Attch 34 - Seed Project ACM-LCM Survey Report B909.pdf
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2 February 2012 1 of 207 Attachment 34
Solicitation FA9401-12-R-0002
I
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2 February 2012 3 of 207
City
Inc.
DEPT. OF THE AIR FORCE 377th ABW/EM
2000 Wyoming Blvd. S.E.
Albuquerque NM 87117-5659
ATTENTION: M r . E d Dominguez RE: WORK ORDER #B0286 BUILDING
LAB NO# SAMPLE NUMBER DESCRIPTION HATR I X F I BROUS ASBESTIFORM
Ex te r io r West Gypsum
Tan,Green
Cel lu lose Trace - -- Fr iab le
TS I
Gray
F r iab le
TS I
Black,Yellow Fr iab le
Ex te r io r Duct
0 rown
Fr iab le
Duct Covering
Brown Fr iab le
TS I
White F r iab le
TS I
Black
F r iab le
TS I
White
F r iab le
Calcium Carbonate Celtulose 5-10%
Calcium Carbonate Glass Fibers 30-35% Mineral Wool 25-30%
Calcium Carbonate Glass ~ i b k r s 10-15% Mineral Wool 5-10%
Calcium Carbonate Glass Fibers 15-20%
B i nder Cel lu lose 5-103:
B i nder Cel lu lose 30-35%
Calcium Carbonate Cel lu lose 5-10%
Method: Polar ized l i g h t microscopy w i th Dispersion s ta in ing using OLympus CHw.2 Polarized L igh t Microscope w i th McCrone Dispersion Sta in ing Object ive. Standard e r ro r + 1-10% + 25%, 11-99 + 50% percentages based on v i sua l voCume procedure.
EPA-6001M4-82-020 " In te r im Method f o r the Determination o f Asbestos i n Bulk I n s u l a t i o n SamplesN.
A1 1 Microscopists are graduates o f McCrone Research I n s t i tu te l s ltMicroscopical I d e n t i f i c a t i o n o f Asbestosla, Chicago, I 1 I.
Test repor t r e l a t e s on ly t o those items tested. National Voluntary Laboratory Accredi ta t ion Program (NVLAP) Lab ID 1870.
516 Chama N.E. Suite D Albuquerque, New Mexico 87108
(505) 255-4673
Co~po~alf Om- P.O. Box 12728 11361 N. Ave. Suite I01 1409 M o n m Avenue odgsa, Texas 79768 Pmria, Ari;Lona 85345 El Paso, Texas 79902 (9 1 5) 362-9887 (602) 9334956
(915) 533-8840 Fax (602) 933-4836 F a (915) 533-8843
2 February 2012 4 of 207
DEPT. OF THE AIR FORCE 377th ABU/EM
2000 Wyoming Blvd. S.E.
Albuquerque NM 87117-5659
ATTENTION: Mr. Ed Dominguez
' April 0 5 , 1995
RE: WORK ORDER #B0286 BUILDING #909
LAB NO# SAMPLE NUMBER DESCRIPTION MATR I X F I BROUS ASBESTIFORM
695-1286 950944-9W Cei 1 i ng Brown f r i a b l e
095 - 1287 950945- 1 OC Cei 1 ing Brown,Uhite
F r i a b l e
Insu la t ion
Gray
F r iab le
TS I
White
F r iab le
Cei 1 ing
Gray
Non-Friable
TS I
Gray
F r iab le
695-1292 950950-15T TSI
Gray
F r iab le n
MICROSCOP I ST
Mortar
Mortar
7-
Cel lu lose 5-10% p D e t ec,t<f
Cel l u lose 5-10%
Calcium Carbonate Cel lulose 5-10%
Calcium Carbonate None Detected
Mortar None Detected
Calciun Carbonate Cel lu lose 5-10%
Calcium Carbonate Glass Fibers 25-30%
N ne Detecte . A b ,.;I
Method: Polar ized l i g h t microscopy w i th Dispersion s ta in ing using Olympus CH-2 Polor ized L igh t Microscope w i th McCrone
Dispersion Sta in ing Object ive. Standard e r ro r + 1-10% + 25%, 11-99 + 50% percentages based on v i sua l volume procedure.
€PA-600/M4-82-020 I1 In ter im Method f o r the Determination o f Asbestos i n Bulk Insu la t ion Samplesw.
A l l Microscopists are graduates of McCrone Research I n s t i t u t e ' s t~Microscopical I d e n t i f i c a t i o n o f Asbestost1, Chicago, Ill.
Test repor t re la tes o n l y t o those items tested. Nat ional Voluntary Laboratory Accredi ta t ion Program (NVLAP) Lab ID 1870.
516 C h u m N E Suite D Corporate Offices P.O. Box 12728 11361 N. Ave Suite 101 Albuquerque, New Mexico 871 08 1409 Montana Awnue Odcsy Texas 79768 Peoria, Arhna 85345
(505) 255-4673 El Paso, Texas 79902 (91 5) 362-9887 (602) 933-4956
(915) 5338840 Fax (602) 9334836 Fax (91 5) 5334843
2 February 2012 5 of 207
A S B E S T O S S U 2 V E Y
A D X K G KO. : O?.G :
S A H Z L Z : ELAT c ~ l p ~ LOC;J+i'Io!l: f f T ~ , w ~ I f d o ~ ~ ~ ? ? ~ : . , A.fl.=M SAHZLZ: T.SZ , y A , , , p ~ ~ G SAH?L5: : T S t r N S r r L A n o J . LOCATION : / ~ ~ r d e Mole k6 DUCT No
C I d t ~ S A X ? L S : 75-E D u c ~ C o v ~ R l ~ G LOC.4TION :&&et~f IN V l c T NO :
SAHPLZ : TbZ D U C T & v & ? I ~ ~ L O C ; I ~ I O ! I : **- " '* * ' " L%wfs% SAHPLZ: T s ~ ELBOG LOCATIO!I : E / . c ~ A T C R o f RMHO :
S A H Z L Z : TSZ P/P€ wi@P L O C ~ l T I O ! 4 : S.U. CbRJ NEAR A.H. NO :
S A X ? L Z : 7S-Z- sf&& ZdSuf. L O C i i T I O t 4 : /V,U o f A. t4 SAH?LE : pacqf / C E W S ~ ) ~ LOChTIO!. I : &~fldT&E m. Uall- SAH?LS : f ' ~ r r ~ ~ / CEflEc'T L O C O ! : 4 Rm CElLrJG NO:
S>,l-IPLZ : :ST Z d s u L , LOCATIO!I : LG M e R T ' ,d NO:
S A H ? L Z : T S ~ f i P 6 JNSU{ LOC.:TIO!i: # 4 . " - t u u K NO-, L O C A T I O N : N E C ~ R ? w z - c @ L ~ ~ ~ NO:, SAHPLZ : ?#NT/CS~&NT SAH?L'; : &kiT&fm LOCATIO!I : HANGSMG TAC~~JK ' NO : , - SAHPLZ : TSS/NE/eRlj?YnZ&m~ocn~~os: lr t t Ii o C SA!4?LZ : L O C h T l O ! l : NO:
SA!4?LE: LOCATXO?I : I40 :
SAM?LZ : LOC,4TIO! l : 140 :
SAM?LZ : L O C A T I O f l : . h ' o :
SAHPLE : L O C h T I O ! I : .NO :
S A M ? i S : L O C / l T Z O ~ ~ : NO :
SAH?LZ : LOCATXO!~ : 1.10 :
S h ) - I ? L S : LOCATIO??: NO:
L O C A T X O S : HO : SAHPLZ :
SAH?LZ: L O C A T I O N : NO :
S.qH?LS : LOCATXO!i: !to :
S?.H?LS : L O C A T I O N : \ NO:
S?.:i?LS : L O C A ? I O ? 1 : 110 :
S?.H?L3 : L 0 C i r i ' I O : l : NO:
SAHPLZ : LOCA'i IO?l ' : X O : .
- S A I I P L E : LOC.=ITIO!i : . - NO:
S A H P L E : L O C A T I O f i : NO: -
F .
S A l 4 P L Z : LOCATXO!l : NO: - SAH?LS : L O C A T i 0 : i :
. NO:
SAMPLE : L O C A T I O N : NO:
S A H P L E : LOChT'IO?4 :
' NO:
S A H P L Z : L 0 C A T I O ) U ' : K O :
SAHPLS : LOCATXO!?: N O :
I r .
>..I - - , mc;w*- -dq~;-; : - ,-.-, S A H ? t Z : LOCATION : KO: -*- 8 8 SANP'LE I LOCl lT iON: 110 !
