ITB-W-1148 A2 Pre-Renovation HMS.pdf

Tetra Tech, Inc.

1136 Oak Valley Drive. Ann Arbor, MI 48108

Tel 734.665.6000 / www.tetratech.com

June 13, 2023

Ms. Tina Gapshes City of Warren Engineering Division One City Square Warren, MI 48093

Delivered via email: tgapshes@cityofwarren.org

SUBJECT: Pre-Renovation Hazardous Materials Survey Former Louie’s Bar and Adjacent Buildings 23150, 23154, and 23158 Van Dyke Ave.

Warren, MI 48098 Tetra Tech Project No. 117-0526398

Dear Ms. Gapshes:

On May 3rd, and May 4th, 2023, Tetra Tech, Inc. (Tetra Tech) conducted a pre-renovation hazardous materials survey at the above-referenced sites. Based on correspondence with you prior to commencement of the project, Tetra Tech was instructed to conduct an inspection for suspect asbestos-containing materials (ACM), lead based paint, PCB containing materials, and other regulated materials, associated with the future renovation. Details of our survey are provided below.

1.0 INTRODUCTION

PRE-RENOVATION HAZARDOUS MATERIALS SURVEY

The pre-renovation asbestos inspection was conducted in accordance with Michigan Administrative Code (MAC), 1995 AACS R 336.1942 (Rule 942), using the currently recognized standard protocol developed under the National Emission Standards for Hazardous Air Pollutants (NESHAP) and the Asbestos Hazard Emergency Response Act (AHERA), as administered by the Air Quality Division (AQD) of the Michigan Department of Environment, Great Lakes, and Energy

(EGLE).

Mrs. Kari Lamprich, and Mr. Cody Knowlton of Tetra Tech, MIOSHA Accredited Asbestos Inspectors, collected samples of suspected ACM, suspected lead-based paint (LBP), and suspected PCB-containing materials. Their Asbestos Inspector Accreditation Certificates are presented in Attachment A. Mr. Knowlton is also a United States Environmental Protection Agency (EPA) lead risk assessor and oversaw the collection of paint chip samples. His EPA Lead Risk Assessor Accreditation is presented in Appendix A.

The bulk samples were shipped, along with completed chain-of-custody documentation, to Crisp Analytical of Carrollton, Texas for the analysis of asbestos fibers by polarized light microscopy (PLM) using U.S. Environmental Protection Agency (EPA) Methods described in 40 CFR Part 763 Appendix E Subpart E (Interim and EPA 600/R-93 / 116 (Improved). Only one of the samples from each homogenous material was tested, and if the initial sample tested positive for asbestos, the remaining samples from that group were retained, but not sampled. A copy of the bulk asbestos laboratory analysis report and chain-of-custody is contained in Attachment B.

mailto:tgapshes@cityofwarren.org

Pre-Renovation Hazardous Materials Survey

Former Louie’s Bar and Adjacent Buildings 23150, 23154, 23158 Van Dyke Ave.

Warren, MI 48098 June 13, 2023

The bulk samples for suspected PCB and lead-containing material were shipped to Eurofins Canton, of Barberton, Ohio. The PCB samples were tested using U.S. Environmental Protection Agency (EPA) Method 8082A for PCB totals. The lead samples were tested using method SW-846 7420.

2.0 REGULATORY CRITERIA

2.1 Asbestos-Containing Material

The application, removal, and disposal of ACM are regulated by several agencies. Worker exposure to asbestos during construction operations including ACM removal is regulated under 29 Code of Federal Regulations (CFR) 1926.1101. The Occupational Safety and Health Administration (OSHA) has established worker protection measures during the removal of asbestos from the facilities including, but not limited to training and medical monitoring requirements for personnel engaging in the oversight and removal of ACM, exposure limits, respiratory protection, personal protective equipment (PPE), work practices and engineering controls, and storage of wastes.

The removal and disposal of ACM are regulated under the asbestos NESHAP, 40 CFR Part 61, Subpart M. Table 1 presents a summary of pertinent EPA definitions under 40 CFR 763.83, as administered by the EGLE.

Table 1 Summary of Asbestos Definitions

Asbestos-Containing Materials (ACM)

Materials containing more than one percent (1%) of asbestos

Asbestos-Containing Building Materials (ACBM)

ACM that is in or on interior structural members or other parts of a public or commercial building.

Presumed Asbestos- Containing Material (PACM)

ACM that remains un-sampled, but is considered suspect to be asbestos-containing, and must be treated as ACM until proven not to be asbestos-containing by laboratory analysis.

Friable ACM The ability of a material to be crumbled, pulverized, or reduced to powder when dry with hand pressure as determined by physical touching by the asbestos building inspector.

