~(1J!~~'~!}'CU~~IJ!'J~/nt:onv.nr~1!~~:'91•• rn?n/"JH~r~ll!;l~~~~~~~~!(~$~~~fq~'Xl!/j!J, .'I!;;lI~.rdou.'~ cM~~~~~~.~~~n~~~ur~pmc~~~~~~~~·~'l;
encount.,.d .nd rh. 'condition.'., the ob(.'te'chan • (0,. ma have' chan tid} this work cl••,ance r. u.s'mu.r·b.". c••••d.·" , '.
20. RE'AARKS~::·ITh"f••crJOn.'~mU$.(d.'•• Ct"'·~ftJf1t:~PIW. . •ut/oMry m,.,ur. rob. ,ak.n before 8I)dduring WOlle .ccotiylliah."",m'.,~r.~"sP'dIii:,co.·r.m.,:m, tnt. conc.m/n th• •PPltJtI.dmerhod of exc.v,.tlo!t. h-ndot_po~,.d.qu!pment, ~ouldb. Inc/ud_d.1 ':" ", :-:': ,,,,<;:,-:.,- .-. "'~:';;,~i:~';' "<': '.~
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BASE CIVI~ ENGINEERING WORK CLEARANCE REQt)EST
AIR FORCE FORM 103 "
1. NO MECHANICAL DIGGING WILL BE PERFORMED WITHIN 4 FEET OF:THE'CROSSING POIN1UNTIL THeCA~Le A·ND/OR. UTILITIES ARE PHYSICALLY EXPOSED BY.'I:!~NP.R{~~!i!,~,. . . , .,.;';:' ::.. ",;"':,'f> "'/?:·~t. 'U~.r:~ "
2. The ~F.. ·F~rm 103 Is not valid until approved and signed by an·.·.~ngln8'~.Jng.\~·f=light.·3(CES~CEC.",C)f(l~l~l.· Approval ~lll not be considered until all requlred'~~!ro~fon:JrgQ.t}~9J'.thetorrrhavebeen comPleted and farm Is returned to this office, alonq with 'c~pl~S: of-:~~~p,~~prlatemapdrawing, pia";: etc. ·of the intended work area, to be kept by 30 CES/CEC. l( .::..... • •
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30 CES/CEC:·~· :.
Administrative Section . / for final appro'val of tnerequest: ,/
.. ~'.~., -0-d~... :~, 30CE~/CEOEC. servic,e',Co.ntra.s!S.'tqr"lfriga'Lq, only'~(wl1~n·~.digglng'.ls'req~l.rey~;~~"t~f.~rri gatl~' Iines ..mayexlst). :".:."'.' . :" .. ' . ':~:.:~~?;.:~ : :; ~. ./
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Ground Safe~y
Communications Cable AffaIrs
Det 1, LeB (for digging only) poe: TsgtRamo~/S~.g.t.V~ce~t'·
Explosive Ordnance Disposal .
(eOD)' . , Exterior Electric
Drainage Systems; Pavements, Grounds, and Rallroa.ds
Water; Gas Distribution;
and Sewer ·
Cathodic ProtectIon
Fire Department
Americable International Cable Television
Security Police
Environmental Planning'
6·8093 bCI103l27 Oct.i7
11433
3. The AF Form 103 ~ust be processed through the followi"!g organization~:
ORGANIZATION BRANCH
Base Comprehensive Planning (Any new construct/on)
BLDG PHONE
1143§ 6-1937
'\.7015 6-3919
~13676 6.33,00
~15500 734-1238
10660 6·3111
{'./11439'·· 6-5147·I../"j •
~ 6-5885
A11434 .~ 6·6434
110715 6-6802
2500 (callin.advance 6·1524 secure building)
864 5·1376
~~-as' 6-4400
~1015 6·8803
11,439 6·2330 t va .!!-~~15500Americab1e
MIDWEST EN'{IRC)~MENIl\l DESCRIPTION OFWORK QLDG # 13330 .
- "'22' PHASE- II
I.) CJ;ILING:iMATE;RIAL 4600 SQFT 2.) CABfE:r~~BEMO\!AL MOO'SQET 3.) Bf;MQYAC'QEJSTUDWAClSANO QRYWALL 1440 SQFI 4,) LBeQrfcQN~e;re45"saET 5.) T~_I;§~t'1.yvtNPOWS TOTAL 8 .
§.JJMf.CI~HJ;~KlT~~~RlVVALLS)32Q SOFT FLOOBl672 SOFT WALLS 7.} 1N._r4§-W:$ra~~iON1TH·.ClO§ET oeMQ} 192.~;lRer:E.~~~ET· PLASTER ClOSG!
8,)WASt:I~RQQM~(§CBAPE)~32SQET
9.) SEBVJNG~LI~NG]'PAfiELS 1494 SQFT 10.) FACIL[F'tavPV;OFFICEWALl REMOVAL) 44QaQFT 11,) IsaU~:~11,1r:ut119 aaE!
12.) aTQBAGe'RPPM...D.Q.QB CUI (SCRAPE) 13.) KITCi1~ft'lWAL.L52Q. SQFT 14.} WAsH'BOOM;WlNDQW INTER. ceRAMIC riLE 24SQFT 15.) REABENTRANce FLOOR (OFF DOCK AREA) 100 SOFT
Untitled
Eric:
This was supplied by TSGT Grim after the base had officially vacated the Breakers Dining Facility.