#' 7 S z SAFIPLZ : LOCt'iTIO!J : NO:
SA).l?LZ : L O C A T I O t I : NO:
SAMPLE : L O C A T Z O N : NO:
SAt l?LZ : LOCATIO!J : NO:
SAHPLE : s L O C A T I O N : NO:*
SAMPLE : LOCATION : NO:
SA?f?LE : LOCATION : NO:
. S A M P L Z : L O C A T I O I I : NO: ,-
2 February 2012 6 of 207
2 February 2012 7 of 207
2 February 2012 8 of 207
2 February 2012 9 of 207
2 February 2012 10 of 207
2 February 2012 11 of 207
ASBESTOS SURVEY -
CHECK L I S T
I N S P E C T
2 February 2012 12 of 207
DEPT. OF THE AIR FORCE 377th ABW/EM
2000 Wyoming Blvd. S.E.
Albuquerque NM 87117-5659
I
' ATTENTION: M r . Ed Dominguez RE: WORK ORDER #80329 BUILDING #000909
LAB NO# SAMPLE NUMBER DESCRIPTION MATRIX F 1 BRWS ASBESTIFORM
Quartz
Tar Resins
T m i e Smith
MICROSCOPIST
B9f -:591 951292-1W Wall Material Gypsum
White Fr iable
F loo r t i l e
Tan
Non-Friable
F loo r t i l e Mastic
Black Non-Friable
Exter ior Ua l l
White
Won-Friable
TSI
\h i t e Fr iable
Ua l l
White
Fr iable F loo r t i l e
Black Non-Friable
F l o o r t i l e Mastic
Black
Non-Friable
F loo r t i l e Tan Won-Friable
Cellulose 3-5%
Cellulose 3-5%
Cellulose 1-5%
Cellulose 1-3%
Calcium Carbonate Cellulose 5-10%
Quartz
Tar Resins
Quartz
Cellulose 5-10%
Cellulose 5-10%
Cellulose 3-5%
Cellulose 1-3% etected
Method: Polarized l i g h t microscopy wi th Dispersion sta in ing using Olympus CH-2 Polor i ted L ight Microscope wi th McCrone
Dispersion Staining Objective. Standard error + 1-10% + 25%, 11-99 + 50% percentages based on v icual volune procedure.
€PA-600/M4-82-020 " Inter im Method f o r the Determination of Asbestos i n Bulk Insulat ion sample^^^.
A l l Microscopists are graduates o f McCrone Research I ns t i t u t e ' s fl microscopical I den t i f i ca t i on o f Asbestosm', Chicago, 111.
Test report re lates only t o those items tested. National Voluntary Laboratory Accreditat ion Program (NVLAP) Lab ID 1870.
516 Cbama N.E. Suite D Aibuqueque, New b k x b 87108 (509 255-4673 m t e O f b S P.O. Box 12728 11361 N. Ave. Suiee 101 1409 Montana Avenue! Odessa, Texas 79768 kc&, Arbma 85345 ElPmo,Texas79902 (915) 362-9887 (602) 9334956
(915) 533-8040 Fax (602) 9334836 Fax (915) 5338843
2 February 2012 13 of 207
6un
Andytical
April 24 , 1995
DEPT. OF THE AIR FORCE 377th ABW/EM 2000 Wyomning Blvd. S.E.
A1 buquerque NM 871 17-5659
C i
ATTENTION: Mr. Ed Dominguez RE: UORK ORDER #B0329 BUILDING
LAB NO# SAMPLE NUMBER DESCRIPTION MATR I X F I BROUS ASBESTIFORM
F loo r t i l e Mastic
Ye1 low
Non-Friable
Wall
Uhi t e
Non-Friable Ua l l
Uhi t e
Polyvinyl Resins Celtulose 1-3% 4
Gypsum Paint Pigment
Cel l ~ l o s e 5-10%
Gypsum .Paint Pigment
Cellulose 3-5%
Non- Friable Ual l Uhi t e
Non-Friable
F loo r t i l e
White
Non-Friable F loo r t i l e
Black Non-Friable
F loo r t i l e Mastic . Tar Resins
Black Non- Friable Ua l l White
Non- Friable Wall
White
Non-Friable
Cellulose 5-10% "--e Detected. I
Cel lulose 1-3% Quartz
Celtulose 1-3% Quartz
Cellulose 5-10%
Cellulose 10-15% IS- bet-
Cellulose 5-10%
T m i e Smi tt.
MICROSCOPIST
Method: Polarized l i g h t microscopy with Dispersion sta in ing using Olympus CH-2 Polarized Light Microscope wi th McCrone lm Dispersion Staining Objective. Standard error + 1-10% + 25%, 11-99 + 50% percentages based on v isual volume procedure.
EPA-600/M4-82-020 " Inter im Method f o r the Determination o f Asbestos i n Bulk Insulat ion Samples".
A l l Microscopists are graduates o f McCrone Research I ns t i t u t e ' s uMicroscopical I den t i f i ca t i on o f Asbestosmt, Chicago, Ill.
Test report re la tes only t o those items tested. National Voluntary Laboratory Accreditat ion Program (NVLAP) Lab ID 1870.
516Cbama NX. SuiteD corporate O f k S P.0. Box 12728 11361 N. Ave. Suite 101 Abuquerque, New MexiaO 87108 1409 Montana Avenue Odessa, Texas 79768 PaMia, Ariuwra 85345
El Paso, Texas 79902 (915) 362-9887 (602) 9334956
(915) 5338840 Fax (602) 933-4836 Fax (915) 533-8843
2 February 2012 14 of 207
DEPT. OF THE AIR FORCE 377th ABW/EM
2000 Wyoming Blvd. S.E.
Albuquerque NM 87117-5659 I
ATTENTION: M r . Ed Dominguez RE: WORK ORDER dl80329 BUILDING #000909
LAB NO# SAMPLE NUMBER DESCRIPTION MATRIX F I BROUS ASBESTIFORM
B95-1609 951306-15W Wall Gypsum Cel lu lose 5-10% Whi te, Green Non-Friable
Ua l l White
Cel lulose 1-5%
Non- Fr iable
F l o o r t i l e
Tan
Quartz Cellulose 1-3%
Won- Fr iable
F loo r t i l e Mastic Tar Resins Black
Non-Friable
Cellulose 5-1031
Cellulose Trace Paint Pigment Exter ior Wall
Tan, Gray Non- Fr iable Exter ior Wall
Tan, Gray Fr iable
Exter ior Ua l l
Tan, Gray Fr iable
Exter ior Wall
Tan, Gray
Fr iable .
Exter ior Ua l l Tan Fr iable
Cellulose 1-3% Paint Pigment
Paint Pigment Cellulose Trace
Paint Pigment Cellulose Trace
Paint Pigment Cel lctlose 1-3% N m Detected
T m i e Smith
MICROSCOPIST
Method: Polarized 1 igh t microscopy with Dispersion sta in ing using Olynpus CH-2 Polarized Light Microscope with McCrone Dispersion Staining Objective. Standard error + 1-10% + 25%, 11-99 + 50% percentages based on v isual volune procedure.
EPA-600/M4-82-020 "Interim Method f o r the Determination o f Asbestos i n Bulk Insulat ion Samplesw.
A l l Microscopists are graduates o f McCrone Research Ins t i tu te 's wMicroscopical I den t i f i ca t i on o f AsbestosM, Chicago, Ill.
Test report re lates only t o those items tested. National Voluntary Laboratory Accreditat ion Program (NVLAP) Lab ID 1870.
51 6 Chama N E Suite D Albuquerque, New Mexiao 87108
(505) 255-4673
CfJW-e O t b s P.O. Box 12728 11361 N. Awe. Suite 101 1409MoruanaAvenue (kksa, Texa3 74168 Peoria, Arizmra 85345 EIR=%Tezes99902 (915) 3624887 (602) 933-4956
(915) 5338840 Fax (602) 9334836 Fax (915) 5338843
2 February 2012 15 of 207
April 24 , 1995
DEPT. OF THE A I R FORCE 377th ABW/EM
2000 Wyomning Blvd. S.E.
Albuquerque NM 87117-5659 h : ATTENTION: Mr . Ed Dominguez RE: WORK ORDER #B0329 BUILDING #000909
LAB NO# SAMPLE NUMBER DESCRIPTION MATRIX FIBROUS ASBEST I FORM
B95-1618 951314-23W Exterior Wall Tan
Friable
Exterior Wall
Tan
Friable
Paint Pigment Cellulose 1-3%
Paint Pigment Cellulose 1-3%
Tomnie Smi t h
MICROSCOPIST
Method: Polarized 1 i gh t microscopy w i t h Dispersion sta in ing using ,Olympus CH-2 Polarized Light Microscope wi th McCrone
Dispersion Staining Objective. Standard error + 1-10% + 25%, 11-99 + 50% percentages based on visual volume procedure.
EPA-600/M4-82-020 t81nterirn Method f o r the Determination o f Asbestos in Bulk Insulat ion Samplestt.
A1 1 Microscopists are graduates of McCrone Research Inst i tu te8s ttMicroscopical Ident i f i ca t ion o f Asbestos", Chicago, I 1 1.
Test report re lates only t o those i tents tested. National Voluntary Laboratory Accreditat ion Program (NVLAP) Lab ID 1870.
516 Chama N.E. N t e D Albuqueque, New Medclo 87108
(505) 255-4673
- W = e m P.O. Box 12728 11361 N. Ave. Suite 101 1409 Mongura Avenue Wc%sa, Texas 79768 Peoria, Arizona 85345 EtPa~o,Te~as79902 (91 5) 362-9887 (402) 933-4956
(915) 533-8840 Fax (602) 933-4836 Fax (915) 533-8843
2 February 2012 16 of 207
Sun aty Andy tical Inc.