2.2 Mercury-Containing Components

Requirements for Small Quantity Handlers of Universal Waste (SQHUW) and Large Quantity Handlers of Universal Waste (LQHUW) must place mercury-containing equipment that shows evidence of leakage, spillage, or damage that could cause leakage under reasonably foreseeable conditions in a container. Containers must be closed, structurally sound, compatible with the contents, lack evidence of leakage, spillage, or damage that could cause leakage, reasonably designed to prevent the escape of mercury by volatilization or any other means, labeled or marked clearly with any of the following phrases "Universal Waste-Mercury-containing Equipment," or "Waste Mercury-Containing Equipment," or "Used Mercury-Containing Equipment" per the EPA

40 CFR 273.4.

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2.3 Polychlorinated Biphenyls-Containing Components

PCBs in ballasts, electrical components, and other building materials can be a dermal hazard and a source of PCBs leaching into the soil. Transport and disposal of PCBs must comply with 40 CFR 761.62. EPA Region 5 implements the regulations for the processing, distribution, use, cleanup, storage, and disposal of PCBs under the Toxic Substances Control Act (TSCA) in Michigan and provides support for TSCA compliance.

2.4 Chlorofluorocarbons-Containing Components

Freon gas includes a number of gaseous, colorless CFCs that are commonly used as refrigerants.

The EPA regulates the emission of Freon gas into the atmosphere due to its ozone depleting capabilities. Through Title VI, Stratospheric Ozone Protection, of the Clean Air Act Amendments of 1990, the EPA regulates Freon gas and requires mandatory recycling and a ban on the intentional venting or releasing of refrigerants.

3.0 SURVEY METHODOLOGY

The hazardous materials survey was intrusive in nature. The intrusive survey attempted to identify concealed building materials such as heating systems, roofing systems, double-layer drywall, concealed flooring under existing flooring, or concealed mechanical systems located behind walls.

While the survey endeavored to identify all potentially hazardous substances, users of this report should be aware that the sampling program has some limitations given the fact that some materials, by their very nature, may be concealed underground, behind walls, etc., or due to other potential site safety hazards.

The assessments focused on the following designated substances.

3.1 Asbestos-Containing Materials

3.1.1 Previous Surveys

There were no records of previous ACM surveys provided by the City of Warren to Tetra Tech. Therefore, previous survey findings were not evaluated as a facet of this survey.

3.1.2 Asbestos Survey

Suspected ACMs were grouped as homogeneous areas if the material was uniform in appearance and texture. However, if the inspector decided that a material (for example, pipe insulation) was not similar in appearance and texture to other materials in the buildings, the inspector distinguished the material as unique and collected samples of each unique material.

Bulk samples collected were placed in plastic bags, labeled, and sealed immediately upon collection. The sampling instruments were wiped clean with cleaning wipes after the collection of each sample to prevent cross-contamination between samples. A unique sample identification number was assigned to each sample in general accordance with the following format:

LB-M32.1.1

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Where “LB” would reference the ID of the building; “M32” would reference the material type, in this case, a roofing material; “1” would reference that this was the first type of material identified, and “.1” would reference the first of three (to seven) samples associated with the homogeneous material.

Upon completion of sampling activities, the bulk samples were delivered along with completed chain-of-custody documentation to Crisp Analytical, which is an NVLAP (National Voluntary Laboratory Accreditation Program) member, for bulk asbestos sample analysis, which was performed using polarized light microscopy (PLM) in accordance with the EPA Interim Method 600/R-93/116 (improved), for identification of mineral forms of asbestos. The quantification of asbestos in the sample is intended to be a visual estimate only and the limit of detection for this method is approximately 1% by volume.

3.1.3 Survey

Results of laboratory analysis identified homogeneous ACM. The identified ACMs were then categorized using the following NESHAP criteria under 40 CFR Part 61, Subpart M:

1) Category I are non-friable asbestos-containing packings, gaskets, resilient floor covering, and asphalt roofing products.

2) Category II is non-friable ACM excluding Category I non-friable ACM.

3) Regulated Asbestos-Containing Materials (RACM) are friable materials; Category I non-friable ACM that has become friable; Category I non-friable materials that will or may be subjected to sanding, grinding, cutting, or abrading; or Category II non-friable materials that have a high probability of becoming or have become crumbled, pulverized, or reduced to powder by forces expected to act on the material in the course of demolition or renovation operations.

3.2 Lead-Based Paint

Components tested during the LBP inspection included non-factory painted accessible interior and exterior components. Tested painted components were cataloged based on location, specific component type, and substrate material.

EPA defines a LBP inspection as a surface-by-surface investigation to determine the presence of LBP. EPA defines LBP as any surface coating that contains 1.0 mg/cm² or 0.5% by weight.

Tetra Tech used paint chip sampling to determine the presence or absence of LBP. The procedure used to analyze the paint chip samples was by AOAC5.009(974.02) and Atomic Absorption

(AA)/SW-846-7420.