Items listed are not to be removed from the laydown area at the back of the building. One thing not on the list are the curtain sashes and rods which are also to be removed and stored in the laydown area.
We will need to do some kind of survey to identify and tag the items identified in case there might be some confusion.
Let me know when you want to sit down and talk.
Eddie 1215 hrs.
7 July 99
~ vv.t.
EQlllPMENT TO BE TRANSFERRED TO THE PRISON UPON REMOVAL BY CONTRACTORS
DESCRIPTION
I AMOUNT
CEILING FANS
17 EA
CONDIMENTCOUNTERS
2 EA
G:AS GRILL (MAINLINE)
1 EA
TABLE FOR GRILL
1 EA
VENTILATION HOOD UNITS (mainline & speedline 2 EA I
C)RAPES AND HARDWARE
29 EA
L
C:ANOPY (ABOVE CONDIMENT COUNTERS)
2 EA
C:ANOPY (ABOVE DOORWAYS TO TV ROOM)
2 EA
FREEZER. DROP DOWN (speedline & cooks area)
2 EA
~)fNK (SPEEDLINE)
1 EA
C;OUNTER AND 3-DRAWER COOLER UNIT(connected to sink on speedline) l-RAY SLIDES ON MAINLINE. SPEEDLINE. BEVERAGE COl.lNTERS AND 1 EA
(~ASHIER STANDS
ALL
BEVERAGE COUNTER. REACH DOWN FREEZER (mainline & speedline) 2 EA
(~ASHIER STANDS (mainline and speedfine)
2 EA
3-T1ER REFRIGERATED DISPLAY UNITS ON MAINLINE AND SPEEDLINE 2 EA
I:OLD TABLE (mainline & speedline)
2 EA
HOT FOOD SERVING UNIT (MAINLINE & SPEEDLINE) 2 EA
I
CARVING STATION
1 EA
COLD TABLE (SANDWICH PREP. 2 drawer cold storage, and under and under counter reach-in) on the speedline
1 EA
STAINLESS STEEL COUNTER, 6 DOOR UNDERCOUNTER: STORAGE
AND 3-DRAWER BUN WARMER ( MAINLINE)
1 EA
LIGHT FIXTURES IN HALLWAY NEXT TO PUBLIC RESTRC)OMS. 2 EA
SINK IN CHEMICAL STORAGE ROOM BY WEST SIDE MAn'J ENTRANCE 1 EA
NOTES: INVENTORY CONDUCTED BY ROBERT WINKLE AND TSGT GRIM (GOVERNMENT)
INVENTORY SHEET PREPARED BY ROBERT WINKLE AND TSGT GRIM (GOVERNMENT)
SENT TO A.C.E. 2 JUL 99,1525 HOURS.
TEMPORARY ISSUE RECEIPTPREVIOUS EDITION Will BE USED.PRO}
Iacknowledge receipt of andresponsibility lAW AFR 20·14 fortheitemsdescribed below andwill return them bythereturn dateindicated.
ISSUED TO: SIGNATURE L c(t,Ad£r- DUTY PHONE ISSUEO BY ex.t _JOh'A(._No~~~o. -=-
ISSUED TO: NAME. GRACe. ORGN (Type Of ptiIuJ...
~RI't;:- O~NF~~ - ~11f)tJ~.s-r fA/I/I;eO#A?~-.47/f(
ORGN Accr NO. DA TE OF ISSUE RETURN DATE
STOCK NUMBER DESCRIPTION Of ITEM Uti ONTY
Keys for Breakers Dining facility
Padlocks on east and west doors in loading dock area ea , storeroom door ea 0 master key to secured areas ( supervisor office, inflight, storeroom) ea o·
-----.-------------------------- LAST ITEM
AF FORM 1297,JUl87 'EF·Vl r'erFOflM
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_ Eo~ 0!/7<:4s /VA/1/}c
ASBESTOS & LEAD ABATEMENT FINAL REPORT
CONTRACT # DACA09-95-D-0020
DELIVERY ORDER No. 0084 INCLUDING MODIFICATIONS
BUILDING No. 13330
VANDENBERG AIR FORCE BASE
CALIFORNIA
REGULATING AUTHORITY NOTIFICATION
SECTION I OSHA NOTIFICATION
SECTION B
ASBESTOS & LEAD ABATEMENT FINAL REPORT
CONTRACT # DACA09-95-D-0020
DELIVERY ORDER No. 0084 INCLUDING MODIFICATIONS
BUILDING No. 13330
VANDENBERG AIR FORCE BASE
CALIFORNIA
OSHA NOTIFICATION
SECTION I
OCCUPATIONAL SAFETY & HEALTH REGULATIONS
ASBESTOS NOTIFICATION
CAL OSHA, TITLE 8, SECT. 341-9,a (1-6)
TYPE OFNOTIFICATION: ORIGINAL 11/30/99
I. REMOVAL CONTRACTOR: Midwest Environmental Control
ADDRESS: P.O. Box278
CITY: Edwards STATE: CA ZIP: 93523
CONTACT: Dale Bruhl TELEPHONE: (661)-258-8060
II.FACILITY DESCRIPTION
BUILDING NAME: 13330 Breakers Bid. SITE LOCATION: Interior
ADDRESS: Vandenberg AFB
CITY & STATE: Lompoc, CA
COUNTY: Santa Barbara ZIP:
III. DESCRIPTION OFWORK:
REMOVAL OFAPPROX. 20LNFT OFNON FRIABLE ASBESTOS ROOFING MASTIC, AND 70SQFT OF TRANSITE MATERIAL.
