Asbestos__Report_B2110.pdf
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- Fire Suppression HVAC Building 2110 Federal contract opportunity
- Solicitation number
- FA4855-16-R-0023
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Asbestos Report B2110
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DEPARTMENT OF 'THE AIR FORCE
27th CIVIL ENGINEER SQUADRON (ACC)
CANNON AIR FORCE BASE NEW MEXICO
MEMORANDUM FOR Whom It Concerns
FROM: 27CElCEVC (Bill Hamilton)
SUBJECT: Asbestos Survey Results Building 21 10
22 Dec 98
Two samples were taken for asbestos on 10 December 98 in building 21 10. Of the two sample taken one was positive for asbestos, samples numbers 21 10-02 black mastic material under the floor tile and carpet. If the asbestos containing material under the tile and carpet is not disturbed, it may remain in place. However, if these mastic material is disturbed by removing the carpet or in any other manner i.e. cut, sanded, scraped, or demolished, appropriate asbestos abatement procedures must be followed in accordance with local, state and federal requirements and procedures. Listed below are the sample numbers, type, location of sample and the asbestos content.
2110-01 Floor tile Office area 21 10-02 Mastic Office area
N.D.
1-5% Cry
Special Programs Manager
I have read and understand the Asbestos survey results on building 21 10.
DUTY TITLE
Golden Legacy, Boundless Future... Your Nation's Air Force
ANALYTICAL LABORATORIES, INC. . 7300 Jefferson NE . Albuquerque, New Mexico 87109 3332 Wedgewood, Suite E - 5 . El Paso, Texas 79925
BULK ASBESTOS ANALYSIS REPORT
To: Cannon Air Force Base
Attn: Bill Hamilton 506 N. DL Ingram Blvd.
Cannon AFB, NM 88103-5136
Methods:
Date Received: 15 December 1998 Date Completed: 21 December 1998 Work Order No: BB 17226 No. of Analyses: 05 No. of Samples: 02
EPA Interim Method of the Determination of Asbestos in Bulk Insulation Samples (EPA-600lM4-82-020) and as cited in 40 CFR Part 763, Subp. F, Appendix A, Section 1, visual estimate comparing the quantity of non-asbestos material to asbestos fibers. The EPA Preferred Method is the Determination of Asbestos in Bulk Building Materials (EPA-600lR-931116 July 1993). Detection Limit: 1 % of the portion of the sample examined. Analyses completed at 9012 Washington NE, Albuquerque, NM.
Call Number: 99-05
SAMPLE ID.
21 10-02 I Black Mastic I Chrysotile 1 1 - 5 1 None I ----- 1 C l q , TU;
2110-01
DESCRIPTZON
I I I I I
\IAD = NO ASBESTOS DETECTED
White Floor Tile
Black Mastic
Yellow Mastic
I I I I I I
Pursuant to the Asbestos NESHAP Clarification Regarding Analysis of Multi-layered Systems (Federal RegisterIVol. 59, No. 3, Wednesday, January 5, 1994), each layer, in a sample containing one or more distinct layers, has been individually analyzed and reported. These results relate only to the above sanlples as submitted unless otherwise noted. Reproduction of this report in less than full requires the written consent of AAL.
ASBESTOS
TYPE
Yellow Mastic
Analyst - David A. Martinez k-j / !
NAD
Chrysotile
NAD
We appreciate the opportunity to perform analytical work for you. If you have any questions, please call.
Respectfully submitted, ASBESTOS
NAD
William P. Biava Asbestos Laboratory Manager
1 - 5 hleniber: American Council of THIS REPORT MUST NOTBE USED IN ANY MANNER BY THE CLIENT OR ANY OTHER THIRD PARTY TO CLAIM PRODUCT ENDORSEMENT BY THE Iuiependent Laboratories, Inc. NATIONALVOLUNTARY LABORATORY ACCREDITATION PROGRAhl OR ANY OTHER AGENCY OPTHE UNITED STATES GOVERNhIENT.
OTHER
FIBERS
None
None
None
CONTENT
None
MA T R K
Calcite Clay
Clay, Tar
Clay, Adhesive
----- Clay, Adhesive
ASSAlGAl ANALYTICAL LABORATORIES, I NC.
Albuquerque, New Mexico
ASBESTOS ANALYTICAL REQUEST FORM
A N D
C H A I N O F CUSTODY RECORD
DATE /o &-&+p WORK ORDER N o . ABI72Jb
PURCHASE ORDER N O ~ Y & ~ : YY--&/ 6
CLIENT NAME
CONTACT PERSO
BILLING ADDRESS
SAMPLE COLLECTION SITE DATE
OF COLLECTION TIME BY WHOM DATE OF
SHIPMENT TO ASSAlGAl
SAMPLE NUMBER TYPE SAMPLE VOLUME CONDITION ANALYSES REQUESTED
REMARKS :
REQUESTED BY DATE
RECEIVED & LOGGED IN BY D A T E 1 6 - / 5 - 9 8
TIME 1 l+f5 w ANALYSES COMPLETED BY I ! ,Md5 DATE , Z / Z / . / ~ K
Chain of Custody Record 7300 JEFFERSON, N.E.
ALBUQUERQUE, NEW MEXICO 87109
(505) 345-8964
ANALYTICAL Lab job no.: Date 3332 WEDGEWOOD
EL PASO, TEXAS 79925
(91 5) 593-6000 Page ol
Cl ien t Project Manager I Contact --
FIELD FILE
- I .
Address , , , . , I - Telephone No. -.
, S ' ., City 1 State 1 Zip : Fax No. T / ,f- . . .
Pro jec t Name I Number Samplers: (Signature) ' r-ntract 1 Purchase Order I Quote -' fl
AaL mmON NurmuI
, I
~ m p E % - / ~ ~ ate r ' d
Relinquished by:
* % d ' Signature , .. .
' . Printed .,, ,/ , " t : ,,.,-< ' .
Company ,I , ,, , " $,'
Reason - . %, . '. -
Relinquished by:
Signature
Printed
Company
Reason
~ l m e
Method of Shipment:
Shipment No.
Special Instructions:
Date
' I
; , , / 1 , Time
Received by:
' I i
Signature ' ' -! , , , i J
Printed f : ' I 4 I company ! r L
R~~~~~ i : , . , I '
Date
Time ssmg
Comments:
Received by:
Slgnature
Printed
Company
Reason
~vpe~sizeot~orffslrler
;<A z . / ----- , . . - - ~ 2 8
,*+ , $'(. $ ' ,#' > J?' <
... n+ , After analysis, samples are to be:
Disposed of (additional fee)
Stored (30 days rnax)
Stored over 30 days (additional fee)
Returned to customer
Wt !K ORDER
BB 17226
BU LK SAMPLES DATE ESTIMATED COST
CUSTOMER P 0 NUMBER TIME RECEIVED DUEDATE ,/24/y
ACCOUNT INFORMATION
I
FAX NUMBER
CUSTOMER'S NAME
4DDRESS
CONTACT .