DEPT. OF THE AIR FORCE 3 7 7 t h ABW/EM
2000 Wyoming B lvd . S.E.
Albuquerque NM 87117-5659
ATTENTION: Mr. Ed Dominguez RE: WORK ORDER #Bolo7 BLDG. #909
LAB NO# SAMPLE NUMBER DESCRIPTION MATRIX FIBROUS
B94-0523 950058-1W P a i n t
Whi te,Green
N o n - F r i a b l e
B94-0524 950059-2W P a i n t
W h i t e
N o n - F r i a b l e
P a i n t
White,Green
Non- F r i a b l e
P a i n t Pigments C e l l u l o s e 5-10%
P a i n t Pigments C e l l u l o s e Trace
P a i n t Pigments C e l l u l o s e 5-10%
None D e t e c t e d
None D e t e c t e d
None D e t e c t e d
Tomnie Smi th
MICROSCOPIST
Method: P o l a r i z e d l i g h t m ic roscopy w i t h D i s p e r s i o n s t a i n i n g u s i n g Olympus CH-2 P o l o r i z e d L i g h t M ic roscope w i t h McCrone
D i s p e r s i o n S t a i n i n g O b j e c t i v e . S t a n d a r d e r r o r + 1-10% + 25%, 11-99 + 50% percen tages based on v i s u a l volume procedure.
EPA-600/M4-82-020 " I n t e r i m Method f o r t h e D e t e r m i n a t i o n o f Asbestos i n B u l k I n s u l a t i o n SamplesI1.
ALL M i c r o s c o p i s t s a r e g radua tes o f McCrone Research I n s t i t u t e ' s n M i c r o s c o p i c a l I d e n t i f i c a t i o n o f Asbestos", Chicago, Ill.
Tes t r e p o r t r e l a t e s o n l y t o t h o s e i t e m s t e s t e d . N a t i o n a l V o l u n t a r y L a b o r a t o r y A c c r e d i t a t i o n Program (NVLAP) Lab ID 1870.
516 Chama N.E. Suilc 1) Albuquerque, N c w Mexicv 871 08
(505) 255-4673
1409 Monrana St.
la I'm, 7'cxa.s 79902
(915) 533-8843 Fax (915) 5 3 3 - W 3
2 February 2012 17 of 207
LEAD i j ~ s ~ b PAINT S U R V E Y C H E C K L I S T
B U I L D I N G > ? O . : 0 : 3 - 1 7 , / D A T E I!JS?: 1 c.1
Sd?!4?L3 : L O C i ? ' I I O ! i : !:o :
S A H P L Z : L O C A T I O ! : : KO :
S A 1 4 2 L Z : L O C h T X O ! i : ::O :
SA!4?LE : L O C i \ T i O ! ? : ?JO : -- - - -
SA!3?L,? : L O C I ~ T I O ! ~ : ?:O :
, S A H ? L 3 : L O C A T I O ! J : 1;O :
S A H P L E : L O C A T I O ! ? : f!O :
S A H 3 L E : L O C i i T I O ! ? : \ !lo:
S A l 4 P L E : L O C A T I O ! ? : !?O :
S A H P L S : L O C A T I O ! ? : !?O :
SAi.IPL3 : L O C A T I O ) ? : . - !iO :
S A E l P L E : L O C A T I O ! ? : f;O : . .
S A H P L E : . . .. -
L O C A T I O ! ? : KO :
S A H P L E : L O C A T I O ! J : 110 :
S A M P L E : L G C A T I O ? J : . !JO:
S A M P L E : L G C A T I O ! ? : - - 1:O:
S A M P L E : L O C A T I O ! ? : !?O:
S A M P L S : L O C A T I O I J : !iO :
S A H P S Z : L O C I ~ T I O ! ? : ! t o :
S A H P L S : LOCA' i ' IO!J : 1 ? 0 :
SAMPLZ I LGCATi0I . I : X O j
S A M P L Z : L O C A T 1 0 1 1 : IJO :
S A H P L E : L O C i l T I O ! : : ?iO :
S A H 2 L 2 : L O C A T I O ! ? : !;O:
S A M P L E I L O C A T I O ! I : !?O :
S A H P L Z : L O C A T I O ! J : E O :
- - S A M P L E : L O C A T I O ! ? : - J o t .
S A 1 f P L Z : L O C A ' ? I O ! J : NO :
S A I - J P L Z r L O C A T I O ! J : !JO:
2 February 2012 18 of 207
DEPARTMENT OF THE AIR FORCE
377 Medical Group (AFMC)
MEMORANDUM FOR: PLIWS
ATTENTION: Patrick Serna
FROM: 377 AMDSISGPB
SUBJECT: 332 Work Order Request Evaluation Results.
1. Bioenvironmental Engineering Flight personnel recently completed a Lead Base Paint Evaluation of Bldg 909, work order # EM95 11083. No Lead Base Paint above the threshold limit (1.0 mglcm2) were found in the areas tested. See attached XRF report.
2. If any other areas will be sanded, drilled, cut or hammered, contact Bioenvironmental Engineering Flight for further inspection and or evaluation.
3. Please contact me at 846-4259 if you have any questions.
MATTH* J SCHWALJY, AMN, USAF
Bioenvironmental Engineering Flight
1. Attachment:
!. XRF Survey Results
2 February 2012 19 of 207
Bioenvironmental Engineering Lead Based Paint Xrf Report
TEST SITE: BUILDING 909 TEST DATE: 01/04/96
No. Date Flr. Room Structure Condit. I Depth PbL PbK Result XL# Time Side No. Feature Substr. N Time +/- Range 7 01/04/96 1 Room Wall Solid 1 1.6 0.0 -2.4 7 13:08:50 A 0 Midle Wall Drywall 23 0.1 8.8
8 01/04/96 1 Room Door Solid 1 1.3 0.3 -3.5 8 13:09:52 A 0 Jamb-Rht Wood 19 0.1 10.9
9 01/04/96 1 Room Wall Solid 1 2.6 0.1 -1.1 9 13:10:54 B 0 Midle Wall Wood 20 0.2 13.7
10 01/04/96 1 Room Wall Solid 1 1.8 0.0 -1.7 10 13:11:58 C 0 Midle Wall Concrte 19 0.2 9.5
11 01/04/96 1 Room Wall Solid 1 3.9 0.1 -1.9 11 13:13:02 D 0 Midle Wall Concrte 20 0.3 9.2
Results by Test Number, NegC0.8 Pos>=1.2 mg/cm2 Niton XL#
2 February 2012 20 of 207
KAFB FACILITY SAMPLES
BY BUILDING NO.
FROM SAMPLES DATABASE
SAMPLE SAMPLE
LOCATION NO. SAMPLE DESCRIPTION
** BOO0909
BOO0909 932207 ROOFING MATERIAL 1M
BOO0909 932208 ROOFING MATERIAL 2M
BOO0909 932390 SZ931055 ZEKE PERSONAL
BOO0909 932391 BK931056 BLANK
BOO0909 932392 BK931057 BLANK
BOO0909 932393 SZ931071 ZEKE PERSONAL
932394 BK931072 BLANK
932395 BK931073 BLANK
932556 BK931124 BLANK
932557 BK931125 BLANK
950058 MEN'S ROOM NORTHSIDE, WALL
PAINT 1W
950059 MEN'S ROOM EASTSIDE, WALL
PAINT 2W
950060 MEN'S ROOM SOUTHSIDE, WALL
PAINT 3W
950077 MEN'S ROOM NORTHSIDE 1W
950078 MEN'S ROOM EASTSIDE 2W
BOO0909 950079 MEN'S ROOM SOUTHSIDE 3W
BOO0909 950369 TANK INSULATION FARM/ lTSI
BOO0909 950370 TANK INSULATION FARM/ 2TSI
BOO0909 950371 TANK INSULATION FARM/ 3TSI
SAMPLE SAMPLE
LAB RESULT COST DATE
NDA
CHRY 5-10%
c0.0027f/cc
3f /100F
3f /100F
0.02Of /cc
2.5f /100~
5f /100~ c0.034 f/cc
6.5f /100~
0.5f /100F
NAD
NAD 20.080 10/12/
NAD 20.080 10/12/
NAD 55.550 10/17/
20.080 12/16/
NAD 20.080 12/16/
CHRYS 20.080 12/16/
20-25%
2 February 2012 21 of 207
Page No. 2 10/05/95
KAFB FACILITY SAMPLES
BY BUILDING NO.
FROM SAMPLES DATABASE
SAMPLE
LOCATION
SAMPLE
NO. SAMPLE DESCRIPTION
SAMPLE SAMPLE
COST DATE LAB RESULT
CHRYS
45-40%
950728 GC950362 NDA
950729 GC950363 CHRYS 1-3%
950840 WW950367 CHRYS 1-3%
950841 WW950368 NDA
CHRYSOTILE
TRACE
950843 BK950370 NDA
950936 EXT. W. WALL N. OF DR. PAINT ND
CHIPS 1W
950937 LAYING ON LARGE DUCT TSI CHRYS
2T 20-25%
950938 INSIDE HOLE LARGE DUCT TSI CHRYS
INSUL . 3T 20-25%
950939 EDGE OF HOLE/DUCT TSI DUCT CHRYS
COVERING 4T 15-20%
950940 EDGE OF HOLE IN DUCT INNER CHRYS
LAYER 5T 20-25%
950941 ELBOW N. CENTER OF RM TSI 6T CHRYS
20-25%/AM0~
ITE 25-30%
950942 S.W. CORNER NEAR A.H. PIPE ND
WRAP TSI 7T
2 February 2012 22 of 207
Page No. 3
KAFB FACILITY SAMPLES
BY BUILDING NO.