IV. DESCRIPTION OFWORK PRACTICES AND ENGINEERING CONTROLS TOBEUSED TOPREVENT EMISSIONS ATTHE WORK SITE:
HEPA - filteredvacuumsand HEPA - filtered respirators, decontamination facilities,adequately wetted, negativecontainment.
V. SCHEDULED DATES OFASBESTOS REMOVAL: (MM/DDIYY) START: 1211/99 COMPLETE: 1212199
VI. EXPOSURE EVALUATION:
Basedon previousexperience of similarprojects utilizing the sameengineering controls, the exposure to our workers is expected to be minimal. If unexpected material is found that would increase the exposurelevel,work will immediatelyceaseuntil additional engineering controls are implemented.
VII. CERTIFIED SUPERVISOR: AIR SAMPLING MONITOR:
VICTOR CORREA VICTOR CORREA
VIII. I CERTIFY THAT THE ABOVE INFORMATION ISCORRECT.
~~Dale Bruhl 11130/99 L/
PRINTED NAME OFABATEMENT CONTRACTOR SIGNATURE OFABATEMENT CONTRACTOR DATE
ASBESTOS & LEAD ABATEMENT FINAL REPORT
CONTRACT # DACA09-95-D-0020
DELIVERY ORDER No. 0084 INCLUDING MODIFICATIONS
BUILDING No. 13330
VANDENBERG AIR FORCE BASE
CALIFORNIA
III CONTRACTORS QUALITY CONTROL REPORTS
SECTION I QUALITY CONTROL REPORT
SECTION II DAILY ACTIVITY CHECK LIST
SECTION III EMPLOYEE ENTRY LOG
SECTION IV REGULATED WORK ENTRY LOG
SECTION V VISITOR LOG
SECTION C
ASBESTOS & LEAD ABATEMENT FINAL REPORT
CONTRACT # DACA09-95-D-0020
DELIVERY ORDER No. 0084 INCLUDING MODIFICATIONS
BUILDING No. 13330
VANDENBERG AIR FORCE BASE
CALIFORNIA
QUALITY CONTROL REPORT
SECTION I
CONTRACTOR QUALITY CONTROL REPORT
1. REPORT Noo1311 13 5 .3 0 _ l
DATE . I
-..J VI.. I L J " '1
2. PROJECT I CONTRACT NUMBER
CONTRACTOR
ASBESTOS ABATEMENT & REMOVAL
DACA09-95-D-0020
MIDWEST ENVIRONMENTAL CONTROL
SUPERINTENDENT
61"ftJ tJU/et-,/9~
WEATHER
PRECIPITATION PAST 24 HOURS (IN INCHES) TEMPERATURE degrees F MINIMUM MAXIMUM
3. WERE THERE ANY DELAYS IN WORK PROGRESS TODAY? No _
4. VERBAL INSTRUCTIONS GIVEN BY THE GOVERNMENT: ~6
Yes _ If Yes, Explain:
5. HAS ANYTHING DEVELOPED WHICH MIGHT LEAD TO A CHANGE ORDER OR CLAIM? No /' Yes __ If Yes, Explain:
NOTE: Official notification of claim must be made to the Contracting Officer by separate correspondence.
6. SAFETY INSPECTION / MEETINGS: Indicate inspections made, items inspected, deficiencies noted and corrective action taken.
I
I!WERE THERE ANY LOST TIME ACCIDENTS THIS DATE? NO~Yes __ If Yes, attach accident report.
I 'I
7. PRIME CONTRACTOR I SUBCONTRACTOR WORKFORCE II
(If space provided below is inadequate, use additional sheets) ilNo.
TRADE HOURS EMPLOYER No. TRADE HOURS EMPLOYER
I 1~'~I'UP'''' aiL-' 1/ u,;:~ I b u4~tt:'£ ;1-.9 &0 ;(,f ~G I i
II
I I
I II
I I!
I
I
CUMULATIVE TOTAL HOURS OF WORK TOTAL WORK HOURS ON TOTAL WORK HOURS FROM
II II
HOURS FROM PREVIOUS REPORT 0 JOB SITE THIS DATE 7/ START OF CONSTRUCTION I
8. MAJOR ITEMS OF EQUIPMENT
TYPE / CAPACITY No. STANDBY HOURS OPERATING HOURS
II
l~==============================================================================================================================================~
:113. INSTALLED PROPERTY PRICING DATA ATTACHED: YES NO
9. THREE PHASE INSPECTION
ADVANCE NOTICE OF PREPARATORY, INITIAL OR FINAL FOLLOW-UP INSPECTION: (minimum five working days notice required)
PREPARATORY INSPECTION HELD TODAY: Indicate Definable Features of Work. Attach Preparatory Checklist.
INITIAL INSPECTION HELD TODAY: Indicate Definable Features of Work. Attach Initial Checklist.
FINAL FOLLOW-UP INSPECTION HELD TODAY: Indicate NAS Activity Number. Attach Final Follow-up Checklist.
10. ACTIVITIES IN PROGRESS: Attach daily cac follow-up inspection deficiencies I corrections noted.
S = START
ACTIVITY NUMBER C = CONTINUING DESCRIPTION OF WORK ACTUALLY PERFORMED I MAJOR MATERIAL DELIVERIES TODAY
F =FINISH
.,s-F ¥ril- uP .