6i
PHONE NUMBER
I
OPEN ACCOUNT
CASH
CHECK NUMBER
CITY / STATE / ZIP
I I
SAMPLE IIUFORMATION
MOBILE / PAGER NUMBER
ACCOUNT STATUS
PAYMENT REC'D
PARTY RESPONSIBLE FOR PAYMENT IF OTHER THAN ABOVE
TYPE QF SAMPLE I NO. OF SAMPLES I 'TURN AROUND TIME I SAMPLE IDENTIFICATION AND / OR SAMPLE SITE
NAME CONTACT
ANALYSIS REQUEST
- r
GJ~BULK
(PLM)
SOIL
(PLM)
CONCRETE
17 OTHER
WORK DESCRIPTION
PRIORITY 1 (2 HRs)
PRIORITY 2 (24 HRS)
20;: ( Z G DAYS)
WKG DAYS)
'(SUBJECT TO WORK LOAD)
BILLING, PICKUP
1 LOGGED IN BY {+if-
SAMPLE DELIVERED BY SIGNATURE DAT
9012 Washington hlE . Albuquerque. New Mexico 871 13 . (505) 8 ~ - ' 8 0 6 1 . F ~ ? X (505) 822-8063
CUSTOMER
DEPARTMENT OF THE AIR FORCE
CANNON AIR FORCE BASE NEW MEXICO
MEMORANDUM FOR Whom It Concerns 22 Dec 98
FROM: 27CElCEVC (Bill Hamilton)
SUBJECT: Asbestos Survey Results Building 21 10
Two samples were taken for asbestos on 10 December 98 in building 21 10. Of the two sample taken one was positive for asbestos, samples numbers 21 10-02 black mastic material under the floor tile and carpet. If the asbestos containing material under the tile and carpet is not disturbed, it may remain in place. However, if these mastic material is disturbed by removing the carpet or in any other manner i.e. cut, sanded, scraped, or demolished, appropriate asbestos abatement procedures must be followed in accordance with local, state and federal requirements and procedures. Listed below are the sample numbers, type, location of sample and the asbestos content.
21 10-01 Floor tile Office area 2 1 1 0-02 Mastic Office area
N.D.
1-5% Cry
217>,.. / ". . . - -. . ,/ .. - . , ..,.. -. ." . -- _- L, C L.. .- .-;::-.-.:-..
I.
Bill ~arnilfon, GS- 1 1 k
Special Programs Manager
I have read and understand the Asbestos survey results o
PRINT z/j!fkdb ? A~I,&U SIGNATURE
DUTY TITLEA~F ~ P B L L fi fd/c. ' l i7d~S J & C P C ~ ~ pH
Golden Legacy, Boundless Future. .. Your Nation's Air Force i ! u s M w u u !Jl-'/";-h-+ J j '
, ' , w-9 ANALYTICAL UBORATORIES. INC. - 7300 Jefferson. K.E. Albuqurrqur. S c r M c x i c o 117 1uF 57 113 U 3332 W e d g e d , Sultc E5 Paw, T t x m ?B= '
9 I
Work Order No:
Date Received:
Date Due:
Sample Site: $- 99- rn NO. of samples: 4 Priority:
~ S A M P L E I D . I O N N I -
MATRIX
W TYPE 1 ASBESTOS [ FIBERS I CONTENT I
I I I I
KAD = NO ASBESTOS DETECTED
I rl Resulrs Reported To: .4 t On Date>- I C 0 - . - M d ;@
3 -3: THIS REWR? MUST HOT BE PSED [L A S Y MANWER BY THE CLIEhT OR A S Y OTHER THLRD PARR 70 CLAIM PRODUCT EYDORSEMLYI BY THE KATlONhL LAsORArORY \'OLUh7ARY AMREDllATION PROGRAM OR ANY 07HER AGENCY OF THE U?llTED STATES GOVERNMEbT .-. . 1
CANNON AIR FORCE BASE NEW MEXICO
Mr. Bill Hamilton 506 North DL Ingram Blvd Cannon AFB NM 88103-5136
10 Dec 98
Mr. Elvin Chavez Assaigai Analytical Laboratories 9 1 02 Washington NE Albuquerque NM 87 1 13
Dear Mr. Chavez
Please analyze the two submitted samples for asbestos using polarized light microscopy. The analysis shall be performed in accordance with Cannon AFB Contract No. F29605-97-A0016.
Please return laboratory analysis results within seven days (item number 0002 of the bid schedule) for both samples.
The call number 99-05 shall be used for each of the following samples:
Sample No. Description
Floor Tile Mastic
If you have any questions, please contact me at (505) 784-1095.
Sincerely
Asbestos Program Manager
Golden Legacy, Boundless Future. .. Your Nation's Air Force
Chain of Custody Record I ~ U V r)CrrCnauN, N.C.
(505) 345-8964
Lab lob no.: Date 3332 WEDGEWOOD
EL PASO, TEXAS 79925
(91 5) 593-6000 Page of
Project Manager / Contact
I I I After analysls, samples are to be:
1 >Jell o: Si, t,z -r,t. Comments: I Disposed of (additional fee)
1 s 0 . . - I I Stored (30 days max)
Stored over 30 days (addltlonal tee)
I - -- -- -. - I Returned to customer
ASSAIGAQ ANALYTICAL LABORATORIES, INC.
ASBESTOS ANALYTICAL REQUEST F O R M
A N D
C H A I N O F C U S T O D Y RECORD
DATE /o @&?p
WORK ORDER NO.
PURCHASE ORDER NO/J~L~.~: p?--&&
CLIENT NAME
ADDRESS
CONTACT PERSON TELEPHONE
BILLING ADDRESS
SAMPLE COLLECTION SITE DATE
OF COLLECTION TIME BY WHOM DATE OF
SHIPMENT TO ASSAlGAl
SAMPLE NUMBER TYPE SAMPLE VOLUME CONDITION ANALYSES REQUESTED
REMARKS:
REQUESTED BY DATE
RECEIVED & LOGGED IN BY DATE
TIME
ANALYSES COMPLETED BY DATE
I SOURCE BEING SAMPLED I
I EXISTING CONTROLS ( R ? c % X l d w
EI@&Xhg Ar' ' . . .. 1 I
I SAMPLE COLLECTKM MTA I
OEHL SAMPLE NO
BASE SAMPLE NO
I I
1 A 1 CHECKFOR 1 MAJOR COMWNENTS ( MAJOR COMPONENTS I
I - 1 CHECKFOR I HAZARDOUSAOXIC WASTE I 13 HAZARDOUS/TOXIC WASTE I
t
MATERIAL NAME
/ L
1 LOT NUMBER I I I
NSN (FSN)
SPECIFICATION (MIL or FED)
I MANUFACTURER'S NAME I I I
DESCRIPTION OF MATERIAL
USAGE (Heated, brushed, SUPPORTING
I 1 SAMPLE TYPE I I I
COMMENTS r
BASE CIVIL El, AEER WORK REQUEST
(See Reverse for lnstructionsl Public reporting burden for t h ~ s collect~on of informat~on is estimated to average .3 hours par response, ~nclud~ng ths time for reviewing instructions. searching exist~ng data oources. gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimata or. any other aspect of this collect~on of information. including suggestions for reducing this burden to the Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports. !215 Jefferson Davis Highway. Sllite 1204. Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project 0704-0188. Washington DC 20503. Please DO NOT RETURN your form to elther of these addresses. Send your completed form to HQ AFESCIDEMG.
SECTION I - TO BE COMPLETED BY REQUESTER
9. BRIEF JUSTIFICATION FOR-WORK TO BE ACCOMPLISHED (Not required for maintenance and repair1 i
Form Approved
OMB NO. 0704-01 88
1 LGMWHB
5. NAME AND PHONE NO. OF REQUESTER
Richard P. Lubinski 784-4991
The building is showing extreme wear, due to lack of upgrades for many years. The ceiline tiles are badly stained. the paneling has several holes in it.
4. WORK REQUEST NO. (For BCE Use] 1 . FROM (Organization]
27 EMS
10. DONATED RESOURCES
8. DESCRIPTION OF WORK TO BE ACCOMPLISHED (Include Sketch or Plan, when appropriate1
Request materials to refurbish the office areas in bldg 21 10.. The following is a rough list of material required to complete the project, 40 ceiling tiles (4X8), Sheetrock and associated materials, Trim for around the windows, Eggshell white gloss paint, Brown paint for trim, 8 light covers (4x8).