FROM SAMPLES DATABASE
SAMPLE
LOCATION
SAMPLE
NO. SAMPLE DESCRIPTION
SAMPLE SAMPLE
COST DATE LAB RESULT
950943 N.W. OF A.M. ELBOW INSUL TSI CHRYS
8T 30-35%/AM0~
ITE 35-40%
950944 AIR INTAKE RM WALL-TOP ND
PAINT/CEMENT 9w
950945 AIR INTAKE RM CEILING ND
PAINT/CEMENT IOC
950946 LARGE WATER TANK INSUL. TSI CHRYS
11T 25-30%
950947 LARGE WATER TANK LINE PIPE CHRYS
INSUL TSI 12T 25-3O%/AMOS
ITE 35-40%
950948 MECH. RM I1 CEILING
PAINT/CEMENT 13c
950949 HANGING TANK EXT. LAYER TSI CHRYS
14T 25-30%
950950 HANGING TNK INNER LAYER CHRYS
CHICKEN WIRE 15T 30-35%
951081 WW950377 CHRYS 1-3%
951082 WW950378 CHRYS 1-3%
951188 EZ950384 MR. GOMEZ c . 01
951189 EZ950385 MRS. SKOCH < . 01
951190 EZ950386 MRS. MOYA < , 01
2 February 2012 23 of 207
Page No. 4
KAFB FACILITY SAMPLES
BY BUILDING NO.
FROM SAMPLES DATABASE
SAMPLE
LOCATION
SAMPLE
NO. SAMPLE DESCRIPTION
SAMPLE SAMPLE
COST DATE LAB RESULT
951191 BLANK BK950387 1.2 F/MM2
951192 BLANK BK950388 3.8 F/MM2
951292 NORTH WALL 1ST FLOOR 1W NDA
951293 ROOM 205 TILE & MASTIC 2ND CHRYS
FLOOR 2W 1-3%/CHRYS
5-10%
951294 ROOM 205 EAST WALL 2ND FLOOR NDA
3W
951295 HALLWAY TSI 2ND FLOOR AMOSITE30-3
4W 5%/CHRYS
25-30%
951296 ROOM 211 SOUTH WALL 2ND FLOOR NDA
5W
951297 ROOM 211 TILE AND MASTIC 2ND CHRYS
FLOOR 6W 1-5%/CHRYS
1-3%
951298 HALLWAY TILE AND MASTIC 2ND NDA/NDA
FLOOR 7W
951299 HALLWAY NORTH WALL 2ND FLOOR NDA
8W
951300 HALLWAY WALL SHEET ROCK 2ND NDA
FLR 9W
951301 MIDDLE HALLWAY DUCT 2ND FLR NDA
10D
951302 HALLWAY TILE & MASTIC 1ST NDA
FLOOR 11F
951303 ROOM 114 TILE & MASTIC 1ST CHRYS
FLOOR 12F 1-3%/NDA
951304 ROOM 114 WALL SHEET ROCK 1ST NDA
FLOOR 13W
951305 HALLWAY WALL SHEET ROCK 1ST NDA
FLOOR 14W
2 February 2012 24 of 207
Page No. 5
KAFB FACILITY SAMPLES
BY BUILDING NO.
FROM SAMPLES DATABASE
SAMPLE SAMPLE
LOCATION NO. SAMPLE DESCRIPTION
SAMPLE SAMPLE
LAB RESULT COST DATE
BOO0909 951306 HALLWAY WALL SHEET ROCK 1ST NDA
FLOOR 15W
BOO0909 951307 ROOM 110 1ST FLOOR WALL SHEET NDA
ROCK 16W
BOO0909 951308 ENTRY WAY FRONT TILE & MASTIC CHRYS 40.160 04/20/
17F 5-~O%/CHRYS
5-10%
BOO0909 951309 WEST WALL EXTERIOR 18W NDA 20.080 04/20/
BOO0909 951310 NORTH WALL EXTERIOR 19W NDA 20.080 04/20/
BOO0909 951311 WEST WALL EXTERIOR 20W NDA 20.080 04/20/
BOO0909 951312 NORTH WALL EXTERIOR 21W NDA 20.080 04/20/
BOO0909 951313 SOUTH WALL EXTERIOR 22W NDA 20.080 04/20/
BOO0909 951314 EAST WALL EXTERIOR 23W NDA 20.080 04/20/
BOO0909 951315 WEST WALL EXTERIOR 24W NDA 20.080 04/20/
* * Subtotal * *
* * * Total * * *
2 February 2012 25 of 207
Edit: NOTES Caps
UP DOWN DELETE Insert Mode: Ins Line : f . 1 I/ ''Char : Del ''Insert line:
Page: PgUp PgDn 1 1 Word: ^T 11 Save: *W Abort:Esc 11
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Reformat: -KB Refind: ^KL I I Write file:
-KR II
-KW
MEMO FOR RECORD
A full survey and visual inspection was performed on 04 April 1 9 9 5 on building 909, the building is used by Phillips Laboratory. This building is used for offices. This offices have sheetrock walls built off cenderblock walls. All samples for asbes tos on the sheetrock walls were negative.
The Thremal System Insulation (TSI) the hallways contain 3 0 to 35% Amosite and 2 5 to 3 0 % chrysotile. Also the TSI in the mech. room contained 3 0 to 35% chvrysotile and 3 5 to 40% Amosite. The duct above the drop ceiling had no TSI.
A risk assessment of the area was conducted using the AIR FORCE
ASBESTOS GUIDANCE FOR RATING AND ASSASSING DAMAGE AND EXPOSURE
(GRADE) SYSTEM. The risk was calculated to be 7.4713.
2 February 2012 26 of 207
Edit: NOTES Caps
Recommendations:
vlLine : UP t . 1 DOWN 11 I' Char DELETE : Del sl'Insert Insert line: Mode: Ins Word: Home End 1 1 Page: PgUp PgDn 11 Word: *T 11 Save: -W Abort :Esc 11 Line : + Find: "KF 11 Line: ^Y 11 Read file:
No work should be done in the building that could damage the floor tiles or mastic. The exposed pipe insulation in the building should be removed as routine maintenance. No work should be done in the mech. room that could damage the TSI material.
Reformat: "KB Refind: "KL Write file:
"KR II
-KW
2 February 2012 27 of 207
2 February 2012 28 of 207
DEPARThlENT OF THE ,UR FORCE Headquarters 377th ,hr Base Wing (MMC)
14 Oct. 1994
MEblORANDUM FOR 377 SPTGiCECS ATTENTION: Roy Hamilton
FROM: 377 ABWiEhlC
SUBJECT: Building 909, Asbestos Sanlpling
I . Environmental bIanagement. has completed sampling for asbestos on memorandum request dated 14 July 1994. Samples were taken in the areas of men's & women's restrooms that corresponded to the construction areas on your floor plan.
2. Sample results indicate there was asbestos present in the tile flloor mastic in tlie women's restroom.There is also asbestos in the tile and floor mastic and in the pipe wrap in the men's locker room with a reading higher than the approved action level.
3 Abatement Procedures should be implemented to comply with Federal, State,Local and AF Regulations prior to the commencement of project.
4. POC is Mr. C. L. Kern 111, at 846-2808 for any other information
Chief: Compliaxlce Envirotlmental Management Division
2 February 2012 29 of 207
HEADQUARTERS 377TH AIR BASE WING (AFMC)
3 r / U n e 7-w-p4 I Ahde ~ W * ~ E ~ T C O -
MEMORANDUM FOR 377 SPTG/EMC 1
ATTENTION: MR. ED DOMINWEZ
FROM: 377 SPTG/CECS
SUBJECT: Request for Asbestos/Lead Base Paint Survey, SABER Project No. MHMV 942053, Repair Restrooms, Building 909
1. Request an asbestos/lead base paint survey be conducted in Building 800 in support of construction work as outlined in the attached gtatement of work.
2 . A site visit for the design of the project will be scheduled prior to the receipt of the results of your survey.
3. This project will be designed by the SABER contractor with a scheduled design completion in July with construction start in August 1884. Please provide the survey results to this office no later than 29 July 1994 for incorporation into the design.
4. Please contact the Project Manager. Roy Hamilton, 6-2136 i f further information is required. The Project Manager will be available to accompany EM pereonnel for the survey.
Chief, SABER
Attachment:
1. Statement of Work
2. Drawing
2 February 2012 30 of 207
SABER CONTRACT
STATEMENT OF WORK
Project No. MHMV 942053 Pr(lject Title: Bepair Restrooms , Bui idink 909
WORK TO BE ACCOMPLISHED: Furnish all supervision, plant, labor, transportation, equipment and materials and perform all operations necessary to repair the exlsting restrooms on the first and second floors, Building 909 .
Work consists of installing electric hot water heater for the restrooms, replace the existing showers, repair the air ventilation in the restroom areas, replace all urinals, toilets? lavato~ies, 3nd mirrors, refinish all fioors, walls and ceiling, repair cxi~ting lighting a n d inetall f l ~ o r drains in the existing restrooms.
The above descriptions are intended to describe the general scope a f the pl-~oject, but i n no limits the c1:intract with respect to the extend of work indicated in the specifications and on the drawings and is subject to the terms and conditions of the i:or~ t ~ a c t .
SPECIAL INSTRUCTIONS: If additional information is required for a survey, contact the Project Manager, Roy Hamilton, 6-2136.