I
I
I
11. cac TESTING
ACTIVITY NUMBER DESCRIPTION OF TESTS PERFORMED PASSED I FAILED
I I lin USER SCHOOLING CONDUCTED:
II ACTIVITY NUMBER I DESCRIPTION OF SCHOOLING
I I
1/14 TRANSFERRED PROPERTY 00-1149 ATTACHED' YES· No
115. QA COMMENTS CORRECTED TODAY: YES NO II
116. EQUIPMENT SAFETY CHECKLIST ATTACHED: YES NO I,
GENERAL COMMENTS: III
I
CONTRACTOR CERTIFICATION: On behalf of the contractor, I certify that this report is complete and correct and all equipment and material used and work performed during this reporting period are in compliance with the contract plans and specifications, to the best of my knowledge, except as noted above.
Authorized Contractor Representative:
Report Date: Date Submitted to Government Representative: .
920 · (3 7
1. REPORT NO.
B#!
DATE
2. PROJECT I CONTRACT NUMBER
CONTRACTOR
ASBESTOS ABATEMENT & REMOVAL
DACA09-95-D-0020
MIDWEST ENVIRONMENTAL CONTROL
SUPERINTENDENT
£, fL-1 ~ (j'-'IJEJ L f~ s.
WEATHER
PRECIPITATION PAST 24 HOURS (IN INCHES) TEMPERATURE degrees F MINIMUM MAXIMUM
3. WERE THERE ANY DELAYS IN WORK PROGRESS TODAY? No 7
4. VERBAL INSTRUCTIONS GIVEN BY THE GOVERNMENT: ,.f'(!) JJ ~-----
Yes _ If Yes, Explain:
5. HAS ANYTHING DEVELOPED WHICH MIGHT LEAD TO A CHANGE ORDER OR CLAIM? No__ Yes If Yes, Explain:
7. PRIME CONTRACTOR / SUBCONTRACTOR WORKFORCE
(If space provided below is inadequate, use additional sheets)
NOTE: Official notification of claim must be made to the Contracting Officer by separate correspondence.
6. SAFETY INSPECTION I MEETINGS: Indicate inspections made, items inspected, deficiencies noted and corrective action taken.
!I
IlwERE THERE ANY LOST TIME ACCIDENTS THIS DATE? No /" Yes __ If Yes, attach accident report.
I~==================================================================================================================================================~; i
II
No.
G
A TRADE HOURS
II
EMPLOYER No.
I
I
TRADE HOURS
i I I
JOB SITE THIS DATE
CUMULATIVE TOTAL HOURS OF WORK
HOURS FROM PREVIOUS REPORT 1/
TOTAL WORK HOURS ON
7/
8. MAJOR ITEMS OF EQUIPMENT
TOTAL WORK HOURS FROM
START OF CONSTRUCTION
TYPE I CAPACITY No. STANDBY HOURS OPERATING HOURS
NOYES[113. INSTALLED PROPERTY PRICING DATA ATTACHED:
9. THREE PHASE INSPECTION
ADVANCE NOTICE OF PREPARATORY, INITIAL OR FINAL FOLLOW-UP INSPECTION: (minimum five working days notice required)
PREPARATORY INSPECTION HELD TODAY: Indicate Definable Features of Work. Attach Preparatory Checklist.
INITIAL INSPECTION HELD TODAY: Indicate Definable Features of Work. Attach Initial Checklist.
FINAL FOLLOW-UP INSPECTION HELD TODAY: Indicate NAS Activity Number. Attach Final Follow-up Checklist.
10. ACTIVITIES IN PROGRESS: Attach daily cac follow-up inspection deficiencies I corrections noted.
S =START
ACTIVITY NUMBER C =CONTINUING DESCRIPTION OF WORK ACTUALLY PERFORMED I MAJOR MATERIAL DELIVERIES TODAY
F =FINISH
r-a 019) 8-{ Ss- .~ eH~t.;· V-J 'd t../ r: ,
11. coc TESTING
ACTIVITY NUMBER i DESCRIPTION OF TESTS PERFORMED PASSED / FAILED
I
I
12. USER SCHOOLING CONDUCTED:
Ii ACTIVITY NUMBER I DESCRIPTION OF SCHOOLING
II I
I· I d I Ijl
!/14. TRANSFERRED PROPERTY, 00-1149 ATTACHED: YES NO
NO
NO
YES
YES\115. QA COMMENTS CORRECTED TODAY:
1116 EQUIPMENT SAFETY CHECKLIST ATTACHED'
GENERAL COMMENTS: I
I
CONTRACTOR CERTIFICATION: On behalf of the contractor, I certify that this report is complete and correct and all equipment and material used and work performed during this reporting period are in compliance with the contract plans and specifications, to the best of my knowledge, except as noted above.
Report Date: Date Submitted to Government Representative: ..
920 Q 87
1. REPORT NO.
\M1=\ 0 ~ 30.-:'
DATE
2. PROJECT I CONTRACT NUMBER
CONTRACTOR
A5BESTOS ABATEMENT & REMOVAL
DACA09-95-D-0020
MIDWEST ENVIRONMENTAL CONTROL
SUPERINTENDENT
c..(2...1 ~
WEATHER
PRECIPITATION PAST 24 HOURS (IN INCHES) TEMPERATURE degrees F MINIMUM MAXIMUM
3. WERE THERE ANY DELAYS IN WORK PROGRESS TODAY? No _
4. VERBAL INSTRUCTIONS GIVEN BY THE GOVERNMENT: tJ 0 tJ Cl-yes _ If Yes, Explain:
5. HAS ANYTHING DEVELOPED WHICH MIGHT LEAD TO A CHANGE ORDER OR CLAIM? No Yes If Yes, Explain:
NOTE: Official notification of claim must be made to the Contracting Officer by separate correspondence.