3.3 Mercury-Containing Components

The survey included the visual inspection of mercury-containing equipment including compact fluorescent lamps, fluorescent U-tubes, fluorescent lamps, linear fluorescent lamps, mercury vapor lamps, metal halide lamps, sodium vapor lamps, thermostats, temperature probes, batteries, and flow meters, as well as miscellaneous components (if present) identified during the course of the survey. Where applicable, the components’ manufacturing information was compared against a listing of mercury-containing components provided by the EPA. Any components suspected of containing mercury and were either not labeled or did not have labels identifying them as “Mercury-Free” were assumed to be mercury-containing and documented accordingly.

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3.4 Suspected PCB-Containing Components, Caulking, and Glazing

The survey included the visual inspection and sampling of miscellaneous components identified during the survey historically identified as PCB-containing, including but not limited to air conditioners, capacitors, equipment with electrical motors, freezers, furnace blower motors, hydraulic equipment, light ballasts, switches, transformers, and a plasticizing agent for caulking and glazing materials. Any components that were suspected of containing PCBs and were either not labeled or did not have labels identifying them as “PCB-Free” were assumed to be PCB-containing and were documented accordingly.

3.5 CFC-Containing Components

The survey included the visual inspection of miscellaneous components identified during the course of the inspection historically identified as CFC-containing, including but not limited to air conditioners, compressor tanks, coolers, and freezers. When applicable, the components’ manufacturing information was compared against a listing of CFC-containing components provided by the EPA. Any components suspected of containing CFCs that were either not labeled or did not have labels identifying them as “Chlorofluorocarbons-Free” were assumed to be CFC-containing and documented accordingly.

3.6 Other Hazardous Materials

The survey included a visual inspection of the building for other signs of potentially hazardous materials. This included various items and/or materials that could contain potentially hazardous materials in the buildings and surrounding areas of the building.

4.0 FINDINGS

The results of the survey activities are described in the following sections.

4.1 Asbestos-Containing Material Findings

A summary of the ACMs is provided in Table 2. Approximate sample collection locations are presented in Figures 1 through 10 and approximate ACM locations are presented in Figures 11 through 15.

Table 2 Summary of ACM

City of Warren- Louie’s Bar

HA

Number

HA Description HA Location Layer Percent

Asbestos Material Class

NESHAP

Category

Estimated Quantity

LB-F01-

12-inch by 12-inch off-white mottle pattern floor tile over black mottle pattern floor tile and associated yellow mastic

Rooms 101-

Black floor tile

2% Chrysotile

MM Cat II 1,450 SF

Off-white floor tile

ND

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LB-F01-

12-inch by 12-inch beige, black, and white layered tiles and associated brown leveling compound partially under white mottle floor tile

Room 104 and northeast corner of

101 east of the bar

Black floor tile

2% Chrysotile

MM Cat II 50 SF

LB-T05-

4-inch off-white wrap and associated off-white block Room 001

Gray/ Brown insulation

45% Chrysotile

TSI RACM 20 LF

LB-T05-

4-inch beige and tan insulation on elbow

Room 001 Tan

Insulation 30%

Chrysotile

TSI RACM 40 LF

LB-T06-

4-inch straight pipe with beige-wrapped Aircell insulation

Rooms 001 and 101

Tan Insulation

55% Chrysotile

TSI RACM 150 LF

CB-

F01-2

12-inch by 12-inch tan with black specked tile and associated black mastic

Rooms 108 -

Tan floor tile

2% Chrysotile

MM Cat II 375 SF

CB-

M99-1

Black/silver tar sealant

Previous exterior signage and roof caps

Black tar 4%

Chrysotile M Cat II 350 SF

SB-F02-

9-inch by 9-inch gray ceramic tile with light gray streaks and associated black mastic under light brown faux wood pattern vinyl flooring

Room 112 Gray floor tile 3%

Chrysotile MM Cat II 100 SF

SB-

M05-2

Gray caulking associated with west entrance

Room 112 Gray

Caulking 2%

Chrysotile MM Cat II 5 SF

SB-

M07-1

1-inch by 1-inch gray painted ceramic tile and associated gray grout

Exterior west wall

White grout/ White mortar

2% Chrysotile

MM Cat II 25 SF

SB-

M99-1

Black tar associated with terracotta tiles and gray mortar associated with parapet walls

Roof Black

Sealant 2%

Chrysotile MM Cat II 250 SF

HA = Homogeneous Area, NESHAP = National Emission Standard for Hazardous Air Pollutants, RACM = Regulated Asbestos Containing Material, Cat II = Category II Non-Friable, TSI = Thermal System Insulation, MM = Miscellaneous Material, SF = Square Feet, LF = Linear Feet Note: Table data is based on findings during Tetra Tech’s field survey and reflects site conditions for dates referenced in the summary report cjewett Line cjewett Line