SABER Pro j ect Manager
2 February 2012 31 of 207
2 February 2012 32 of 207
2 February 2012 33 of 207
BUILDING NO.! O R C ; : 1 1 I . 1' :
INSPECTOR: C E R T . N O . :
CEILING SAMPLE: 1 , O C A ' r I O N : NO: -
CEILING SAMPLEI 1 , O C A T I O N : . -- NO :
CEILING SAMPLE1 1 , O C A T I O N : A -. . - - NO: .
CEILING SAMPLE: 1 , O C A T I O N I -- NO:
CEILING SAMPLE: I , O C A T I O N : . -. NO:
CEILING SAMPLE1 1 , O C A T I O N :
--A - HO :
CEILING SAMPLE: 1 , O C A T I O N : NO :
CEILING SAMPLEI I a O C A T I O N : NO :
CEILING SAMPLE: r , o c n r r ~ o t i ' : -- -. t i 0 :
WALLHAT.SANPLEI 1 , O C A T I O N I - t i o :
WALLNAT.SANPLE: 1 , O C A T I O N : . .- NO:
WALLNAT.SAMPLE: J,OCATI!~~I : .. ~ J O : -
WALLMAT.SAMPLE1 t :
WALLNAT.SAMPLE: 1 , O C A T I r'°CAT1!bJ N : :
WALLMAT.SAMPLE: I j O C A T I O N : -- ) I 0 :
WALLMAT.SAMPLEt I ,OCATIO! I : -. 140 :
WALLMAT.SAMPLE8 1 , O C A T I O N : : -
WALLMAT.SAMPLE1 1,OCA'I'ION : - -- FIO :
WALLMAT.SAMPLEt 1 , O C A T I O N : IJO :
WALLMAT.SAMPLE1 J , O C A T I O N I NO I
WALLNAT.SAMPLE: 1 3 0 C A T I O t . I : O :
FLOOR SAMPLE I 1 , O C A T I O N : IJcJ :
FLOOR SAMPLE I L O C A T I O N : 110 : --
FLOOR SAMPLE I I.,OCA'I'ION I )lo : -.
FLOOR SAMPLE I 1,OCA'I ' lON I 'I0 :
FLOOR SAMPLE I L O C A T I O N : -. jJo : - FLOOR SAMPLE r 1 , O C A T I O t I 1 x 0 : .. . . -- FLOOR SAMPLE r J ,OCA1I ' ION: :
FLOOR SAMPLE I 1 ,OCATTON : ' I * :
FLOOR SAMPLE: I j O C A T I O N I - -- 110 :
FLOOR SAMPLE: T , O C A ' ~ I O ~ J : ) l o :
FLOOR SAMPLE: 1 , O C A T T O N : ?I 17 :
FLOOR SAMPLE I I ~ O C A ~ ~ . I O ~ ~ : 110 : -. -- . .
THERMAL SAMPLE: 1,OCA'I ' ION : - . . - -. . . 110 :
THERMAL SAMPLE I T,OCATION I ti(' 1
THERNAL SAMPLE : 1 , O C A l ' I O N : -- 'I 0 :
THERMAL SAMPLEI . I .OCArI ' ION : - -. . .- - . No : -- .-.
THERMAL SAMPLE1 I , O C A ' ~ I O ~ J : - . . - . - . . "0 : -- -.
THERMAL SAMPLE : 1,OC:ATION : -. - . . . . - . . . . . t i 0 : - - THERMAL SAMPLE1 J t 0 C A r r I O N I .- t i 0 :
THERMAL SAHPLEI 1 ,OCATIOEI : t i ( ) :
THERMAL SAMPLEI- ~ , o c n ~ s r o t ~ 110 :
MISC. SAMPLE I 1 , O C A T T O N : . . - . -- . . . - II(1 : - -
HISC. SAMPLE 8 1 , O C A T I O t I r . . . - . . . - :50 I - . ..
MISC. SAMPLE I - J , O C A T T O N : . - - . . . . . . t f i ? : -- .-- - HXSC. SAMPLE I -. J ~ O C A T I O 1 I : -. . . : in :
NISC. SAMPLE I , I , O C A T I O t I I - -- .. !.lo 1 NISC. SANPLE I --. . 1,"C'ATTnt ' : --t ' 0 ! - -
2 February 2012 34 of 207
2 February 2012 35 of 207
2 February 2012 36 of 207
A
' : SAM P LE
i REPORT
2 February 2012 37 of 207
2 February 2012 38 of 207
2 February 2012 39 of 207
2 February 2012 40 of 207
Analytical Inc.
DEPT. OF THE AIR FORCE 377th ABW/EM
2000 Wyomning BLvd. S.E.
Albuquerque NM 87117-5659
ATTENTION: M r . Ed Dominguez
A p r i l 18, 1995
WORK ORDER #A0083 8.909
The fo l l ow ing samples were analyzed f o r Airborne Asbestos using the NIOSH
7400 METHOD.
LAB NO. SAMPLE NUMBER DESCRIPTION T I M E FLOWRATE VOLUME F I BER/CC
PERSONNEL SAMPLE
MR. GOMEZ
PERSONNEL SAMPLE
MRS. SKOCH
PERSONNEL SAMPLE
MRS. MOYA
A95-1378 951191 BLANK SAMPLE 0 0 0 1 .2 f/mn"'
A95-1379 951192 BLANK SAMPLE 0 0 0 3.8 f/mnad
<?A- -~-L&L(>, omnie Smith
MICROSCOPIST
Successful p a r t i c i p a n t s i n the NIOSH Prof ic iency Analy t ica l Testing (PAT) program PAT I D 79936-01, Member o f Nat ional
Asbestos Council, Member of American I n d u s t r i a l Hygiene Association.
A L L Microscopists are graduates of an EPA approved course on "Sampling and Evaluat ing Airborne Asbestos Dustvv NIOSH 582 course.
516Chama NE. SuiteD Albuquaquc, New Mexico 87108
(505) 255473
Corporate OiIiazi P.O. I b x 12728 1 1361 N. Avc. Suite 101 1409 Montana Avenue O d g y Texas 79768 Peoria, Atimna 85345 El Paw, Texas 79902 (915) 362-9887 (602) 9334956
(915) 533-8840 Fax (602) 933-4836 Fax (915) 533-8843
2 February 2012 41 of 207
L4ZOR 0 3 Y .4Y.4Lk'SIS REQUEST o CKAJN'OF CUSTODY
2 February 2012 42 of 207
AF Form 2750A (Computer Generated)
Y# #A INDUSTRIAL HYGIENE SAMPLING DATA OEHL use only
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 8013 & EO 9397
DISCLOSURE IS VOLUNTARY: The SSN accurately identifies the individual surveyed.
Wkplace ID: 0097-XXXX-ASB2
Date: 95.04.12
Base: KIRTLAND AFB
= f l & $ # $ $
Org: ASBESTOS MON g a
: Mail Reports to:
Workplace: VARIOUS PROJECTS
377TH AERMS/SGPB, KAFB, NM 87185 Original
COPY 1
COPY 2
Bldg: BELOW
Au t ovon 246-4259
Sample Collected by: (Name, grade, AFSC)
TSGT GUTIERREZ TSGT 4B051
Area : -<
~22- ,</ -u - Reason for den-C-complaint ~ - ~ o l i o w u ~ / OEHL PID p-Other I I I I l l l l
Employee Name MRS MOYA or Sample Loc
/ I/l714 1 ..a. 1 *.5 ..5
OEHL Sz=_sle :L::.k zx I . +: 1 :A ::\ I
Base Sample Number
Collecting Media ri A E N Q A U L E -
EZ950386
MGXX
BLDG 909 RM 204
PCM
- m-u t LY
EZ950384 EZ950385
MGXX + MGXX
BLDG 909 ROOM 102
PCM
Y S S T E E - S D
A
B
Comments: ROUTINE PERSONEL SAMPLES
Calculated Exposures: 'b)Standards :
BLDG 909 RM 209
PCM
z&?
As-1 ku
Name CAS Number
Name CAS Number
L . C 1
C
D
MSA 5222
1443/0720 443Min.
2.84LPM****** L
Nk 5 \ 33"
9 I I
BLAWK BK950388
3//03
Name CAS Number I c \ L c
Name CAS Number
Pump or Monitor No.
Time Off /On/Total
Flow Rate/Total Vol.
Temp/~arom/Humid/Wind
Supporting OEHL # Samples Base #
Name :
MSA 5223
1437/0735 422Min.
2.83LPM****** L
NA ,'/$qf
MSA 5225
1446/0730 436Min.
2.89LPM****** L
NA /$bT / I I
BLANK BK950387
2 February 2012 43 of 207
6un
Inc.
DEPT. OF THE AIR FORCE 377th ABW/EM
2000 Wyoming Blvd. S.E.
Albuquerque NM 871 17- 5659
ATTENTION: Mr. Ed Dominguez RE: WORK ORDER #a0302 BUILDING #909
LAB NO# SAMPLE NUMBER DESCRIPTION MATR l X FIBROUS
Wipe Sample
Brown, Whi t e
Non-Fr iable
Wipe Sample
Brown,White
F r i a b l e
Wipe Sample
Brown
F r i a b l e
Quar tz Ce l l u lose 10-15% Chryso t i l e 1-3%
Gypsum
Quartz
GYPsm
Quartz
Gypsum
Ce l l u lose 5-10% C h r y s o t i l e 1-3%
Ce l l u lose 5-10% None Detected
MICROSCOPIST
Method: Po la r i zed l i g h t microscopy w i t h D ispers ion s t a i n i n g using Olympus CH-2 Po lo r i zed L i g h t Microscope w i t h McCrone
Dispers ion S ta in ing Object ive. Standard e r r o r + 1-10% + 25%, 11-99 + 50% percentages based on v i s u a l volume procedure.