6. SAFETY INSPECTION I MEETINGS: Indicate inspections made, items inspected, deficiencies noted and corrective action taken.
IWERE THERE ANY LOST TIME ACCIDENTS THIS DATE? No I
Yes If Yes, attach accident report.
7. PRIME CONTRACTOR I SUBCONTRACTOR WORKFORCE
(If space provided below is inadequate, use additional sheets)
I
No. TRADE HOURS EMPLOYER No., ~U (J'i..ll-u I c; 01
) ~ l C~ 2. C- ) b ULJ lJ R-i:.-tf~s 60 (~~c...)
I I I I
TRADE HOURS
I I I
JOB SITE THIS DATE
CUMULATIVE TOTAL HOURS OF WORK
HOURS FROM PREVIOUS REPORT
TOTAL WORK HOURS ON
(f
8. MAJOR ITEMS OF EQUIPMENT
TOTAL WORK HOURS FROM
START OF CONSTRUCTION
NO;\13. INSTALLED PROPERTY PRICING DATA ATTACHED: YES II
ADVANCE NOTICE OF PREPARATORY, INITIAL OR FINAL FOLLOW-UP INSPECTION: (minimum five working days notice required)
PREPARATORY INSPECTION HELD TODAY: Indicate Definable Features of Work. Attach Preparatory Checklist.
INITIAL INSPECTION HELD TODAY: Indicate Definable Features of Work. Attach Initial Checklist.
FINAL FOLLOW-UP INSPECTION HELD TODAY: Indicate NAS Activity Number. Attach Final Follow-up Checklist.
10. ACTIVITIES IN PROGRESS: Attach daily cac follow-up inspection deficiencies I corrections noted.
S =START
ACTIVITY NUMBER C =CONTINUING DESCRIPTION OF WORK ACTUALLY PERFORMED I MAJOR MATERIAL DELIVERIES TODAY
F = FINISH
6- f:: C ,q O-p ,-r i!-~#-J..- 0 v~
I
11 cac TESTING
ACTIVITY NUMBER DESCRIPTION OF TESTS PERFORMED PASSED I FAILED
I
I I!
I 12. USER SCHOOLING CONDUCTED:
Ii ACTIVITY NUMBER DESCRIPTION OF SCHOOLING11r------t-----------11
NO1114. TRANSFERRED PROPERTY, 00-1149 ATTACHED: YES II
NO
NO
I
GENERAL COMMENTS:
I
I
CONTRACTOR CERTIFICATION: On behalf of the contractor, I certify that this report is complete and correct and all equipment and material used and work performed during this reporting period are in compliance with the contract plans and specifications, to the best of my knowledge, except as noted above.
Authorized Contractor Representative:
Report Date: Date Submitted to Government Representative: ..
1116 EQUIPMENTSAFETY CHECKLIST ATTACHED· YES i l
DATE
1. REPORT N013 1+== I 3 <3.3 0 _~
j Ul..
2. PROJECT I CONTRACT NUMBER ASBESTOS ABATEMENT & REMOVAL
DACA09-95-D-0020
SUPERINTENDENT
~(2..'CL Qe.J-J~LPt..s
CONTRACTOR MIDWEST ENVIRONMENTAL CONTROL WEATHER
PRECIPITATION PAST 24 HOURS (IN INCHES) TEMPERATURE degrees F MINIMUM MAXIMUM
3. WERE THERE ANY DELAYS IN WORK PROGRESS TODAY? No /' Yes _ If Yes, Explain:
4. VERBAL INSTRUCTIONS GIVEN BY THE GOVERNMENT: t-rO tJ L
5. HAS ANYTHING DEVELOPED WHICH MIGHT LEAD TO A CHANGE ORDER OR CLAIM? No ~ ~Yes__ If Yes, Explain:
NOTE: Official notification of claim must be made to the Contracting Officer by separate correspondence.
6. SAFETY INSPECTION I MEETINGS: Indicate inspections made, items inspected, deficiencies noted and corrective action taken.
I
7. PRIME CONTRACTOR I SUBCONTRACTOR WORKFORCE II
(If space provided below is inadequate, use additional sheets) il
No. TRADE HOURS EMPLOYER No. TRADE HOURS EMPLOYER II \ ~ cJ P!.~d / 5(.) (L .( 1 HeC- ! II, i :!,...-rI-(~L I I 1
~ c..J()fl-I=-~t,? ·50 I 1 ii
I I 'I I ;1
I I Ii I !
CUMULATIVE TOTAL HOURS OF WORK
02/j
TOTAL WORK HOURS ON TOTAL WORK HOURS FROM
";pIt!HOURS FROM PREVIOUS REPORT JOB SITE THIS DATE 61 START OF CONSTRUCTION
8. MAJOR ITEMS OF EQUIPMENT
TYPE f CAPACITY No. STANDBY HOURS OPERATING HOURS jl
II WERE THERE ANY LOST TIME ACCIDENTS THIS DATE? No / Yes If Yes. attach accident report.