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The following materials sampled from the site were suspected to contain asbestos but were found not to contain asbestos by laboratory analysis:

• 12-inch by 12-inch black mottle pattern floor tile with white streaks and associated yellow mastic in room 101 (LB-F01-2.1, 2, 3)

• 12-inch by 12-inch brown square pattern floor tile and associated clear mastic located throughout roof barn apartment (LB-F01-3.1, 2, 3)

• 12-inch by 12-inch brown pattern tile and associated clear mastic in room 105 (LB-F05- 1.1, 2, 3)

• 2-inch by 6-inch light red and brown textured brick and associated gray mortar on exterior

(LB-M04-1.1, 2, 3)

• 2-inch by 8-inch light red brick smooth and associated gray mortar on exterior (LB-M04- 2.1, 2, 3)

• White caulking associated with doors and windows on exterior (LB-M05-1.1, 2, 3)

• Dark gray caulking associated with door of room 101 (LB-M05-2.1, 2, 3)

• White caulking on west wall in room 001 (LB-M05-3.1, 2, 3)

• 2-foot by 4-foot white ceiling tiles with large pinhole and small fissure in rooms 102 and

103 (LB-M06-1.1, 2, 3)

• 6-inch by 12-inch gray CMU block and associated gray mortar on exterior of building structure (LB-M08-1.1, 2, 3)

• Gray foundation concrete on exterior of building (LB-M10-1.1, 2, 3)

• Off white mastic associated with 4-inch black rubber cove base in room 101 (LB-M12-1.1, 2 ,3)

• Multicolored and multilayered asphalt roofing shingles and associated tar paper (LB-M32- 1.1, 2, 3)

• Gray plaster associated with walls in rooms 101-104 (LB-S03-1.1, 2, 3)

• Off-white swirl wall coating in rooms 101-103, and barn apartment (LB-S07-1.1, 2, 3, 4, 5)

• Off-white ridged wall coating in rooms 101 and 104 (LB-S07-2.1, 2, 3)

• White mineral wool associated with boiler in room 001 (LB-T09-1.1, 2, 3)

• 12-inch by 12-inch gray tile and associated black mastic on floor in rooms 106 and 107

(CB-F01-1.1, 2, 3)

• Beige caulking above the exterior west window (CB-M05-1.1, 2, 3)

• White caulking associated with exterior west wall trim below window (CB-M05-2.1, 2, 3)

• 2-foot by 4-foot white ceiling tile with large pinhole and large fissure in room 107 (CB-M06- 1.1, 2, 3)

• Gray concrete slab associated with the building structure (CB-M10-1.1, 2, 3)

• Yellow mastic associated with 4-inch black cove base in rooms 106 and 107 (CB-M12- 1.1, 2, 3)

• Off-white wallboard system and associated off-white joint compound in rooms 106, 107, and 108 (CB-M13-1.1, 2, 3)

• Gray plaster associated with walls in rooms 106-111 (CB-S03-1.1, 2, 3, 4, 5)

• Gray spray on coating over red brick in room 110 (CB-S99-1.1, 2, 3)

• 12-inch by 12-inch beige tile and associated beige grout in rooms 115 and 116 (SB-F01- 1.1, 2, 3)

• Dark brown faux wood pattern vinyl flooring and associated clear adhesive in room 113

(SB-F05-1.1, 2, 3)

23150, 23154, 23158 Van Dyke Ave.

• Light brown faux wood pattern vinyl flooring and associated clear adhesive over 9-inch by 9-inch gray ceramic tile with light gray streaks and associated black mastic in room 112

(SB-F05-2.1, 2, 3)

• 16-inch by 16-inch gray stone tile and associated gray grout in rooms 112-114 and 117

(SB-F99-1.1, 2, 3)

• Black mastic associated with pink insulation in rooms 112 and 113 (SB-M01-1.1, 2, 3)

• 4 gage stranded black braided electrical wire insulation in room 114 (SB-M03-1.1, 2, 3)

• White painted black braided electrical two wire in rooms 112-114 (SB-M03-2.1, 2, 3)

• Brown braided wire wrap and associated paper insulation in rooms 112-114 (SB-M03-3.1, 2, 3)

• 12 gage yellow Romex 3 wire and associated brown paper insulation in rooms 112-114

(SB-M03-4.1, 2, 3)

• White caulking associated with sound booth window that borders rooms 112 and 113 (SB- M05-1.1, 2, 3)

• 2-foot by 4-foot white ceiling tile with large pinholes in room 115 (SB-M06-1.1, 2, 3)

• 2-inch by 2-inch black and white painted gray tile and associated gray grout in room 112

(SB-M07-2.1, 2, 3)