Also a planner is needed to determine the proper quantities and any other needed materials.
See attached floor plan for dimensions.
14 Oct 98
6. REQUIRED COMPLET~ON DATE
31 Dec 98
I FUNDS 1 ( LABOR I 1 MATERIAL I I CONTRACT BY REQUESTER I x I NONE I
2. OFFICE
SYMBOL
7. BUILDING, FACILITY OR STREET ADDRESS
WHERE WORK IS TO BE ACCOMPLISHED
BLD 21 10 109 BOMBER LANE
1 1. NAME OF REQUESTER
Richard P. Lubinski
3. DATE OF REQUEST
1 12. GRADE OF REQUESTER 1 13. SIGNATURE OF REQUESTm (See Reverse of Form) I
14. COORDINATION
EM 49//&
I L q-fk &f>w 4 5 5 CEF 'w 1 CERR 1 CCQV L-L (SEG ( LGQQ
PJL
SECTION I1 - FOR BASE ClVlL ENGINEER USE
1 5. WORK ORDER (Place an "X" in the appropriate box.]
I / BRIEFING REQUIRED
IN-SERVICE
1 6. DIRECT SCHEDULED WORK (Place an "X" in the appropriate box.]
I 1 INSPECTION REQUIRED I
EMERGENCY
SELF-HELP I I CONTRACT SABER
17. SELF-HELP (Place an -X" in the aoorooriate box./
URGENT
I I I I I
SECTION Ill - COMPLETE ONLY IF WORK IS TO BE ACCOMPLISHED BY WORK ORDER
I I 1 AF FORM 332, JAM 91 (EF-VIj (PerFORM PRO) PREVIOUS EDITION IS OBSOLETE. MAST:? FILE CCPY
18. WORK CLASS
SECTION IV - APPROVING AUTHORITY
ROUTINE
28. NAME AND GRADE (Please Type or Print)
19. PRIORITY
SELF-HELP
29. SIGNATURE
MIC
20. ESTIMATED HOURS
30. DATE
I I ,
21. ESTIMATED FUNDED
COST
22. ESTIMATED TOTAL
COST
SECTION I - TO BE COMPLETED BY REQUESTER
BASE CIVIL ENGINEER WORK REQUEST Form Approved [See Reverse for Instructions) - 3 9 0 2 OMB No. 0704-01 88
9. BRIEF JUSTIFICATION FOR WORK TO BE ACCOMPLISHED [Nor requtred for maintenance and repair)
The carpet in the office areas has excessive wear.
Public reporting burden for this collection of information is estimated to average .3 hour3 per response, Including the time for revlewlng ~nstructions, search~ng existlng data sources gather~ng and maintaining thc data needed, and completing and reviewing the collecrlon of informat~on. Send comments regarding this burden estlmate or any other aspect of thls cd~~ectton of lnformatlon, including suggest~ons for reducing this burden to the Department of Defense. Washington Headquarters Services, Directorate for lnformatlon Operat~ons a m Reports, 1215 Jefferson Dav~s Highway Suite 1204. Arlington VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduct~on Prolect 0704.0188. Washington DC 20503. Please 00 NOT RETURN your form ;o elther of these addresses. Send your comDlered form to HQ AFESCIDEMG.
1 . FROM [Organization)
27 EMS
1 LGMWHB
5. NAME AND PHONE NO. OF REQUESTER
Richard P. Lubinski 784-499 1
10. DONATED RESOURCES
2. OFFICE
SYMBOL
8. DESCRIPTION OF WORK TO BE ACCOMPLISHED [Include Sketch or Plan, when appropriate)
Replace carpet in two main office areas
14 Oct 98
6. REQUIRED COMPLETION DATE
31 Dec 98
7. BUILDING, FACILITY OR STREET ADDRESS
WHERE WORK IS TO BE ACCOMPLISHED
BLD 2110 109 BOMBER LANE
FUNDS
3. DATE OF REQUEST
16.
17.
4. WORK REQUEST NO. [For BCE Use)
LABOR
I I I I I SECTION Ill - COMPLETE ONLY IF WORK IS TO BE ACCOMPLISHED BY WORK ORDER
11. NAME OF REQUESTER
Richard P. Lubinski
IN-SERVICE
DIRECT SCHEDULED
EMERGENCY
18. WORK CLASS
I 2 3
THERE IS NO NEED FOR AN ENVIRONMENTAL
ASSESSMENT (AFR 19-2)
I -4 ' FORM 332. JAN 91 (Ef -VI) (PerFORM PRO/ PREVIOUS EOlTlON IS OBSOLETE. CUSTOMEC":; COPY
MATERIAL
ECTION IV - APPROVING AUTHORITY
14. COORDINATION gfl w / ~ o ~ g&&LJ~,$?.dq ?[ &d -4d
CEF wm ( CERR 1 CCQV , c/i
SEG 1 LGQQ
SECTION II - FOR BASE CIVIL ENGINEER USE
1 5. WORK ORDER (Place an "X" in the approprtate box.)
12. GRADE OF REQUESTER
TSgt
SELF-HELP
WORK [Place an "X " in the
URGENT
19. PRIORITY
7. REM--UP E b f j
I !
3. NAME AND GRADE (Please Type or Print)
13. SIG TURE OF REQUES ER [See Reverse of Form)
CONTRACT BY REQUESTER
SELF-HELP [Place an "X" in the appropriate box.)
24.
A WRITTEN ASSESSMENT IS
BElNGlHAS BEEN PROCESSED
29. SIGNATURE
BRIEFING REQUIRED
20. ESTIMATED HOURS
d A d . a A 8 :
I
X
CONTRACT
25.
NONE
SABER
ADEQUATE COORDINATION
21. ESTIMATED FUNDED
COST
26.
DISAPPROVED
INSPECTION REQUIRED
22. ESTIMATED TOTAL
COST
appropriate box.]
ROUTINE SELF-HELP MIC
SCHNEIDER LABORATORIES
I N C O R P O R A T E D
251 2 W. Cary Street Richmond, Virginia 23220-51 17
804-353-6778 800-785-LABS (5227) (FAX) 804-359-1 475
Excellence in Service and Technology AlHAlELLAP 100527, NVLAP 101 150-0, NYELAPINELAC 11413, CAELAP 2078, NC 593, SC 93003
LABORATORY ANALYSIS REPORT
Asbestos Identification by EPA Method1 600/M4/82/020
Using SLI A6
ACCOUNT #: 2764-1 0-238
CLIENT: Cannon Air Force Base ADDRESS: 27 CESICEV 506 N DL lngram Blvd
Cannon AFB, NM 881 03
PROJECT NAME:
JOB LOCATION:
PROJECT NO.: Call #lo-1 4
PO NO.: F29605-02-A-0011
DATE COLLECTED: 7161201 0
DATE RECEIVED: 711 21201 0
DATE ANALYZED: 711 21201 0
DATE REPORTED: 711 21201 0
SampleType: BULK
Client SLI Sample
Sample Sample1 Identification1 PLM Analysis Results No. Layer ID Layer Name Asbestos Fibers Other Materials
21 10-01 306481 66 Ceiling Tile
Layer 1 : Ceiling Tile White, Fibrous
None Detected 45% CELLULOSE FIBER
35% MINERAUGLASS WOOL
1 0% FOAMED GLASS
10% NON FIBROUS MATERIAL
21 10-02 30648167 Mastic Wood Pnl
Layer 1 : Mastic Brown, Soft
None Detected 100% NON FIBROUS MATERIAL
21 10-03 30648168 Paint Chips Office
Layer 1 : Paint Beige, Soft
None Detected 100% NON FIBROUS MATERIAL
Analyst: FATIMA ELTAYAR Review* BY: Hind Eldanaf, Asbestos Area Supervisor
Total Number of Pages in Report: 1
Results relate only to samples as received by the laboratory. Visit www.slabinc.com for current certifications.