I: --
NOYES1113. INSTALLED PROPERTY PRICING DATA ATTACHED:
ADVANCE NOTICE OF PREPARATORY, INITIAL OR FINAL FOLLOW-UP INSPECTION: (minimum five working days notice required)
PREPARATORY INSPECTION HELD TODAY: Indicate Definable Features of Work. Attach Preparatory Checklist.
INITIAL INSPECTION HELD TODAY: Indicate Definable Features of Work. Attach Initial Checklist.
FINAL FOLLOW-UP INSPECTION HELD TODAY: Indicate NAS Activity Number. Attach Final Follow-up Checklist.
10. ACTIVITIES IN PROGRESS: Attach daily cac follow-up inspection deficiencies I corrections noted.
S = START
ACTIVITY NUMBER C = CONTINUING DESCRIPTION OF WORK ACTUALLY PERFORMED I MAJOR MATERIAL DELIVERIES TODAY
F = FINISH
~- t: ~ ~£) ll..-~J..-<..f!) v~ C fl IJ ~ UJ-~~ D )
I
111. COC TESTING
ACTIVITY NUMBER DESCRIPTION OF TESTS PERFORMED PASSED I FAILED
I
112. USER SCHOOLING CONDUCTED:
\1
ACTIVITY NUMBER DESCRIPTION OF SCHOOLING
II
II
1114 TRANSFERRED PROPERTY 00-1149 ATTACHED' YES NO
1\15. QA COMMENTS CORRECTED TODAY: YES NO I
116. EQUIPMENT SAFETY CHECKLIST ATTACHED: YES NO I
GENERAL COMMENTS:
CONTRACTOR CERTIFICATION: On behalf of the contractor, I certify that this report is complete and correct and all equipment and material used and work performed during this reporting period are in compliance with the contract plans and specifications, to the best of my knowledge, except as noted above.
Report Date: Date Submitted to Government Representative:
CONTRACTOR QUALITY CONTROL REPORT 1. REPORTNO~1t I<J3~0-5 DATE j
UL lc;.ctCf
2. PROJECT I CONTRACT NUMBER
CONTRACTOR
ASBESTOS ABATEMENT & REMOVAL
DACA09-95-D-0020
MIDWEST ENVIRONMENTAL CONTROL
SUPERINTENDENT
E. f2. 1C-
WEATHER
PRECIPITATION PAST 24 HOURS (IN INCHES) TEMPERATURE degrees F MINIMUM MAXIMUM
3. WERE THERE ANY DELAYS IN WORK PROGRESS TODAY? No _ Yes _ If Yes, Explain:
4. VERBAL INSTRUCTIONS GIVEN BY THE GOVERNMENT:
5. HAS ANYTHING DEVELOPED WHICH MIGHT LEAD TO A CHANGE ORDER OR CLAIM? No /' Yes__ If Yes. Explain:
jl
I NOTE: Official notification of claim must be m~de to the Contracting Officer by separate correspondence.
I!
HOURS EMPLOYER No. TRADE
III!
No. TRADE HOURS EMPLOYER
I JUPt{LUI8d~ ( ~ '-\~C-i '!
l1J(!JfLIC..~~ I
I
.5 ---5·0 '-\E<:" : "ii I 11
I I i
! ij !I
I
I !I I
I
,I
II
I, II
i!
CUMULATIVE TOTAL HOURS OF WORK ILj TOTAL WORK HOURS ON TOTAL WORK HOURS FROM 335 jl
HOURS FROM PREVIOUS REPORT d7 <Of iI
JOB SITE THIS DATE START OF CONSTRUCTION 'I
NOYES1113 INSTALLED PROPERTY PRICING DATA ATTACHED·
ADVANCE NOTICE OF PREPARATORY, INITIAL OR FINAL FOLLOW-UP INSPECTION: (minimum five working days notice required)
PREPARATORY INSPECTION HELD TODAY: Indicate Definable Features of Work. Attach Preparatory Checklist.
INITIAL INSPECTION HELD TODAY: Indicate Definable Features of Work. Attach Initial Checklist.
FINAL FOLLOW-UP INSPECTION HELD TODAY: Indicate NAS Activity Number. Attach Final Follow-up Checklist.
10. ACTIVITIES IN PROGRESS: Attach daily cac follow-up inspection deficiencies I corrections noted.
S = START
ACTIVITY NUMBER C = CONTINUING DESCRIPTION OF WORK ACTUALLY PERFORMED I MAJOR MATERIAL DELIVERIES TODAY
F = FINISH
.5- "-\~ ~T' e, CL~~OVL
I
11. coc TESTING
ACTIVITY NUMBER DESCRIPTION OF TESTS PERFORMED PASSED I FAILED
I
112. USER SCHOOLING CONDUCTED:
I ACTIVITY NUMBER I DESCRIPTION OF SCHOOLING
II
I: I I
1\14. TRANSFERRED PROPERTY, 00-1149 ATTACHED: YES NO I
Ii 15. QA COMMENTS CORRECTED TODAY: YES NO I
\16. EQUIPMENT SAFETY CHECKLIST ATTACHED: YES NO I
GENERAL COMMENTS:
I
CONTRACTOR CERTIFICATION: On behalf of the contractor, I certify that this report is complete and correct and all equipment
I and material used and work performed during this reporting period are in compliance with the contract plans and specifications, to the best of my knowledge, except as noted above.