EPA-600/M4-82-020 I t l n t e r i m Method f o r t he Determinat ion o f Asbestos in Bulk I n s u l a t i o n Samplesn1.
A l l Microscop is ts a re graduates o f McCrone Research I n s t i t u t e ' s nnMicroscopical I d e n t i f i c a t i o n o f AsbestosBB, Chicago, Ill.
Test repo r t r e l a t e s on l y t o those i tems tested. Nat ional Voluntary Laboratory A c c r e d i t a t i o n Program (NVLAP) Lab I D 1870.
516<31ama N.E. Suik D A~buqueqw, New Mexico 87108 (5Q5) 2 5 5 4 7 3
~ r p m a t c ORicer P.O. Box 12728 11361 N. Ave. Suite 101 1409 Montana Avenue Odessa, Texas 79768 Peoria, ArizoM 85345 El Paso, Texas 79902 (91 5) 362-9887 (602) 9334956
(915) 533- Fax (602) 933-4836 Fax (915) 533-8&13
2 February 2012 44 of 207
- C = 1 L RESULTS TO: a Cat 6 it -XEQt'ESiED SY. ~ P % z L ? ' P L . XZE:
2 February 2012 45 of 207
AF Form 2750A (Computer Generated)
. 8013 & EO 9397
OEHL Sample Number
Collecting Media
Comments: SWIPES TAKEN FROM VENITLATION DUCTING
Calculated Exposures: Standards:
BLDG 909 ROOM 102
I *
N/A
/ OMin .
0.OOLPM 0.00 L
1 1 1 1 1 1 I I
Name CAS Number
Name CAS Number
Name CAS Number
Name CAS Number
R A E N Q A U L E Y S S T E E S D
BLDG 909 ROOM 204
N/A
/ OMin .
0.OOLPM 0.00 L
I I I I I I I I
Pump or Monitor No.
Time ~ff/On/Total
Flow Rate/Total Vol.
Temp/~arom/Humid/Wind
Supporting OEHL # Samples Base #
Name :
A
B
C
D
BLDG 909 ROOM 209
N/A
/ OMin .
0.OOLPM 0.00 L
I I I I I I -
2 February 2012 46 of 207
Inc .
DEPT. OF THE A I R FORCE 377th ABW/EM
2000 Wyoming Blvd. S.E.
Albuquerque NM 87117-5659
ATTENTION: M r . Ed Dominguez RE: WORK ORDER #B0303 BUILDING #909
LAB NO# SAMPLE NUMBER DESCRIPTION MATRIX FIBROUS
April 12, 1995
ASBESTIFORM
Wipe Sample Binder
White
Non-Friable
Wipe Sample Binder
White
Won- F r iab le
Wipe Sample B i nder
White
Non-Friable
Wipe Sample - Blank Binder
White
Non-Friable
Cel lulose 5-10% None Detected
Cel lulose 10-15% None Detected
Cel lulose 10-15% None Detected
Cel lulose 5-10% None Detected
-mnie Smith
MICROSCOPIST
Method: Polar ized l i g h t microscopy w i th Dispersion s ta in ing using Olympus CH-2 Polor ized L igh t Microscope w i th McCrone
Dispersion Sta in ing Objective. Standard e r ro r + 1-10% + 25%, 11-99 + 50% percentages based on v isua l volume procedure.
EPA-600/M4-82-020 " In ter im Method f o r the Determination of Asbestos i n Bulk Insu la t ion Samples".
A1 L Microscopists are graduates o f McCrone Research I n s t i t u t e l s ~lMicroscopical I d e n t i f i c a t i o n o f A s b e ~ t o s ~ ~ , Chicago, I 1 I.
Test repor t re la tes only t o those items tested. National Voluntary Laboratory Accredi ta t ion Program (NVLAP) Lab ID 1870.
516 Chama N.E. Suite D Albuquenlue, New Mexico 87108
(505) 2554673
Corp~nate Mficcs P.O. Box 12728 11361 N. Ave. Suite 101 1409 Montana Avenue Odessa, Texas 79768 Peoria, Arbna 85345 Ei Paso, Texas 79902 (91 5) 362-9887 (602) 9334956
(915) 533-8840 Fax (602) 933-4836 Fax (915) 533-8843
2 February 2012 47 of 207
' FX0',5: DE?.L-qT!\',E.';'T OF TEE ,iJ3 FORCE
I I*
PRIORITY: ~GUTDZ- . L . q ~ ~ h ~ r y ~ ~ ~ , ~ -- ,Y EMEXGESCY-
.C:LL RESULT
-3EQL'ESiED 3%
2 February 2012 48 of 207
AF Form 27508 (Computer Generated)
AUTHORITY: 10 U.S.C. 8013 & EO 9397
Reason for
Collecting Media
Comments: ONE SQARE FOOT OF SURFACE VACUUM SWIPES USING PERSONAL PUMP
Calculated Exposures: Standards:
MGXX
I (
5 2 2 4
/ OMin.
0.OOLPM 0.00 L
9 1 - I I
~ K o s ~ P ~
R A E N Q A U L E Y S S T E E S D
MGXX
/ OMin.
0.OOLPM 0.00 L
I I I I I I d
Pump or Monitor No.
Time Off/On/Total
Flow ~ate/Total Vol.
Temp/~arom/~umid/Wind
Supporting OEHL # Samples Base #
Name :
A
B
C
D
MGXX
/ OMin.
0.OOLPM 0.00 L
I I I I I I
Name CAS Number
Name CAS Number
Name CAS Number
Name CAS Number
2 February 2012 49 of 207
Inc.
DEPT. OF THE A I R FORCE 377th ABW/EM
2000 Wyoming ~ t v d . S.E.
Albuquerque NM 87117-5659
ATTENTION: M r . Ed Dominguez RE: WORK ORDER #B0282 BLDG.#909
I 9J/; ' .A~ i -2 ,, April 03, 1995
LAB NO# SAMPLE NUMBER DESCRIPTION MATR 1 X F 1 BROUS ASBESTIFORM
B95- 1249 950729 Dust Wipe Sample GYPsm
Black
Non-Friable
Cel lulose 10-15% Chrysoti l e 1-3%
MICROSCOPIST
Method: Polar ized l i g h t microscopy w i th Dispersion s ta in ing using Olympus CH-2 Polor ized L ight Microscope w i th McCrone
Dispersion Staining Objective. Standard e r ro r + 1-10% + 25%, 11-99 + 50% percentages based on v isua l volume procedure.
EPA-600/M4-82-020 l1Inter im Method f o r the Determination o f Asbestos i n Bulk Insu la t ion SamplesBB.
A1 l Microscopists are graduates o f McCrone Research I n s t i tu te ls nMicroscopical l d e n t i f i c a t i o n o f AsbestosI1, Chicago, I l 1.
Test report re la tes only t o those items tested. National Voluntary Laboratory Accredi ta t ion Program (NVLAP) Lab ID 1870.
516Chama NE. Suite D Albuquaque, New M& 87108
(505) 255-4673
CorporateOBiog P.O. Box 12728 1409 Montana Avenue Odfssa, Taas 79768 El Paso, Texas 79902 (915) 362-9887
(915) 533-8840 Fax (915) 533-8843
11 361 N. Ave. Suite 101 Peoria, Arizona 85345
(602) 9334956 Fax (602) 933-4836
2 February 2012 50 of 207
TO:
h . ::;. , U E ~ R : ' 9RY ANALYSIS REQUEST
~r CKIIX.OF CUSTODY
WORK REQUEST KO. F29650-94D004.-50.02 . .
i FROM: D E P ~ T M E N T OF THE NR FORCE
- . 377rh;\3?V/iZ34
2000 VQoriing Blvd. S.E.
I
PRIORITY: XOUTDF
- CALL RESULTS
REQUESTED BY
Tel: (505) 846-5007 j
I I
- -- I c L , . T v - .- .,,= 7: -. - .ri= . - L...--.. u.:- 1 , - , .
11:: :f .:-;Z-.].::S ?3,c;:t::r5 j COLLECTED 1 (?CJf, PLM, G h e r ) i
?d w , I
I 1 i I .