Samples analyzed by the EPA Test Method are subject to the limitations of light microscopy including matrix interference. Gravimetric reduction and correlative analyses are recommended for all non-friable, organically bound materials. This method has a reporting limit of 1 % or greater. Visual estimation contains an inherent range of uncertainty. This report must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other gov't agency endorsement.
SCHNEIDER LABORATORIES, INC.
2512 West Caw Street. Richmond. Virainia 23220-5117
804-353-6778 * 800-785-LABS (5227) * Fax 804-359-1475 www.slabinc.com e-mail: info@.slabinc.com oject Name:
oject Location:
~ject Number:
I y -
~rchase Order No.:
Phone #
7 I-.. 575..-7(34....LB
-- 373,;..#
Turn Around Time from collection until testing. Schedule rush analyses in
3 business days' TEM (EPA Level 11) LM (Qualitative only)
? "ARD (5 bus. days) [ ] Wastewater YELAP 198.11.41.6
Z .ard Full TCLP (IOd)
Weekend' ] Hi-Vol Filter (TSP) [ ] Compliance
TCLP I RCRA Metals
,ot available for all tests [ ]Wipe, Composite Schedule tush organics, multi-
~mpled by [NAM
?linquisned to lab by [NAME] [ ] Ambient temp .[ ] Cool O C
1 Matrix l Samale Tvoe (Select ONE) 1 . . TEE& I Analvtes (Select ALL that Aaolv\ ORGANICS TESTS and other Analvses
Ms. Anita Lafuente
27 SOCESICEAN
506 North DL Ingrarn Blvd Cannon AFB NM 881 03-5003
07 July 20 1 0
Z>&-lo-~q
Account # 2764
Mr. Alan Wentz Schneider Laboratories, Inc.
2512 W. Cary Street Richmond, VA 23220-5 1 17
Dear Mr. Wentz
Please analyze the three submitted samples for Asbestos and Lead Base Paint. The analysis shall be performed in accordance with Cannon AFB Contract No FA4855-07-A0012.
Please analyze the three samples using PLM standard method and point count any results trace and 1-5%. Sample in accordance with (item numbers 0001, 0003, and 0007 on the bid schedule).
The call number 10-14 shall be used for each of the following sample:
Sample No. Description
Ceiling Tile Mastic wood pnl Paint chips office
If you have any questions, please contact me at (575) 784-1 092. Fax (575) 784-1093
Sincerely 5
251 2 W. Cary Street Richmond, Virginia 23220-51 17
804-353-6778 800-785-LABS (5227) (FAX) 804-359-1 475
Excellence in Service and Technology AlHAlELLAP 100527, NVLAP 101 150-0, NYELAPINELAC 11413, CAELAP 2078, NC 593, SC 93003
LABORATORY ANALYSIS REPORT
Lead Analysis based on EPA 7000B Method
Using SLI P26 A14
ACCOUNT #: 2764-1 0-240
CLIENT: Cannon Air Force Base ADDRESS: 27 CESICEV 506 N DL lngrarn Blvd
Cannon AFB, NM 88103
PROJECT NAME:
JOB LOCATION:
PROJECT NO.: Call #lo-14
PO NO.: F29605-02-A-0011
DATE RECEIVED: 711 21201 0
DATE ANALYZED: 711 41201 0
DATE REPORTED: 711 41201 0
Sample Type: PAINT
SLI Client Collection Sample Sample Total Lead Lead Sample Sample Date Description Wt Lead Conc Conc No. No. (mg) (CIS)* (% by wt) PPM
30648183 21 10-01 7161201 0 Ceiling Tile 278 1 10.0 i 0.004 136
1 1 :00 AM
306481 84 21 10-02 7161201 0 Mastic Wood Pnl 209 127.8 0.061 61 1
11 :00 AM
306481 85 21 10-03 7/6/2010 Paint Chips Office 246 693.6 0.282 2,819
11 :00 AM
Analysis Run ID: 46085
Analyst: Regina E. Pittman .- , , // , &<&-2 sv-Le ,.25- ,' u
Total Number of Pages in Report: 1 Reviewed BY Gail Branch, Technical Officer Results relate only to samples as received by the laboratory. Visit www.slabinc.com for current certifications.
Minimum Reporting Limit: 10.0 pg. Lead Based Paint contains 0.5% lead by weight per Federal statute. The OSHA Lead in Construction Standard, 29 CFR 1926.62, is invoked if any lead is present in the sample. Lead-free paint is defined as ~0.06% by weight (CPSC). *Data precision justifies 2 significant figures. All internal QC parameters were met. Unusual sample conditions, if any, are described.
rchase Order No.:
3 business days' TEM (EPA Level II)
ST"IDARD (5 bus. days) [ ] Wastewater
: rrd Full TCLP (10d)
Ueekend*
TCLP I RCRA Metals ~t available for all tests TCLP I Full (wl organics)
Schedule rush organics, muill-npled by [NAM
[ ] Ambient temp [ ] Cool O C zeived in lab by [NAME] [SIGNATURE] [DATEEIME] [ 1 pH-[ lCI - [ l R [ F- ..-
X [ ]UPS [ ]USM [ ]HD [ ]DB [ ]COURIER / -- ,
sual Sample Cond~t~on Noted WAYBILL # ,,! /;- (7 * , 27 SOCESICEAN
506 North DL Ingram Blvd Cannon AFB NM 88 103-5003
07 July 20 10
Account # 2764
Mr. Alan Wentz Schneider Laboratories, Inc.
25 12 W. Cary Street Richmond, VA 23220-5 1 17
Dear Mr. Wentz
Please analyze the three submitted samples for Asbestos and Lead Base Paint. The analysis shall be performed in accordance with Cannon AFB Contract No FA4855-07-A0012.
Please analyze the three samples using PLM standard method and point count any results trace and 1-5%. Sample in accordance with (item numbers 000 1,0003, and 0007 on the bid schedule).
The call number 10-14 shall be used for each of the following sample:
Sample No. Description
Ceiling Tile Mastic wood pnl Paint chips office
If you have any questions, please contact me at (575) 784-1092. Fax (575) 784-1093
Sincerely 4
27 SOCES/CEAN
506 North DL Ingram BIvd Cannon AFB NM 88 103-5003 Account # 2764
Mr. Alan Wentz Schneider Laboratories, Inc.
2512 W. Cary Street Richmond, VA 23220-5 1 17
Dear Mr. Wentz
Please analyze the three submitted samples for Asbestos and Lead Base Paint. The analysis s h d be performed in accordance with canndn M B Contract No FA4855-07-A0012.
Please analyze the three samples using PLM standard method and point count any results trace and 1-5%. SampIe in accordance with (item numbers 0001,0003, and 0007 on the bid schedule).