) 0 It 8 79 -
1. REPORTN~
10630 -~
DATE
JUt.... 'C\,<tct
2. PROJECT I CONTRACT NUMBER ASBESTOS ABATEMENT & REMOVAL SUPERINTENDENT
DACA09-95-D-0020 z e «, Oa..jJ-LL~~
CONTRACTOR MIDWEST ENVIRONMENTAL CONTROL WEATHER
PRECIPITATION PAST 24 HOURS (IN INCHES) TEMPERATURE degrees F MINIMUM MAXIMUM
3. WERE THERE ANY DELAYS IN WORK PROGRESS TODAY? No < Yes If Yes, Explain:
4. VERBAL INSTRUCTIONS GIVEN BY THE GOVERNMENT: tJOV~
5. HAS ANYTHING DEVELOPED WHICH MIGHT LEAD TO A CHANGE ORDER OR CLAIM? No.r-:-- IfYes. Explain:
NOTE: Official notification of claim must be made to the Contracting Officer by separate correspondence.
6. SAFETY INSPECTION I MEETINGS: Indicate inspections made. items inspected, deficiencies noted and corrective action taken.
I ~ WERE THERE ANY LOST TIME ACCIDENTS THIS DATE? No __ Yes __ If Yes. attach accident report.
7. PRIME CONTRACTOR I SUBCONTRACTOR WORKFORCE
(If space provided below is inadequate, use additional sheets)
No. TRADE HOURS EMPLOYER No. TRADE HOURS EMPLOYER
1 .", I t geL~ '<JP~Il-\J" O~
6 WO(l..~L.{L~ (;{) H.~c... I i I
CUMULATIVE TOTAL HOURS OF WORK 5?;;:; TOTAL WORK HOURS ON TOTAL WORK HOURS FROM
tf{)0HOURS FROM PREVIOUS REPORT JOB SITE THIS DATE '-l. START OF CONSTRUCTION
ADVANCE NOTICE OF PREPARATORY, INITIAL OR FINAL FOLLOW-UP INSPECTION: (minimum five working days notice required)
PREPARATORY INSPECTION HELD TODAY: Indicate Definable Features of Work. Attach Preparatory Checklist.
INITIAL INSPECTION HELD TODAY: Indicate Definable Features of Work. Attach Initial Checklist.
FINAL FOLLOW-UP INSPECTION HELD TODAY: Indicate NAS Activity Number. Attach Final Follow-up Checklist.
10. ACTIVITIES IN PROGRESS: Attach daily cac follow-up inspection deficiencies I corrections noted.
S =START
ACTIVITY NUMBER C =CONTINUING DESCRIPTION OF WORK ACTUALLY PERFORMED I MAJOR MATERIAL DELIVERIES TODAY
F =FINISH
S - ~~~t\C. ~K.a··.y~
11. CQC TESTING
ACTIVITY NUMBER DESCRIPTION OF TESTS PERFORMED PASSED I FAILED
12. USER SCHOOLING CONDUCTED:
ACTIVITY NUMBER DESCRIPTION OF SCHOOLING
113. INSTALLED PROPERTY PRICING DATA ATTACHED: YES NO I
\ 14. TRANSFERRED PROPERTY, 00-1149 ATTACHED: YES NO I
115. QA COMMENTS CORRECTED TODAY: YES NO I
/16. EQUIPMENT SAFETY CHECKLIST ATTACHED: YES NO I
GENERAL COMMENTS:
CONTRACTOR CERTIFICATION: On behalf of the contractor, I certify that this report is complete and correct and all equipment and material used and work performed during this reporting period are in compliance with the contract plans and specifications. to the best of my knowledge. except as noted above.
CONTRACTOR QUALITY CONTROL REPORT 1. REPORT~1f - tg33 d _I
2. PROJECT I CONTRACT NUMBER
CONTRACTOR
ASBESTOS ABATEMENT & REMOVAL
DACA09-95-D-0020
MIDWEST ENVIRONMENTAL CONTROL
SUPERINTENDENT
~~, <L 0 e.tJ ~L~S
WEATHER
PRECIPITATION PAST 24 HOURS (IN INCHES) TEMPERATURE degrees F MINIMUM MAXIMUM
3. WERE THERE ANY DELAYS IN WORK PROGRESS TODAY? No _
4. VERBAL INSTRUCTIONS GIVEN BY THE GOVERNMENT: tJ 0 IJ ~
Yes _ If Yes, Explain:
5. HAS ANYTHING DEVELOPED WHICH MIGHT LEAD TO A CHANGE ORDER OR CLAIM? No Yes If Yes, Explain:
NOTE: Official notification of claim must be made to the Contracting Officer by separate correspondence.
6. SAFETY INSPECTION I MEETINGS: Indicate inspections made, items inspected, deficiencies noted and corrective action taken.
I
II ~
II /'
!I WERE THERE ANY LOST TIME ACCIDENTS THIS DATE? No __ Yes __ If Yes. attach accident report.