• Gray CMU block and associated gray mortar in rooms 112, 113, 114, and exterior of structure (SB-M08-1.1, 2, 3)

• Gray concrete slab associated with building structure (SB-M10-1.1, 2, 3)

• Off-white wallboard system and associated off-white joint compound in rooms 112-117

(SB-M13-1.1, 2, 3)

• Black tar rolled roofing and associated brown insulation (SB-M32-1.1, 2, 3)

• White sink undercoating in northeast corner of room 113 (SB-M33-1.1, 2, 3)

• Auburn window glazing bordering rooms 112, and 113 on removed sound booth window edge (SB-M39-1.1, 2, 3)

• Gray plaster associated with walls and ceiling in rooms 112, 113, and 117 (SB-S03-1.1, 2, 3)

• Off-white stucco associated with previously placed 1-inch by 1-inch tiles on west exterior siding (SB-S06-1.1, 2, 3)

4.2 Lead-Based Paint Findings

Paint chip samples indicate that LBP, as defined by the EPA, is present. EPA defines LBP as any surface coating that contains 1.0 mg/cm² or 0.5% by weight. Paint chip sample data also indicated that lead is present at concentrations less than the EPA limit of 1.0 mg/cm² and greater than 0.02 mg/cm².

A summary of the laboratory results of paint chip samples collected during the survey is provided in Table 3. The approximate sample locations of the painted components are presented in Figure

16. The LBP painted components locations are presented in Figure 17.

23150, 23154, 23158 Van Dyke Ave.

Table 3 Summary of Lead-Based Paint

City of Warren- Louie’s Bar

Material ID Item % Weight Location

LB-PNT-1

Magenta painted wood siding

2.600 Roof barn

LB-PNT-2 Blue painted CMU block 0.022 Exterior of building east side

LB-PNT-3

Brown painted metal ceiling tiles

1.700 Room 101

LB-PNT-4

White painted gypsum walls

0.016 Room 105

CB-PNT-1

White painted metal ceiling tiles

2.200 Rooms 106-108

CB-PNT-2

White painted plaster walls

0.016 Room 110

SB-PNT-1

Black painted plaster ceiling 0.210

East end of building in rooms 112, 113, and

SB-PNT-2 Gray painted CMU block 0.003 Exterior of building

Bold text indicates the material exceeds the EPA limit, greater than 0.5% by weight.

4.3 Mercury-Containing Component Findings

During the site assessment, the subject building was visually inspected for potential mercury-containing equipment, these are presented in Table 4.

Table 4 Summary of Mercury Containing Components

City of Warren Louie’s Bar

Material ID Item Location Quantity/Fixture

LB-UW-2

4-foot mercury fluorescent bulbs Throughout

CB and SB buildings

LB-UW-3 Mercury thermostat Room 106 1

Total Units: 37

4.4 PCB- Suspected Containing Caulk and Sealants

During the site assessment, the subject buildings were visually inspected and sampled for suspected PCB-containing caulk and sealants. Suspect PCB containing caulk and sealants were observed in the building during the survey and determined by lab analysis to not contain PCB.

A summary of the PCB samples is presented in Table 5.

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Table 5 PCB Content in Caulking and Sealants

City of Warren- Louie’s Bar

Polychlorinated Biphenyls (mg/Kg)

LB-PCB-1: White caulking associated with original barn siding

U

LB-PCB-2: Black tar roofing material U

LB-PCB-3: White caulking associated with door and windows on the west side of the building

U

CB-PCB-1: Beige caulking associated with windows and trim on the west side of the building

U

Notes: mg/Kg = milligrams per kilograms, PCB = Polychlorinated Biphenyls, U = Analyte shown to be below lab reporting limit, thus is considered a non-detection

4.5 Chlorofluorocarbons-Containing Component Findings

During the site visit, the subject building was visually inspected for potential CFC-containing equipment. The approximate locations of CFC-containing equipment are presented on Figure 18.

A summary of the CFC-containing components is presented in Table 6.

Table 6 Summary of CFC-Containing Components

City of Warren- Louie’s Bar Material

ID

Item Location Manufacturer Model Number Coolant Quantity

CFC-1

Condenser for ice machine Room 105 exterior wall mount Emerson

Quiet Kool Unknown NA 1 Each

CFC-2 Ice machine Room 105 NA NA NA 1 Each

CFC-3

Air conditioning wall unit Room 105 NA NA NA 1 Each

CFC-5

Air conditioning wall unit Room 101 NA NA NA 1 Each

CFC-6 Black cooler North wall in room

NA NA NA 2 Each

CFC-7 Cooler with taps Center of north wall in room 101 behind bar NA NA NA 1 Each

CFC-8

Air conditioning wall unit Room 110 NA NA NA 1 Each

Total Units: 9

NA=Not applicable

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4.6 Other Hazardous Materials

Potential Lab Pack materials were observed in the building during the inspection. The approximate locations of Lab Pack storage areas are presented on Figure 20. A summary of the Lab Pack, Lab Pack locations, and descriptions is presented in Table 7.