The call number 10-14 shall be used for each of the following sample:
Sarnde No. Description
Ceiling Tile Mastic wood pnl Paint chips office
If you have any questions, please contact me at (575) 784-1092. Fax (575) 784-1093 p Sincerely d
251 2 W. Cary Street Richmond, Virginia 23220-51 17
804-353-6778 800-785-LABS (5227) (FAX) 804-359-1 475
Excellence in Service and Technology AlHAlELLAP 100527, NVLAP 101150-0, NYELAPINELAC 11413, CAELAP 2078, NC 593, SC 93003
LABORATORY ANALYSIS REPORT
Asbestos Identification by EPA Methodl 600lM41821020
Using SLI A6
ACCOUNT #: 2764-1 0-238
CLIENT: Cannon Air Force Base ADDRESS: 27 CESICEV 506 IV DL lngram Blvd
Cannon AFB, NM 881 03
PROJECT NAME:
JOB LOCKIION:
PROJECT NO.: Call #lo-14
PO NO.: F29605-02-A-0011
DATE COLLECTED: 7161201 0
DATE RECEIVED: 711 a201 0
DATE ANALYZED: 711 2/2010
DATE REPORTED: 711 21201 0
SarnpleType: BULK
Client SLI Sample Sample Sample1 Identification1 PLM Analysis Results No. Layer ID Layer Name Asbestos Fibers Other Materials
21 10-01 306481 66 Ceiling Tile
Layer 1 : Ceiling Tile None Detected 45% CELLULOSE FIBER
White, Fibrous 35% MINERAUGLASS WOOL
10% FOAMED GLASS
10% NON FIBROUS MATERIAL
21 10-02 30648167 Mastic Wood Pnl
Layer 1 : Mastic None Detected 100% NON FIBROUS MATERIAL
Brown, Soft
21 1 0-03 306481 68 Paint Chips Office
Layer 1 : Paint Beige, Soft
None Detected 100% NON FIBROUS MATERIAL
Analyst: FATIMA ELTAYAR ~ev iewed BY: Hind Eldanaf, Asbestos Area Supervisor
Total Number of Pages in Report: 1
Results relate only to samples as received by the laboratory. Visit www.slabinc.com for current certifications.
Samples analyzed by the EPA Test Method are subject to the limitations of light microscopy including matrix interference. Gravimetric reduction and correlative analyses are recommended for all non-friable, organically bound materials. This method has a reporting limit of 1 % or greater. Visual estimation contains an inherent range of uncertainty. This report must not be reproduced except in full with the approval of the lab, and must not be used to claim NVLAP or other gov't agency endorsement.
Lan U W O #
L / O S mh dude mquesls for special mporling.or data packages] reject Location: . . .-d m]ed,Number,, ' ..
I . Y - I 2-573-784-ae93,#
'urchase Order No.:
".... .- ;% ".r '.-".'<:. , - s , n e . r . .;-I. . "*..*.-.~>~.'i...;' ' ' - ..
5 - ! m .. mwa.ps;~.s;and-LL i; :jj
NOTE: All sarnoles for oroanics should be keot at 4°C from c wl-n untll testing., Schedule rush,analyses in
11 advance.. lndlcate oreservatives added media hoe.
'1 3 business days* ' . ' ' . . . - . [ ' I Waste. . . ., TEM (EPA Levd'll) [' I PLM (Qualitative only). - '
] SrANDAR? (5 bus, days), [ 1 Wastewater . - . . [ ] N ' f E N 198.11.41.6 I ] CAELAP [EPA Interim) 1 standard Fu~i TCLP(~O~) [ 1 ~aler ,~r lnk i&~
[ j HI-Vol Filter (TSP) ' [ '1 Compliance [.'I Tolal Dust (NIOSH 0500) i :
w k e n . ~ o l l , : . ' , , , , ~ ~ ~ R e s p . D u ~ ( N l O S H , o 6 ~ ~ ~ ~ M ~ ~ ~ ~ ' ~ ' ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ l ~ ~ ~ , ~ ~ ~ ~ ~ ~ not avaiabb fw all tests [ ] Paint [ 1 Wlpe. Compciite [ ] ~llid - FTlR (NIOSH 7602) FOR~SBESTOSAIR: [' I TCLP / ~ " l l (&organics)
:, [ 1 S i b -XRD(NIOSH 7500): - . TYPE OF RESPIRATOR.: .. .
SCWI&&&~&GMI‘ [ISludge , . , , . . [ I - . .
m s b ~ s & ~ v e e k s n d l e s b h m . a l l ' USED:
InfoimaUon forAir Samples Oruanlcs Wipe8 . . ' . Organics
, .. ~ ~ ' k ' -rime .,' Sample Identification . Wiped . Type' Time2 ' -Flow Rate3 ~ ~ ~ d 4 ' d # con- Sample # Sampled Sampled (e.g. Employee, SSN, Bldg. Material) - Area (ff) .&B,P.E . . . , . Start . .I , . Stop - Air Vol .. tainqs . Start : I - Stop I
Relinquished to lab by [NAME] . : IDATEtTIME] [ ] .Ambient temp ] Cool -OC
CANNON AIR FORCE BASE NEW MEXICO
Mr. Bill Hamilton 506 North DL Ingram Blvd Cannon AFB NM 88 1 03-5 1 36
6 Apr 01
Mr. Elvin Chavez Assaigai Analytical Laboratories 90 12 Washington St. NE Albuquerque, NM 87 1 13
Dear Mr. Chavez
Please analyze the three submitted sample for Asbestos. The analysis shall be performed in accordance with Cannon AFB Contract IVo. F29605-97-A0016. Please analyze the three sample using PLM 24 hour and point counts any results trace or 1-5%. Sample in accordance with (item number 0001 and 0003 of the bid schedule).
The call number 0 1-2 1 shall be used for eacli of the following samples:
Sample No. Description
Floor tile Mastic Linol@eum
If you have any questions, please contact me at (505) 784-1095.
Sincerely
- BILL HAMILTON, GS- 1 1
Special Programs Manager
ANALYTICAL LABORATORIES, NC. . 7300 Jefferson NE Albuquerque, New Mexico 87109 3332 Wedgewood, Suite N - El Paso, Ikms 79925
BULK ASBESTOS ANALYSIS REPORT
To: Cannon Air Force Base
506 N DL lngram Blvd Cannon AFB, NM 881 03-5003
Attn: Bill Hamilton
Date Received: 4/9/2001 Date Completed: 4/9/2001 Workorder: BB19700 No. of Analyses: 05 No. of Samples: 03
Methods: EPA Interim Method of the Determination of Asbestos in Bulk Insulation Samples (EPA-6001M4-82-020) And as cited in 40 CFR Part 763, Subp. F, Appendix A, Section 1, visual estimate comparing the quantity of non-asbestos material to asbestos fibers. The EPA Preferred Method is the Determination of Asbestos in Bulk Building Materials (EPA-600lR-931116 July 1993). Detection Limit: 1% of the portion of the sample examined. Analyses completed at 9012 Washington NE, Albuquerque, NM.
Sampling Site Call # 01-21
( Sample ID 1 Description 1 Asbestos 1 Percent
21 10-01
I I I NAD I Yellow Mastic ---.
21 1 0-02
21 10-03
I I I I
NAD = NO ASBESTOS DETECTED
Tan Floor Tile
Matrix Content
Calcite Clay
Black Mastic
White Linoleum
Tan Backing
I
None ---- Clay, Tar
TY pe
Chrysotile
Plant 30 - 50 Clay, Adhesive
Clay, Adhesive
Asbestos
Trace, <1
Chrysotile
N AD
N AD
Pursuant to the Asbestos NESHAP Clarification Regarding Analysis of Multi-layered Systems (Federal RegisterNol. 50, No. 3, Wednesday, January 5, 1994), each layer, in a sample containing one or more distinct layers, has been individually analyzed and reported. These results relate only to the above samples as submitted unless otherwise noted. Reproduction of this report in less than full requires the written consent of AAL.
1 - 5
Analyst:
David A. Martinez
We Appreciate the opportunity to perform analytical work for you. If you have any question, please call.