I
I I i . . I I I
I I
# I 11 I . I
I I I
I
I I i I I I i ' I I I
I - I I I I i
2 February 2012 51 of 207
MSCR~PIK#I OF MATERIAL ring of clear tape w i t h dust stuck to it
SAHPLETVPE 1
COMMENTS
2 February 2012 52 of 207
DEPT. OF THE A I R FORCE 377th ABU/EM
2000 Wyomning Blvd. S.E.
Albuquerque NM 87117-5659
ATTENTION: M r . Ed Dominguez RE: WORK ORDER #B0281 BLDG.#909
LAB NO# SAMPLE NUMBER DESCRIPTION MATR l X FIBROUS
, , ii.J
April 03, 1995
995-1245 950840 Dust Sample Binder
Brown,Uhite
Non-Friable
995- 1246 950841 Dust Sample Binder
Brown,Uhite Gypsum
Non-Friable
895- 1247 950842 Dust Sample Binder
Brown,Vhite
Non-Friable
895 - 1248 950843 Blank Binder
White
Non-Friable
Cel lulose 15-20% Chrysoti l e 1-3%
Glass Fibers 1-3%
Cel lulose 20-25% None Detected
Cel lulose 15-20% Chrysot i l e Trace
None Detected None Detected
MICROSCOPIST
Method: Polar ized l i g h t microscopy u i t h Dispersion s ta in ing using Olympus CH-2 Polarized L igh t Microscope u i t h McCrone
Dispersion Sta in ing Objective. Standard e r ro r + 1-10% + 25%, 11-99 + 50% percentages based on v isua l volwne procedure.
EPA-600/M4-82-020 " In te r im Method f o r the Determination of Asbestos i n Bulk Insu la t ion SamplesBB.
A l l Microscopists are graduates o f McCrone Research I n s t i t u t e ' s BIMicroscopical I d e n t i f i c a t i o n o f AsbestosBt, Chicago, Ill.
Test repor t re la tes on ly t o those items tested. National Voluntary Laboratory Accredi ta t ion Program (NVLAP) Lab ID 1870.
516 Chama NX. Suite D Albuqwrque, New Mexico 87108
(505) 255473
Corporate OBiCg P.O. Box 12728 11361 N. A x . Suite 101 1409 Montana Avenue Odessa, Texas 79768 Peoria, A&xma 85345 El Paso, Tcxas 79902 (915) 362-9887 (602) 9334956
(915) 533-8840 Fax (602) 9334836 Fax (915) 533-8843
2 February 2012 53 of 207
NO.~LOCATION
REPORTS
-ACCIDENT/INCIDENT C-COMPLAINT F-FOLLOWUP/CLEANUP
OUTINE/PERIODIC SURVEY 0-OTHER ( S p ~ ~ l f j ' )
I--=- --a -. - - - - - - - - -
SAMPLE COLLECTION DATA
ANALYSES
REQUESTED
I - SUMMARY OF SURVEY RESULTS (See reverse for calculationsl
CALCULATED EXPOSURE: CONCENTRATIONS S T A N D A R D S
FLOW RATE: ON~OFF
I I a/A / H/A
B/A / YoLUML SAMPLED , B/A
H/A B/A
2 February 2012 54 of 207
INDUSTRIAL HYGIENE SAMPLING DATA
/ ( i s ~ ~ h i s space .for ~ n e ~ I ~ u f l i c a l b ~ r p r m r ~ r-
WORKPLACE
I --- gpa. --EL---
SOURCE BEING
E W X U A L FELUWM DUCT O m DESK DURDZ REPAIR OR DUCIE
EXISTING CONTROLS (Persom~l P r o i c c t i ~ ~ q u i p r n d n t , t'ng6Lecring. Adrninirlrofirrp) m?3E
SAMPLE COLLECTION DATA
I E M P U Y E E NAME & SSAN
OR
SAMPLE LOCATION
I I
I BALE SAMPLE NO. 1 - 1- 1 f i ~ r ! n . l - 1 - 1 A ' I
I ] NAME I I I
ANALYSES / I Nlon NO. j / 1 I I , I ( I
I
I
REQUESTED ( I NAME
I
~ D ~ N 1 o s H N O . 1 a ( I I I I 1 I
PUMP OR MONITOR NO.
COLLECTION TIME: OFFION ' I&/# / / /
TOTAL COLLECTION TIME
F L O W R A T E : OPIIOTF I k / ./' /' /
I VOLUME SAMPLED I I
I I I I -
COMMENTS
L
SUMMARY OF SURVEY RESULTS (See reverse for catcularionrl -.-
CALCULATED EXPOSUFZE CONCENTRATIONS STANDARDS
s
FORM
AF JAN 8, 2750
2 February 2012 55 of 207
Anwical
March 29, 1995 lnc.
DEPT. OF THE A I R FORCE 377th ABW/EM
2000 Wyoming Blvd. S.E.
Albuquerque NM 87117-5659
ATTENTION: M r . Ed Dominguez RE: WORK ORDER #B0259 BUILDING. #909
LAB NO# SAMPLE NUMBER DESCRIPTION MATRl X F I BROUS ASBESTIFORM
895- 1030 950726 Insu la t ion - Yellow Binder Glass Fibers 70-75% None Detected
Plenum Intake
Fr iab le
895- 1031 950727 Insu la t ion - Grey Calcium Carbonate Cel lulose 5-10% Chrysoti l e 45-50%
Plenum Intake
Fr iab le
895- 1032 950728 Insu la t ion - Black B i nder Cel lulose 30-35% None Detected
Plenum Ualkuay
Fr iab le r Torrmie Smi
Method: Polar ized l i g h t microscopy wi th Dispersion s ta in ing using Olyrnpus CH-2 Polor ized L igh t Microscope wi th McCrone
Dispersion Sta in ing Objective. Standard error + 1-10% + 25%, 11-99 + 50% percentages based on v isua l volume procedure.
EPA-600/M4-82-020 " In te r im Method f o r the Determination of Asbestos i n Bulk Insu la t ion SanplesI1.
AL 1 Microscopists are graduates o f McCrone Research I n s t i tu te ls llMicroscopical I d e n t i f i c a t i o n o f Asbestoso*, Chicago, I 1 I.
Test report re la tes on ly t o those items tested. National Voluntary Laboratory Accredi ta t ion Program (NVLAP) Lab ID 1870.
516 N.E. Suite D Albuquerque, New Mexico 87108
(505) 255-4673 corporate- P.O. Box 12728 11361 N. AIR Suite 101 1409 Montana Avenue Odessa, Texas 79768 kmk, hriwna 85345 El Paso, Texas 79902 (915) 362-9887 (602) 9334956
(915) 533-8840 Fax (602) 9334836 F ~ x (915) 533-8843
2 February 2012 56 of 207
WORK REQUEST NO. F29650-94D004.-50.02
, --- - - - . - - _ I _ _ _ ._ _ _ - 1 FROM: D E P ~ T M E N T OF THE AIR FORCE
- 377th ABW/EM
2000 Wyoming Blvd. S.E.
Compliance Div.
Kinland AfB, NM 87117-5007 Tel: (505) 846-5007
I
PRIORITY: ROUTBT- URGEhT ~V$@?USH /G EMEXGEXCY
I
TITLE:
7& 1 I I
I 1- I
I
I * I 1 I
I I I I
I I i I I i I I I
I M
- I I I I I I l i e cf i .~dyr ;s 3ecces ie . i i
(?c>.I, PLM, Other) I
SATE
COLLECTED
! I 95727 ? -zd I 7% I 7 2 7 1 !
Z;_'\GLE 'b-i'.!SEX
2 February 2012 57 of 207
OEHL USE ONLY
Kirtland A?B, NN
WORKPLACE OR SITE
DATE COLLECTED (YYMMDD)
Mechanical Room
0 0 9 7 $2'1 377 AMDS/SGPB, 1951 Second St. SE, Kirtland AiB, NM 87117
I (crrcle rf I 1 I I 1 ' 1 i * change) COPY 2
SOURCE BEING SAMPLED
air handling materials EXISTING CONTROLS (Pemalprotecbve equipment Engmeer~ng Adm~nrmbve)
SAMPLE COLLECTED BY (Name, Grade AFSCJ
MICHEAL D. MARTIN, lLt, USA?, BSC
I SAMPLE COLLECTION DATA I
SIGNATURE
+ Li; R- JAUTOVON
505)846-4259
CHECK FOR I D MAJOR COMPONENTS I D MAJOR COMPONENTS I
REASON FOR A-ACCIDENT INCIDENT C COMPLAINT F-FOLLOWUP/CLEANUP
SUBMISSION R ROUTINE BACKGROUND/PERIODIC SURVEY 0-OTHER
CHECK FOR O HAZARDOUSflDXIC WASTE HAZARDOUS/TOXIC WASTE
1 LOT NUMBER 1 I I
NSN (FSNI
SPECIFICATION (MIL or FED)
MANUFACTURER'S NAME
Tlexible boot Air Duct against east wall
MATERIAL NAME
DESCRIPTION OF MATERIAL
USAGE (Heated. brushed, spray&, erc.)
Sound proofing, plenum walkway
/woven and loose fibrous very small dark chip
SAMPLE TYPE I
I COMMENTS I
2 February 2012 58 of 207
I I
REASON FOR A-ACCIDENT. INCIDENT C-COMPLAINT F FOLLOWUP/CLEANUP OEHL PlD SUBMI- 10 a-ROUTINE BACKGROUND/PERlODlC SUFiVEY 0-OTHER 1 1 1 1 ] % I I
BULK MATERIAL SAMPLING DATA
(Use rhrs space for mechanrwl rmprmtJ
I SOURCE BEING SAMPLED
Insulation above main air intake plenum (both xxxxxx samples)
SAMPLE COCLECTlOf'4 DATA I
4 .' .* 1 . . . .MHLUS;E ONLY
"" * 5 *.. -= o .."a,'
OEHL SAMPLE NO
1 A 1 CHECK FOR I 0 MAJOR COMPONENTS I 0 MAJOR COMPONENTS I
WORKPLACE
OR SlTE
IDENTIFIER
NAME
B
Asbestos Asbestos
NIOSH NO.