Table 7 Summary of Potential Lab Pack Materials

City of Warren- Louie’s Bar Material

ID

Item Location Trade Name

Manufacturer Phase Capacity Units Quantity Notes

LB-LP-1 Paint CB NA NA NA 5 gal 20 Buckets of paint

NA=Not applicable, gal= gallons

During the site visit the subject building and surrounding property were visually inspected for Storage Tanks. There was an unknown vessel observed in the building during the inspection. The approximate location of the vessel in room 001 is presented in Figure 19.

During the site assessment, the subject building was visually inspected for Fire Extinguishers.

The approximate locations of the Fire Extinguishers are presented on Figure 19. A summary of the Fire extinguishers, component locations, and descriptions is presented in Table 8.

Table 8 Summary of Fire Extinguishers

City of Warren- Louie’s Bar Material

ID

Type Location Capacity Quantity

LB-FE-1 Unknown due to inaccessibility Room 105 NA 1

LB-FE-2

A Ordinary Combustibles, B Flammable Liquids, C Live Electrical Equipment

Room 101 above the bar 10 lbs. 1

Total Units: 2

During the site assessment, the subject building was visually inspected for Hydrocarbon containing materials. There were Hydrocarbon containing materials observed in the building during the inspection. The approximate locations of Hydrocarbon Storage areas are presented in Figure 14. A summary of the Hydrocarbon containing components, component locations, and descriptions is presented in Table 9.

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Table 9 Summary of Hydrocarbon Storage

City of Warren- Louie’s Bar Material

ID

Type Location Container Quantity Notes

LB-HYD-

Unknown HUPP INC.

product

Room 001 Pump 1 NA gal= gallons

During the site visit the subject building was visually inspected for other potential hazardous materials. There were potential hazardous materials observed in the building during the inspection. The approximate locations of Other Hazardous Materials are presented in Figure 20.

A summary of the Other Hazardous components, component locations, and descriptions are presented in Table 11.

Table 11 Summary of Other Hazardous Materials

City of Warren- Louie’s Bar Material

ID

Type Location Description Quantity Notes

LB-UW-1 Battery Room 101 and 104 Exit sign batteries

3 NA

NA=Not applicable

5.0 RECOMMENDATIONS

Tetra Tech’s recommendations concerning the various types of potentially hazardous materials associated with the structures are presented below based on the results of the inspection and materials analyses.

5.1 Asbestos-Containing Building Materials

In accordance with state and federal regulations pertaining to asbestos, the ACMs identified in Table 2 are required to be abated prior to disturbance. The ACMs are required to be removed by a licensed asbestos abatement contractor using appropriate asbestos abatement methods and procedures in accordance with applicable state and federal regulations. Following the completion of asbestos abatement, a visual inspection and asbestos air clearance needs to be conducted as required by MCL Act 135 of 1986 338.3221. Any contractor preparing to bid or perform work on the site should be informed of the potential presence of ACMs. Contractors should also be informed of compliance requirements under current state and federal regulations.

5.2 Lead-Based Paint

This building does not meet criteria established by the EPA that would require compliance with The Residential Lead-Based Paint Hazard Reduction Act (Title X), as the building is not continuously occupied by children.

The Occupational Safety and Health Administration (OSHA) Lead in Construction Standard states that “negative” readings (i.e., those below the HUD/EPA definition of what constitutes LBP [1.0

23150, 23154, 23158 Van Dyke Ave.

mg/cm2]) do not relieve contractors from performing exposure assessments (personal air monitoring) on their employees per the OSHA Lead Standard and should not be interpreted as lead free. Although reading may indicate “negative”, airborne lead concentrations still may exceed the OSHA Action Level or the OSHA Permissible Exposure Limit (PEL) depending on the work activity.

OSHA has regulations pertaining to the disturbance of paint with any concentration of lead (29 CFR 1926.62). OSHA requires that safe work practices be utilized to reduce exposure to harmful levels of lead, regardless of the work being performed. Safe work practices may include the use of PPE (respiratory protector, disposable coveralls, and eye protection), initial exposure assessment, and the use of wet methods. Tetra Tech recommends that the removal involving any painted surfaces be conducted by a contractor who has received a minimum of OSHA Lead in the Construction Training (commonly referred to as “OSHA Lead Awareness Training”).

5.3 Mercury-Containing Components

Tetra Tech recommends that the mercury-containing components identified in Table 4 of this report be removed from the facility prior to the commencement of renovation activities. Mercury-containing components should be managed in a way that prevents leakage, spillage, or damage in a closed container that is structurally sound and compatible with mercury and the contents of the device. Containers should be clearly labeled as “Universal Waste – Mercury-Containing Equipment,” and specify the type and number of individual components.