Respectfully submitted. . . William P Biava, Asbestos Laboratory Manager
Asb Cl~ent Reports 1.0 Report Date. 4/9/2001 1 1:29:33 AM '%G# THIS REPORT MUST NOT BE USED MANY MANNER BY TEE CLIENT OR ANY OTHER THIRD PARTY TO CLAIM PRODUCT ENDORSEMENT BY THE
Independent Laboratoriw, Inc. NATIONAL VOLUNTARY LABORATORY ACCREDITATION PROGRAM OR ANY OTHER AGENCY OF THE UNITED STATES GOVERNMENT.
A T U L X I
ANALYTICAL LABORATORIES, INC. . 7300 Jefferson NE Albuquerque, New Mexico 87109 3332 Wedgewood, Suite N El Paso, Texas 79925
BULK ASBESTOS ANALYSIS REPORT
To: Cannon Air Force Base
506 N DL lngram Blvd
Cannon AFB. NM 881 03-5003
Attn: Bill Hamilton
Date Received: 4/9/2001
Date Completed: 4/9/2001
Workorder: BB19700-A
Bulk Asbestos Analysis Point Count Procedure
No. of Analyses: 02
Methods: EPA Interim Method of the Determination of Asbestos in Bulk Insulation Samples (EPA-600IM4-82-020) and as cited in 40 CFR Part 763, Subp. F, Appendix A, Section 1, comparing the quantity of non-asbestos fibers. The EPA Preferred Method is the Determination of Asbestos in Bulk Building Materials (EPA-6OOIR- 9311 16 July 1993). Detection Limit: 1% of the portion of the sample examined. The quantity of asbestos was determined using the Point Counting Procedure as specified.
The results of POINT COUNTING the following samples are:
Sampling Site Call # 01 21 a-P David A. Martinez
These results relate only to the above samples as submitted unless otherwise noted. We appreciate the opportunity to perform analytical work for you. If you have any questions, please call.
Matrix
Calcite Clay
Clay, Tar
Respectfully submitted, h . @ .+ William P. Biava, Asbestos Laboratory Manager
NAD = NO ASBESTOS DETECTED
Percent Content
Asb Client Re orts 1.0 THISREPORT MUST NOT BE USED IN ANY MANNER &HE CLIENT OR ANY OTHER THIRD PARTY TO CLAIM PRODUCT END~RsEMENRT~BY THE
Independent Laboratories, Inc. NATIONAL VOLUNTARY LABORATORY ACCREDITATION PROGRAM OR ANY OTHER AGENCY OF THE UNITED STATES GOVERNMENT.
Sample ID
21 10-01
21 10-02 Black Mastlc None
Description
Tan Floor Tile
Other Fibers
None
Asbestos TY pe
Chrysotile
Percent Asbestos
Trace <1 (0.25)
ASSAlGAl ANALYTICAL LABORATORILJ, INC.
ASBESTOS ANALYTICAL REQUEST FORM
A N D
CHAIN O F CUSTODY RECORD
DATE
WORK ORDER NO.
PURCHASE ORDER NO. F29605-97-A0016
CLIENT NAME AFB
ADDRESS 5 0 6 N DL INGRAM BLVD.
CANNON AFB, NM 8 8 1 0 3 - 5 0 0 3
CONTACT PERSON BILL M I L T O N TELEPHONE 5 0 5 - 7 8 4 - 1 0 9 5
BILLING ADDRESS SAME
SAMPLE COLLECTION SITE DATE
OF COLLECTION TIME BY WHOM DATE OF
SHIPMENT TO ASSAlGAl
SAMPLE NUMBER TYPE SAMPLE VOLUME CONDITION ANALYSES REQUESTED
(LITERS)
REMARKS: (POINT COUNT ALL TRACE OR 1-5% SAMPLES)
REQUESTED BY DATE
RECEIVED & LOGGED IN BY DATE q-%'-a, u fJ&
TIME
ANALYSES COMPLETED BY
J
DATE d?h/
Chain of Custody Record 7300 JEFFERSON, N.E.
(505) 345-8964
ANALYTICAL , ,/;;A
~ e b job no.. Dale ,? ys;f i /$b {-,I [
'*' { : " -- 3332 WEDGEWOOD
EL PASO, TEXAS 79925
(91 5) 593-6000
127 EASTGATE DRIVE. 212-C
,,,,<;;- A .-?--. . . . .., ,,., LOS ALAMOS, NEW MEXICO 87544
client . / ,/ ,/;$-,,,q (:,&f ,. / 2, / ~ ' ~ ' , ? , . . Project W n a g a / Contact , , C. -. . , ..,-
(505) 662-2558
Shlpment No. 1 I Speslal Instructions: Stored over 30 deys (addionat fee)
, Returned to customer
COURIER
HUG 10 ' 95 83:C3 E I /HLPH? 151 P1B
ALkJllh ANALYTICAL LhBOJ?A'TORJ.XS .BULK ANriLYSJS JVORKSI3EET RVLAP Cadc I S G f i
Project, c ' Lab Mu~nbei 0 2 0 ~p , , Date Redd d ~ h ? ~ Analyst Dale Analyzed $[q 19 5- Turn ~ ime 3-, 5 Page OF / 0
'2 a
Z 'd - Mai4ial Type, efg i . .
A&osiLe Amosite. ' h s i t e R An~ositc Amosice.
Chrysotile Clrrysolfe Chtysotik , Chrysotil~ Chtysa lile:
I ASBESTOS Crocidolite Crocidoliie. Crmidoli l t Crrxidclite Cmidot ite Actiriolile Aclinolite Actinolib
~ a ' b 1D # - .
field ID # , Location/Description:
Building, Floor, Room, 17% @[ C w/> -04 17~06
2//2--#5
MBG
,21/i3-&) .
/7b& - , g5- . 2i!o 03
(Us8 fhts specs far mechanical impinr) WORKPLACE
IDENTIFIER
I 1 ORGANIZATION I
C M M M B -r
WORKPLACE OR SITE
W O R COMPONENTS MAJOR COMPONENTS
NAME
B
NlOSH NO. --
NAME
C I
NlOSH NO.
NAME
D I
NIOSH NO.
I
I 1 I CHECKFOR I HAZARDOUS/TOXIC WASTE
WERLAL NAME
1 LOT NUMBER I 1 I
DESCRIIVON OF MATERIAL
USAGE (Heered. brushed.
sprayed 6IC.l
I I I I
SUPPORTING
MANUFACTURER'S NAME
I I SAMPLE TYPE I I I
w
COMMENTS
fuse this spsca fw mechanical impni,tJ
7 SAMPLE cxuxnmi ~ T A
DESCRIFilON OF MATERIAL
USAGE (Heated. brushed.
BASE SAMPLE NO.
SAMPLE TYPE
I I
BULK MATERIAL SAMPLING DATA
(Use this spece for mechanical imprint) WORKPLACE
OR sm
IDENTIFIER
I ORGANIZATION
I SAMPLE CiXECKN WTA I
B - I
NlOSH NO.
NAME
A
C I
NIOSH NO.
NAME
D I
NIOSH NO.
I I I
CHECK FOR
I I CHECKMR I HAZAROOUS~OXIC WASTE 1
O W O R COMPONENTS MAJOR COMPONENTS
(MANUFACTURER'S NAME 1 1
NSN fFSNJ
SPECIFICATlON (MIL or FEDJ !
DESCRlPnON OF MATERIAL
USAGE (Heared. brushed.
s w a m elc)
Vl
SAMPLE R P E
QL;A.L!T'/ iN ANALYTiCAL RESULTS
AAL IN,.