I
0 7 0
BASE
Kirtland A?B, NM
I I CHECK FOR I OHAZARDOUS/TOXIC WASTE I O HAZARDOUSllOXIC WASTE I
ORGANIZATION
D
1 MATERIAL NAME
WORKPLACE OR SlTE
NAME
NlOSH NO.
LOT NUMBER
NSN (FSNJ
SPECIFICATION (MIL or FED)
MANUFACTLIRER'S NAME
I DESCRIPTION OF MATERIAL
USAGE (Heated. brushed, I sprayed, erc J
1?ibrous, soft Iplaster-like v/small strings I
SAMPLE TYPE
COMMENTS
2 February 2012 59 of 207
March 27, 1995
Inc .
DEPT. OF THE AIR FORCE 377th ABU/EM
2000 Uyomning Blvd. S.E.
Albuquerque NM 87117-5659
ATTENTION: M r . Ed Dominguez WORK ORDER #A0079 BN09
The fo l lowing samples were analyzed f o r Airborne Asbestos using the NIOSH
7400 METHOD.
LAB NO. SAMPLE NUMBER DESCRIPTION T I M E FLOWRATE VOLUME FIBER/CC
AREA AMBIENT A I R SAMPLE
ROOM 211
AREA AMBIENT A I R SAMPLE
MECHANICAL ROOM
A95- 1265 950719 BLANK 0 0 0 0
MICROSCOPIST
Successful p a r t i c i p a n t s i n the NIOSH Prof ic iency Analy t ica l Test ing (PAT) program PAT ID 79936-01, Member of Nat ional
Asbestos Council, Merber o f American I n d u s t r i a l Hygiene Association.
ALL Microscopists a re graduates o f an EPA approved course on "Sampling and Evaluat ing Airborne Asbestos Dust" NIOSH 582 course.
516Q1ama N E Suite D A ~ b u q q w , New Mexico 87108
(505) 2554673 w t e ofb§ P-0. Box 12728 11361 N. Ave. Suite 101 1409 Montana Avenue odgsa, Texas 79768 Peoria, Arizona 85345 ElPasqTe~a~79902 (91 5) 362-9887 (602) 9334956
(915) 5338840 Fax (602) 933436 Fax (915) 5336813
2 February 2012 60 of 207
DEPT. OF THE AIR FORCE 377th ABW/EM
2000 U y m i n g Blvd. S.E.
Albuquerque NM 87117-5659
I December 19, 1994
ATTENTION: M r . Ed Dominguez RE: WORK ORDER #B0168 BLDG.#909
LAB NO# SAMPLE NUMBER DESCRIPTION MATRIX FIBROUS ASBESTIFORM
TSI
Brown
Fr iab le
TSI
White
F r iab le
TSI
BLack,Grey
Non-Friable
Calcium Carbonate Cel lulose 10-15% None Detected
Mineral Wool 30-35%
Calcium Carbonate Cel lulose 10-15% None Detected
Glass f i b e r s 15-20% - Mineral Wool 20-25%
Cel lulose 5-10% Chrysot i le 20-25%
Glass f i b e r s 30-35%
Tar Resins
Binder
MICROSCOPIST
Method: Polar ized Light microscopy w i th Dispersion s ta in ing using Olympus CH-2 Polarized L igh t Microscope w i th McCrone
Dispersion Sta in ing Objective. Standard e r ro r + 1-10% + 25%, 11-99 + 50% percentages based on v isua l volume procedure.
EPA-600/M4-82-020 " In ter im Method f o r the Determination of Asbestos i n Bulk Insu la t ion Samples".
A1 1 Microscopists are graduates o f McCrone Research I n s t i t u t e ' s llMicroscopical I d e n t i f i c a t i o n o f asbestos^^, Chicago, I 1 1.
Test repor t re la tes only t o those items tested. National Voluntary Laboratory Accredi ta t ion Program (YVLAP) Lab ID 1870.
516 Chams N.E. Suite D Albuquerque, New Mexico 87108
(505) 255-4673
1409 Montana St El Paso, Texas 79902
(915) 5338840 Fax (915) 533-8843
P.O. Box 12728 odgsa, Texas 79768 (91 5) 362-9887
2 February 2012 61 of 207
A S B E S T O S S U 2 V E Y
B U I L D I N G H O . : y o ? I onrs I!?SP: 1 6 9y4
L-9 L O C A T ~ O : J : 1 - X /a4 1 0 1 i - s ~ S A H 2 L . 2 : /- L O C i r T I O ! J : 7- lc ?&/I 1:O: 2 7 5 1 S A H i ? L z : TQ k f cv~ l )\to: 3 FsL S?.H?LZ : L O C i $ ' l I O ! ? : 1;o :
S? .H?LS : L O C A T I O ! ! : 140 :
S.?l!i)L,T : LOCi\ ' i ' IO!l : l i 0 :
S A 1 4 P L Z : L O C A T I O ! ? : 120 :
S?.14?L3 : L O C A T I O ! I : 140 :
s a ~ 4 1 ~ 3 : LOCATIOII : H O :
S A 1 1 2 L E : L O C A T I O ! I : NO :
S A W P L E : L O C A T I O ! l : - 120 :
S A M P L E : L O C A T 1 0 1 1 : 120 :
S A I 4 P L E : L O C A T I O ! 1 : 1:O :
S A H P L E : L O C A i ' I O ! l : 110 :
A_ - -
S A 1 4 P L E : L O C A ~ I O ! ~ :
126:
. S A M P L E : L O C A T I O ! 1 : 110 :
S A M P L E : L O C A T I O ! ? : f i O :
S A H P L E : L O C r l T I O ! ? : \ 1JO :
SA141L.Z: L O C A T I O N : 140:
S A H P L Z : L O C A T I O ) ? : 110: .
S A 1 4 P L E I L O C A T I O N : . . - . 110 :
S A I I P L E : L O C A T I O ! ? : . . 110 : v . .
S A H i ' L E : L O C A T I O I J : . • ... NO:
S A I 4 P L E : L O C A T I O l ? : 1JO :
S A H P L E : L O C A T I O I d : NO:
S A H P L E : L O C A T I O ) ? : . . - - NO:
S A H P L S : L O C A T 1 0 1 1 : NO:
S A H P L B : L O C A T I O ! J : . 110 :
S A M P L E : L O C r Z T I O l ? : !I0 :
S A H P L E : LOCI?TIO!J : 120 :
SAMPLE I L O C A T I O N : NO 1
S A H P L B : L O C A T I O ! ? : 140 :
S A H F L Z : L O C A T I O ! J : 1r'O :
S?.li?Lt' : L O C A T I O ! ? : 110 :
S A H P L E I L O C A T I O ! I : 110 :
S A M P L E : _ L O C A T 1 O ) J : 140 : - - S A M P L E : L O C A T I O I ? : - -110~.
S A l l P L Z : LOCATIO!I : NO:
S A l 4 P L E I L O C A T I O I I : NO :
2 February 2012 62 of 207
D Z i ? ~ " ~ ' i l ~ ~ N T Gi' TI.3 AIR fORCI3 377th FLIi/EI-I.
2000 F;yczing B l v d S.E.
CozpX~-ce Div.
: < i r t l a d P-a, 131 87117-5659 !.!r. Zd Dozizguez Tel: (505) 846-5007
R O U T I N E 10 DAYS u ? , G ~ ~ T : 3' ~ X Y S . - z u s Q i : i ; ~ z<Ei:iEicY 2 F7.E -
2 February 2012 63 of 207
JABOR.ATL-\Y AYALYSIS REQUEST
& CHAM OF CUSTT0X)Y
WORK REQUEST !<O. : F29650-94- & 0Y
DEPPATI-ENT OF T I E AIR FORCE
ROUTINE 10 DAYS URGE^.' 3' DAY s - RusI4 @:;fis , lc /zakc 'Ei ic~ 2 YLC -
TO: 377th AEI?/EI.I 2000 klyoming Blvd S.E.
Conpliance Div.
Kirtland P J B , f4.I 87117-5659 1.k. Ed Doninguez
I -- Tel: (505) 846-5007
DATE Sk?QLE m i 7 r ~ ~ ~ T,F of A~L~-J&. ~ c q - ~ c s t c i I i COLLECED (pa{, PL'tI, OLLcr) 1
PHONE
t/..
* /J 5~??30 -q,,r
-L-------.
?L/JL
j - I i
I I
I 5-7 I
I I
1 . !
' i . . I
I
I I d /)
I
. . I ., .a i
2 February 2012 64 of 207
JUL 23 'Y3 18: 135 HSSFIIGGI RDIII13-FISETOS FIBCI,r.IMR
To: Kirtland Air Face BasP; Due 23 July 1993
Attn: IGd Dominguez Work Order No. A09330 377 ABW I IEM A-s Air Analysis 2000 Wyoming Blvd. SB No. of Analyses: 03 Kirdsnd AFB, N M 87 1 17-5669 Received: 22 3uly 1993
Method:
Sampling Site: Bda;SP909
RESULTS CXVEN TO: AT:
NzYEfG
DATE REPORTED: 7- z ~ T - ? ~
FAX APPROVAL! 7-23-fi
2 February 2012 65 of 207
. 19;05 ' 9 8 TUE 13:19…
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