Wastes are to be transported to an approved disposal facility in accordance with Universal Waste Transporter Regulations specified in 40 CFR Part 273 and must comply with applicable Department of Transportation (DOT) requirements.

5.4 PCB-Containing Components

Tetra Tech recommends that the possible PCB-containing components identified in Table 5 of this report be removed from the facility prior to the commencement of renovation activities. PCB-containing components and Other Hazardous Materials should be managed in a way that prevents leakage, spillage, or damage in a closed container that is structurally sound and compatible with PCBs and Other Hazardous Materials and the contents of the device. Storage of the materials must comply with 40 CFR 761.65, and containers are required to be labeled, transported, and manifested for disposal in accordance with 40 CFR 761.62, UAC Rule 19-6- 118.5, and must comply with applicable DOT requirements.

5.5 Chlorofluorocarbons-Containing Components

Tetra Tech recommends that the CFC-containing components identified in Table 6 of this report be removed from the facility prior to the commencement of renovation activities. CFC-containing components should be managed in a way that prevents leakage, spillage, or damage in a closed container that is structurally sound and compatible with CFCs and the contents of the device.

Storage of the materials must comply with 40 CFR 82, and containers are required to be labeled, transported, and manifested for disposal in accordance with 40 CFR 82, and must comply with applicable DOT requirements.

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5.6 Other Hazardous Materials.

Local landfill notification may be required to dispose of some components found in this section.

LIMITATIONS

Our opinions are intended exclusively for use by the City of Warren. The scope of services performed by Tetra Tech may not be appropriate to satisfy the needs of other users, and any use or re-use of this document, or the findings presented herein is prohibited and at the sole risk of the user. No additions or deletions are permitted without the express written consent of Tetra Tech.

Furthermore, the opinions presented herein are limited by the requested scope of services and the site conditions existing at the time of our investigation. Therefore, our opinions and recommendations may not apply to future site conditions which we have not had the opportunity to evaluate.

It has been a pleasure assisting you with this project. If you should have any questions or need any additional information, please contact me at our Tetra Tech Ann Arbor office at

(734) 665-6000.

Respectfully submitted, Tetra Tech, Inc.

Cody J. Knowlton Project Manager (406) 208-3540 KL/af

P:\Projects-ECA\HMS\City of Warren\Former Louie's Bar

Figures Attachment A – Inspector Accreditation Certifications Attachment B – Laboratory Analytical Reports and Chains-of-Custody

FIGURES

www.tetratech.com

Project No.:

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F-01

C o p y r i g h t

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Suspect ACM Sample Locations Interior

Pre-Renovation Hazardous Materials Survey

23150 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive

Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

(101)

(103)

(102)

(104)

(105)

(106) (107)

(108)

(110)

(109)

(111)

(112)

(113)

(115)

(116)

(114)

(117)

LB-S07-1.1

LB-S03-1.1

LB- M33-1.1, 1.2, 1.3

LB-M12-1.1

LB-S07-2.1

LB-S07-1.3

LB-M12-1.2

LB-S03-1.3

LB-S07-2.2

LB-SO7-1.2

LB-M12-1.3

LB-S07-2.3

LB-S03-1.2

Legend

Area not included with figure content

(101)

Room Number

Sample Location

LB-M05-2.3

LB-M05-2.1, 2.2

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Suspect ACM Sample Locations Interior Pre-Renovation Hazardous Materials Survey

23150 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

(101) (103)

(102)

(104)

(105)

(106)

(107)

(108)

(110)

(109)

(111)

(112) (113)

(115) (116)

(114)

(117)

LB-F01-1.1

LB-F01-2.1

LB-F01-2.2

LB-F01-1.2

LB-M06-1.2

LB-M06-1.3

LB-M06-1.1

LB-F05-1.1, 1.2, 1.3

LB-F01-1.3

LB-F01-2.3 LB-F01-4.2

LB-F01-4.3

Legend

Area not included with figure content

(101) Room Number

Sample Location

LB-F01-4.1

cjewett Highlight

LB-F01-1.1

cjewett Highlight

LB-F01-1.3

cjewett Highlight

LB-F01-1.2

cjewett Highlight

LB-F01-4.3

cjewett Highlight

LB-F01-4.1

cjewett Highlight

LB-F01-4.2

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F-03

C o p y r i g h t

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Suspect ACM Sample Locations Interior

Pre-Renovation Hazardous Materials Survey

23154 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive

Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

(101)

(103)

(102)

(104)

(105)

(106)

(107)

(108)

(110)

(109)

(111)

(112)

(113)

(115)

(116)

(114)

(117)