2700 N.W. 39th : OMahorna City, Okla; 731 12
(405) 9481 979 1 -(W) 752-4830
CiieiiL . ..;. Cannon Air Force Base Address
Date rec'd: 2/16/94 Call Number: 94-77-82 Date Analysis 2/1 7/94 Date Report 2/17/94
Attention: Bruce Oshita
As per your request we have completed analysis of samples provided to the laboratory. Analytical methods used are 40 Code of Federal Regulations Chapter 1 (1-1-87 ed.) Part 763, Subpart F, Appendix A, or the current U.S. EPA method for the analysis of asbestos in building materials by PLM. Should you have any questions about the results, please do not hesitate to give us a call. We appreciate the opportunity to be of service.
1 =Chrysotile, 2=Amosite, 3=Crocidolite, 4=Actinolite, 5=Anthophylite, 6=Tremolite
*PC=POINT COUNT METHOD
OWRB Certification No. 8417 Thank You NVLAP Laboratory Accreditation No. 1568 Proficiency Analytical Testing Program No. 731 12001
&%,, Keith L. Stanley Ph.D. P.E., C.I.H.
AAL is not responsible for any errors resulting from improper or incorrect Sampling procedures; errors resulting from atmospheric conditicns at the time of sampling, or during shipment; or emrs resulting from shipping conditions or methods. This repoct relates only to the items tested and may not be used for product endorsement by NVLAP.
AAL
Number 400169-1 9
Homogen.
YesINo
Y
Field Number G 2 T l ~ 2-
Descript.1 Location fibrous
Asbestifor none det
ACM
Y/N n
ACM
Non-Asbestiform Component % Material
10% cellulose/lO% fib glass 40% m. woolMO% binderlmat
Sample Color gray
QUALITY IN ANALYTICAL RESULTS
AAL mc.
2700 N.W. 39th ; Oklahoma Crty, Okla; 731 12
(405) 948-1 979 1 -(800) 752-4830
Client Name: Cannon Air Force Base Address
Date rec'd: 2/16/94 Call Number: 94-77-82 Date Analysis 2/17/94 Date Report 2/17/94
Attention: Bruce Oshita
As per your request we have completed analysis of samples provided to the laboratory. Analytical methods used are 40 Code of Federal Regulations Chapter 1 (1-1-87 ed.) Part 763, Subpart F, Appendix A, or the current U.S. EPA method for the analysis of asbestos in building materials by PLM. Should you have any questions about the results, please do not hesitate to give us a call. We appreciate the opportunity to be of service.
* l=Chrysotile, 2=Amosite, 3=Crocidolite, 4=Actinolite, 5=Anthophylite, 6=Tremolite
*PC=POINT COUNT METHOD
AAL
Number 400169-01
4001 69-02
400169-03
400169-04
400169-05
400169-06
OWRB Certification No. 8417 Thank You NVLAP Laboratory Accreditation No. 1568
No. 731 12001 Keith L. Stanley Ph.D. P.E., C.I.H.
from improper or incorrect Sampling procedures; errors resulting from atmospheric conditions at the time of sampling, or during shipment; or errors resulting from shipping conditions or methods. This report relates only to the items tested and may not be used for product endorsement by NVLAP.
Field Number 1818-01
181 8-02
1818-03
1818-04
1818-05
325-01
ACM
Y/N n y n y n n
ACM
2%
15%
Asbestifor none det
1 -mastic none det none det none det
Non-Asbestiforrn Component % Material 3% cellulose/97% binderlmat
2% cellulose/3% synthetic 93% binder and matrix
10% cellulose/25% m. wool 65% binder and matrix
2% cellulose/3% synthetic 80% binder and matrix
3% cellulose/2% synthetic 95% binder and matrix
80% cellulose/20% bindimat
Sample Color beige graylblack gray black graylyellow tan
Descript.1 Location granular solid/ mastic fibrous ta nY solid fibrous
Homogen.
Yes/No
Y n
Y
Y n
Y
QUALITY iN ANALYT1CA.L RESULTS
2700 N.W. 35th ; Oklahoma City, Okla; 731 12
(405) 948-1 979 1 -(800) 752-4830
Client Name: Cani;~, .
Address
Date rec'd: 2/16/94 Call Number: 94-77-82 Date Analysis 2/17/94 Date Report 2/17/94
Attention: Bruce Oshita
As per your request we have completed analysis of samples provided to the laboratory. Analytical methods used are 40 Code of Federal Regulations Chapter 1 (1-1-87 ed.) Part 763, Subpart F, Appendix A, or the current U.S. EPA method for the analysis of asbestos in building materials by PLM. Should you have any questions about the results, please do not hesitate to give us a call. We appreciate the opportunity to be of service.
1 =Chrysotile, 2=Amosite, 3=Crocidolite, 4=,4ctinolite, 5=Anthophylite, 6=Tremolite
*PC=POINT COUNT METHOD
AAL
Number 400169-07
4001 69-08
400169-09
400169-10
400169-11
400169-12
OWRB Certification No. 841 7 Thank You NVIAP Laboratory Accreditation No. 1568 Proficiency Analytical Testing Program No. 731 12001
Xk.2 jzLd-- Keith L. Stanley Ph.D. P.E., C.I.H.
AAL is not responsible for any errors resulting from improper or incorrect Sampling procedures; errors resulting from atmospheric conditions at the time of samplirig, or duriqg shipment; or errors resulting from shipping conditions or methods. This report relates only to the items tested and may not be used for product endorsement by NVIAP.
Field Number
325-02
368-01
368-02
368-03
2112-01
23 12-02
ACM
Y/N n y y n n n
Homogen.
YesINo n n
Y n
Y n
ACM
3%
5%
Asbestifor none det
1 -tile and mastic none det none de t none det
Descript.1 Location fibrous solid tanY fibrous chalky solid
Non-Asbestiforrn Component % Material
70% cellulose/5% synthetic 25% binder and matrix
2% cellulose/3% synthetic 92% binder and matrix
3% cellulose/2% synthetic 90% binder and matrix
70% cellulose/5% synthetic 25% binder and matrix
3% cellulose/2% synthetic 95% binder and matrix
3% cellulose/2% synthetic 9S0/0 binder and matrix
Sample Color tadblack tanlblack black tanlbeige white gray/yellow
QUALITf IN ANALYTICAL RESULTS
2700 N.W. 39th ; Oklahoma City, Okla; 731 12
(405) 9481 979 1 -(800) 752-4830
Client Name: Cannon Air Force Base Address
Date rec'd: 2/16/94 Call Number: 94-77-82 Date Analysis 2/17/94 Date Report 2/17/94
Attention: Bruce Oshita
As per your request we have completed analysis of samples provided to the laboratory. Analytical methods used are 40 Code of Federal Regulations Chapter 1 (1-1-87 ed.) Part 763, Subpart F, Appendix A, or the current U.S. EPA method for the analysis of asbestos in building materials by PLM. Should you have any questions about the results, please do not hesitate to give us a call. We appreciate the opportunity to be of service.
l=Chrysotile, 2=Amosite, 3=Crocidolite, 4=Actinolite, 5=Anthophylite, 6=Tremolite
*PC=POINT COUNT METHOD
OWRB Certification No. 8417 Thank You NVLAP Laboratory Accreditation No. 1568 Proficiency Analytical Testing Program No. 731 12001
&-% Keith L. Stanley Ph.D. P.E., C.I.H.
M L is not responsible for any errors resulting from improper or incorrect Sampling procedures; errors resulting from atmospheric conditions at the time of sampling, or during shipment; or errors resulting from shipping conditions or methods. This report relates only to the items tested and may not be used for product endorsement by NVLAP.
M L Number 400169-13
400169-14
400169-15
400169-16
400169-17
400169-18
Field Number 2112-03
21 12-04
21 12-05
2112-06
10-01
10-02
ACM
10%
Descript.1 Location solid chalky fibrous solid ta V t a w
ACM
Y/N n n n n n y
Homogen.