I 'f
7. PRIME CONTRACTOR I SUBCONTRACTOR WORKFORCE Ii
II
(If space provided below is inadequate, use additional sheets) ii
!I
No. I TRADE HOURS EMPLOYER No. TRADE HOURS EMPLOYER I
I
/ IJ ;J (1zJL.u 1[;d (L / i ! IIi
Waf-t:.-<tL--S I i
G 60
I I ii
I I i 'I
I II
I I Ij ! I I I
I i i I I
III
I
II
I' i'
CUMULATIVE TOTAL HOURS OF WORK
t4o~ TOTAL WORK HOURS ON TOTAL WORK HOURS FROM C-/ir; II
HOURS FROM PREVIOUS REPORT JOB SITE THIS DATE 7 /
START OF CONSTRUCTION 'I
NOYES
li~1=3=.=IN=S=T=A=LL=E=D=P=R=O=P=E=R=T=Y==PR=I=C=IN=G==DA=T=A==AT=T=A=C=H=E=D=:====================================================================::::::;
9. THREE PHASE INSPECTION
ADVANCE NOTICE OF PREPARATORY, INITIAL OR FINAL FOLLOW-UP INSPECTION: (minimum five working days notice required)
PREPARATORY INSPECTION HELD TODAY: Indicate Definable Features of Work. Attach Preparatory Checklist.
INITIAL INSPECTION HELD TODAY: Indicate Definable Features of Work. Attach Initial Checklist.
FINAL FOLLOW-UP INSPECTION HELD TODAY: Indicate NAS Activity Number. Attach Final Follow-up Checklist.
10. ACTIVITIES IN PROGRESS: Attach daily COC follow-up inspection deficiencies I corrections noted.
S = START
ACTIVITY NUMBER C = CONTINUING DESCRIPTION OF WORK ACTUALLY PERFORMED I MAJOR MATERIAL DELIVERIES TODAY
F = FINISH
L'. \
~- ~£A I) ~~Q)VL. I (U '1 LL S )
II
I I I
I
I I i 11. CQC TESTING
I ACTIVITY NUMBER
i DESCRIPTION OF TESTS PERFORMED I PASSED I FAILEDI
I I
Ii
I I ! I,I :
!112. USER SCHOOLING CONDUCTED:
III ACTIVITY NUMBER DESCRIPTION OF SCHOOLING
II i IIII d I
1114. TRANSFERRED PROPERTY, 00-1149 ATTACHED: YES NO
1115. QA COMMENTS CORRECTED TODAY: YES NO
1116 EQUIPMENT SAFETY CHECKLIST ATTACHED: YES NO
GENERAL COMMENTS:
!I
CONTRACTOR CERTIFICATION: On behalf of the contractor, I certify that this report is complete and correct and all equipment and material used and work performed during this reporting period are in compliance with the contract plans and specifications, to the best of my knowledge, except as noted above.
920 0 B1
1. REPORTNW /$330 -8
DATE
~ VL ~I J
2. PROJECT I CONTRACT NUMBER ASBESTOS ABATEMENT & REMOVAL SUPERINTENDENT
DACA09-95-D-0020 e flJI <!.J O~}./6~,q S
CONTRACTOR MIDWEST ENVIRONMENTAL CONTROL WEATHER
PRECIPITATION PAST 24 HOURS (IN INCHES) TEMPERATURE degrees F MINIMUM MAXIMUM
3. WERE THERE ANY DELAYS IN WORK PROGRESS TODAY? No
Yes If Yes, Explain:
4. VERBAL INSTRUCTIONS GIVEN BY THE GOVERNMENT: Alo WG:-
5. HAS ANYTHING DEVELOPED WHICH MIGHT LEAD TO A CHANGE ORDER OR CLAIM? No " Yes If Yes, Explain:-- --
NOTE: Official notification of claim must be made to the Contracting Officer by separate correspondence.
6. SAFETY INSPECTION / MEETINGS: Indicate inspections made, items inspected, deficiencies noted and corrective action taken .
j WERE THERE ANY LOST TIME ACCIDENTS THIS DATE? No
__ Yes __ If Yes, attach accident report.
7. PRIME CONTRACTOR I SUBCONTRACTOR WORKFORCE
(If space provided below is inadequate, use additional sheets)
No. TRADE HOURS EMPLOYER No. TRADE HOURS EMPLOYER
/ Po,edl;..d~ II d-(:?C-b u/oIt/Gef.-£, ,60 ,I-{~ c, I
CUMULATIVE TOTAL HOURS OF WORK
t-/'71 TOTAL WORK HOURS ON TOTAL WORK HOURS FROM 51ftHOURS FROM PREVIOUS REPORT JOB SITE THIS DATE 71 START OF CONSTRUCTION
ADVANCE NOTICE OF PREPARATORY, INITIAL OR FINAL FOLLOW-UP INSPECTION: (minimum five working days notice required)
PREPARATORY INSPECTION HELD TODAY: Indicate Definable Features of Work. Attach Preparatory Checklist.
INITIAL INSPECTION HELD TODAY: Indicate Definable Features of Work. Attach Initial Checklist.
FINAL FOLLOW-UP INSPECTION HELD TODAY: Indicate NAS Activity Number. Attach Final Follow-up Checklist.
10. ACTIVITIES IN PROGRESS: Attach daily cac follow-up inspection deficiencies I corrections noted.
S =START
ACTIVITY NUMBER C =CONTINUING DESCRIPTION OF WORK ACTUALLY PERFORMED I MAJOR MATERIAL DELIVERIES TODAY
F =FINISH
(t-F J.{~SYJ~ ~~~(J yEJ
~" (; 'bt£~J-/. / CJ ;t..; t..MJ) V--~
11. cac TESTING
ACTIVITY NUMBER DESCRIPTION OF TESTS…
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