Lead_and_Asbestos_Report.pdf

Signature:

Prepared By: Traver Andreasen (ASB#-4397, PB#-2085)

REPAIR UNDERGROUND FUEL STORAGE TANK

Facility:

Facility Construction Date:

Requester:

Organization:

THIS REPORT IS NOT TO BE USED FOR BIDDING PURPOSES

Requested:

LEAD BASED PAINT

NON-ASBESTOS

DONALD MEYERPETER

309 AMXG/EN

17 November 2016

LIMITED INSPECTION REPORT

Utah Certified State Inspector: Traver Andreasen (ASB#-4397, PB#-2085)

INSPECTION DATE: 07 February 2017

59527Work Order #:

DEPARTMENT OF THE AIR FORCE

75TH CIVIL ENGINEERING (CEOHA)

HILL AIR FORCE BASE, UTAH

The existing building material involved with this project is

Supervisor: Traver Andreasen: DSN: (801)586-7094 Asbestos/LBP Shop Personnel DSN:(801)777-8006Cell: (801)430-3976

Asbetsos/LBP Shop 75 CES(CEOHA) metal and bare concrete.

Therefore, there are no regulated asbestos containing materials (RACM) or even a suspect asbestos containing materials to be impacted by the scope of work given at the time of this inspeciton.

POTENTIAL FOR ADDITIONAL MATERIALS:

This inspection report only encompasses the areas/materials as described in the provided scope of work.

Should the scope of the project be altered in any way or any materials found that are not identified within this report shall require additional assessment.

This report cannot be used for any other projects within the building or for bidding purposes.

Any questions or concerns regarding this inspection report or if any new suspect asbestos containing material (ACM) is encountered, stop work and contact the personnel listed below for further assistance.

CONTACT INFORMATION

No drywall, ceiling tile, or thermal systems insulation in this structure will be disturbed.

After a discussion of the exact scope of work involved in this project, this was determined to be a removal/replacement project only, for the following reason:

Repair underground fuel storage tank.Statement of Work:

DEPARTMENT OF THE AIR FORCE

75 CIVIL ENGINEERING (CEOHA)

HILL AIR FORCE BASE, UTAH

NON-ASBESTOS LIMITED INSPECTION REPORT INFORMATION

Table 1.

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

5-This inspection report only encompasses the areas/materials designated within this report. Should the scope of the project be altered in any way or any materials found that are not identified within this report shall require additional assessment. This report cannot be used for any other projects within the building.

4-Any effort to disturb lead paint can create lead dust. Ensure that appropriate abatement, cleanup, and disposal will be accomplished and that appropriate safety measures are taken IAW 29 CFR 1926.62. If you have any questions please feel free to call Traver Andreasen at 777-8006.

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

All other components tested were less than 0.80 mg/cm².

Yellow PoorMetal Siding Panel (Building 227)

1-table 1 below summarizes the painted/coated building components that tested positive for Lead Based Paint.

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

Component ConditionLead ReadingColor 1.9

DEPARTMENT OF THE AIR FORCE

75TH CIVIL ENGINEERING (CEOHA)

HILL AIR FORCE BASE, UTAH

LIMITED LEAD-BASED PAINT IDENTIFICATION REPORT INFORMATION

SCOPE OF WORK: Repair underground fuel storage tank.

452 1.17 473 1.20 453 0.97 474 1.09 454 1.18 475 1.01

Range: .8 to 1.2 Range: .8 to 1.2 Side Condition Color South Fair White South Fair White South Poor White Center Fair White

N/A N/A N/A Center Fair White Center Fair White Center Fair Off-White South Good White South Good White South Good White South Good White West Fair White North Fair White South Good Tan South Fair Grey South Poor Yellow

Pre Calibration PbL (mg/cm²) Calibration

Range Model# Serial #

XL Number Room Structure Substrate PbL(mg/cm2) NEG/POS

Post Calibration

PbL (mg/cm²)

Calibration RangeXRF Analyzer XL3t 300 (Serial #30660)

Per 20 Second Reading

Per 20 Second Reading

NEG

456 Fuel Awning 3" Pipe Stand/Support Metal 0.01 NEG 455 Fuel Awning 3" Pipe Metal 0.01

458 Fuel Awning Square Pit Cover Metal 0.01 NEG 457 Fuel Awning Pit Cover #3706 Metal 0.01 NEG

460 Fuel Awning Filter Housing Unit Metal 0.01 NEG 459 Accidental Trigger Pull N/A N/A N/A 0.01 NEG

462 Fuel Awning Pump Metal 0.01 NEG 461 Fuel Awning Pump Pit Cover Metal 0.01 NEG

464 Fuel Awning Perlin Metal 0.01 NEG 463 Fuel Awning Structural Steel Metal 0.01 NEG

466 Fuel Awning Siding Panel Metal 0.01 NEG 465 Fuel Awning Bottom Angle Metal 0.01 NEG

468 Fuel Awning Valve/Pressure Regulator Metal 0.01 NEG 467 Fuel Awning Bollard Metal 0.01 NEG

470 Building 227 Exterior Disconnect Box Metal 0.03 NEG 469 Building 227 Exterior Siding Panel Metal 0.01 NEG

471 Building 227 Exterior Siding Panel Metal 1.90 POS