YesJNo
Y
Y
Y
Y
Y
Y
Asbestifor none det none det none det none det none det
Non-Asbestiform Component % Material 3% cellulose/97% binderlmat
2% cellulose/98% binderlmat
40% cellulose/l5% fib glass 15% m. wool/30% binderlmat
5% cellulose/5% fib glass 5% m. wooV85% binderlmat
3% cellulose/2% synthetic 95% binder and matrix
2% cellulose/3% synthetic 85% binder and matrix
Sample Color whitelgreen white graylwhite beige black black
-- 8 > , a - 7 2 ! .+r.+lz { E N 1 ~ j i ~ ~ N M E ? . j ~ ~ F
ENGINEERING, INC.
P.O. BOX 12750
OKLAHOMA CITY, OK 7'31 57
(405) 948-6505
C;WNON AIR FORCE 3.:. :
27 CES/CEV
1 1 1 ENGINEERS WAY
CAhiTu'ON m, h i 88103-5136 contract Net 30 Call 94-77-82
19 PLM Analysis, Cannon AFB Bid Price 12.50 237.50
Log # 400169. Thank you for your business.
TOTAL
BALAUCE DUE:
P H A a* AN=ILYTICAL L,U3OR\TORIES, INC.
a t . LEY C 1 HARO =?" I ) 2E.Z W P L I S :
C. ' l l rP ING CONTAINER TALLY ---* 1 2 3 4 5 6 7 8 9 1011 12 13 141516171819202122232425262728293031,32333435363738394041424344454647484950 .- REQUISITION AND INVOICE / SHIPPING DOCUMENT I Form Approved
OM6 NO. 07040246
.. ...-- . ,,, I - Explns Mar 31. 1993 -
I rul!lic r ~ ~ ~ a r t i l ~ g burden for this colleclicn of inforrnatlon is ertlmated t o average 1 hour per response. including. the time for reviewing instructions. rearchlng exlsting data sources, atherlng and maintaining the data needed. and completing and
; ,~;;~:;?gf,";~~~;;~:p~~;',"~;;,~;;.,~~~~;P,~,";~;~I(;p;;~~; ;" ,~,"y;en estimate or any other as ect 01 thls coilectlon of in fo rmt lon Including suggntlons i o r reducing th?s burden t o Washington Headquarters Services. Directorate for
4. Arlington. VA 22202-430f and t o rhe Officc of Management a;ld Budget. Paperwork Reduction project (0704-0i46). Warhinqton. DC 20503. I
I I & anigaaswd daj
: #*fw& $.F% X% &%1'3$-djt3+%
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PLEASE D O N O T RETURN YOUR COMPLETED F O R M T O EITHER OF THESE ADDRESSES. RETURN COMPLETED F ~ R M T O T H E ADDRESS I N I T E M 2
;% mlwp ;,ia?lwearia$ f &e 2)t.b Wxi ];fit% &ittm*t cpilobrargra @ i t 7 iS , 3J&&
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NO.
NO. OF
SHEETS
I I
7. DATE MATERIAL REQUIRED(YYMMDD)
w a e
5. REQUISITION 6. REQUISITION NUMBER
DATE
8. PRIORITY
33-3.
10. SIGNAWRE
12. DATE SHIPPED (YYMMDD)
13. MODE OF HIPMENT f
1la.VOUCHER NUMBER & DATE (YYMMDD) b.
r4QM
14. BILL OF LADING NUMBER
15. AIR MOVEMENT DESIGNATOR OR PORT REFERENCE NO.
4 APPnOPRlATlONS SYMBOL AND SUBHEAD CHARGEABLE
ACllVITY
OBJECT
CLASS
BUREAU CONTROL
ACTI'JITY NO.
UNlT PRICE
(h)
111 M
FEDERAL STOCK NUMBER. DESCRIPTION, AND CODING OF MATERIEL AND/OR SERVICES
(,,) irl-l- .--- (b)
Av;txu~#Zau ~ W ~ Q P
Z e ~ a xw1: ~USLL%O. ikmWhW WHIB~WU*
TOTAL COST
(1)
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CONTROL NO.
EXPENDIWRE ACCOUNT
17. SPECIAL HANDLING
UNIT
OF
ISSUE
(0
TOTAL
CON
TAINERS
AMOUNT
(Fmm)
(To)
QUANTITY
REQUESTED
fd)
F IR4NSPORTATION VIA MATS OR MSTS CHARGEABLE TO
I! Forrn 1149, JAN 93 51 52535455565758596061 62636465666768697071 7273747576777879808182838485868788899091 9293949596979899100
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RECEIVED
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SHEET TOTAL
GRAND TOTAL
20. RECEIVER'S
VOUCHER NO.
CON- TYPE
TAINER
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NOS.
(9)
27 CES/CEV
111 Engineers Way Cannon AFB NM 88103-5136
D r Xeith Stanley " :zz:iey Engineering Inc . -.:.:? NW 39th Street
-;-;+ City OK 73112-3721
Dear Llr Stanley
Please analyze the enclosed bulk samples for Call No. 94-77 (5 samples) and submit a written report for each sample within 24 hours of receipt. The report should include:
- Date the sample was received
- Base sample number (call number)
- Method used to analyze the sample
- Date analysis completed
- Analytical results
- Date of report
In addition, please analyze the enclosed samples for Calls No.
94-78 (2 sam~les), 94-79 (1 sample), 94-80 (3 samples), 94-81 (6 samples), and 94-82 (2 samples), and submit a written report for each sample within one week of receipt. Please include the information requested above for each sample.
If you have any questions or require a call number to authorize the additional cost for analyzing any samples using the point counting method, please contact Lt James Albrecht or myself at
(505) 784-4639 or 4348.
Sincerely
BRUCE G. OSHITA, GM-13
Chief, Environmental Flight
ALPHA ANALYTICAL LABORATORIES, INC.
CLIENT: CANNON AFB DATE : 3/8/93
LABORATORY LOG # 3 0 0 1 6 0
PROJECT: Y CALL 0 1 3 , 0 1 4
MECH RM INSUL. 8 0 % FIBERGLASS/BINDER
20% CELLULOSE
ROOF MATERIAL 60% BINDER/TAR BLACK/YELLOW
40% CELLULOSE/FIBERGLASS
ROOF MATERIAL 5 0 % FIBERGLASS/CELLULOSE
5 0 % BINDER/TAR
I C E R T I F Y THAT THE ABOVE SAMPLES WERE ANALYZED I N STRICT
COMPLIANCE WITH A P P L I C A B L E STANDARDS AND REGULATIONS
I N ACCORDANCE U I T H EPA TEST METHOD-600 /M4-82-020
2 7 0 0 N.W. 39TH STREET
OKLAHOMA C I T Y , OKLAHOMA 7 3 1 1 2
C o m p l e x E n v i r o n m e n t a l A n a l y s i s
BULK ATER RIAL SAMPLING DATA OEHL USE ONLY
Po<> cq EXISTING CONTROLS (Personal proleclive equipment. Engineering, SAMPLE COLLECTION DATA 1
OEHL SAMPLE NO.
BASE SAMPLE NO
NlOSH NO. k A
NIOSH NO. kt==
CHECK FOR
I D I= NlOSH NO.
MATERIAL NAME
E
LOT NUMBER
NSN (FSN)
CHECK FOR
SPECIFICATION (MIL or FED)
MANUFACTURER'S NAME
1 DESCRIPTON OF MATERIAL I I
MAJOR COMPONENTS
USAGE (Heated, brushed.
sprayed, etc.)
MAJOR COMPONENTS
SUPPORTING
I SAMPLE TYPE I I I
I 1
File details come from the government source that posted it. Updated .