CB-M12-1.3

CB-S03-1.1

CB-M12-1.2

CB-M12-1.1

CB-S03-1.2

CB-S03-1.4

CB-S99-1.1, 1.2, 1.3

CB-S03-1.3

CB-S03-1.5

Legend

Area not included with figure content

(101)

Room Number

Sample Location

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F-04

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Suspect ACM Sample Locations Interior

Pre-Renovation Hazardous Materials Survey

23154 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive

Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

(101)

(103)

(102)

(104)

(105)

(106)

(107)

(108)

(110)

(109)

(111)

(112)

(113)

(115)

(116)

(114)

(117)

CB-F01-1.1

CB-M06-1.1

CB-M10-1.1, 1.2, 1.3

CB-M06-1.3

CB-M06-1.2

CB-M13-1.3

CB-F01-1.3

CB-F01-1.2

CB-F01-2.2

CB-M13-1.2

CB-F01-2.3

CB-F01-2.1

CB-M13-1.1

Legend

Area not included with figure content

(101)

Room Number

Sample Location cjewett Highlight

CB-F01-2.3

cjewett

CB-F01-2.1

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F-05

C o p y r i g h t

T e t r a

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Suspect ACM Sample Locations Interior

Pre-Renovation Hazardous Materials Survey

23158 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive

Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

(101)

(103)

(102)

(104)

(105)

(106) (107)

(108)

(110)

(109)

(111)

(112)

(113)

(115) (116)

(114)

(117)

SB-F05-2.3

SB-F05-2.2

SB-F02-1.1

SB-F99-1.1

SB-F05-2.1

SB-F02-1.2

SB-F02-1.3

SB-F05-1.1

SB-F05-1.2

SB-F05-1.3

SB-F99-1.2

SB-F99-1.3

SB-F01-1.1

SB-F01-1.3

SB-F01-1.2

Legend

Area not included with figure content

(101)

Room Number

Sample Location

SB-M01-1.1

SB-M01-1.2

SB-M01-1.3

cjewett Highlight

SB-F02-1.3

cjewett Highlight

SB-F02-1.2

cjewett

SB-F02-1.1

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F-06

C o p y r i g h t

T e t r a

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Suspect ACM Sample Locations Interior

Pre-Renovation Hazardous Materials Survey

23158 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive

Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

(101)

(103)

(102)

(104)

(105)

(106)

(107)

(108)

(110)

(109)

(111)

(112)

(113)

(115) (116)

(114)

(117)

SB-M10-1.2

SB-M03-3.1, 3.2, 3.3

SB-M03-2.1, 2.2, 2.3

SB-M07-2.1

SB-M07-2.2

SB-M07-2.3

SB-M10-1.1

SB-M13-1.1

SB-M08-1.1

SB-M13-1.2

SB-M05-1.1

SB-M05-1.2

SB-M05-1.3

SB-M39-1.3

SB-M39-1.2

SB-M39-1.1

SB-M03-4.1, 4.2, 4.3

SB-M10-1.3

SB-S03-1.3

SB-S03-1.2

SB-M03-1.1, 1.2, 1.3

SB-S03-1.1

SB-M08-1.3

SB-M13-1.3

SB-M06-1.3

SB-M06-1.2

SB-M08-1.2

SB-M06-1.1

SB-M33-1.1, 1.2, 1.3

Legend

Area not included with figure content

(101)

Room Number

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F-07

C o p y r i g h t

T e t r a

T e c h

Suspect ACM Sample Locations Basement

Pre-Renovation Hazardous Materials Survey

23150,23154,23158 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive

Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

(001)

LB-T06-1.3

LB-T06-1.2

LB-T05-2.1, 2.2, 2.3

LB-T09-1.1, 1.2, 1.3

LB-T06-1.1

LB-T05-1.1, 1.2, 1.3

LB-M05-3.1, 3.2, 3.3

Legend

Area not included with figure content

(001)

Room Number

Sample Location cjewett Highlight

LB-T05-1.1, 1.2, 1.3

cjewett Highlight

LB-T05-2.1, 2.2, 2.3

cjewett Highlight

LB-T06-1.2

cjewett Highlight

LB-T06-1.3

cjewett

LB-T06-1.1

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F-08

C o p y r i g h t

T e t r a

T e c h

Suspect ACM Sample Locations Exterior

Pre-Renovation Hazardous Materials Survey

23150, 23154 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive

Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

LB-M10-1.1

LB-M04-1.1

LB-M04-2.3

LB-M10-1.2

LB-M04-1.2

LB-M04-1.3

LB-M05-1.1, 1.2, 1.3

LB-M10-1.3

LB-S07-1.4

LB-M32-1.3

LB-M32-2.2

LB-M08-1.1

LB-M08-1.2

LB-M08-1.3

LB-F01-3.1, 3.2, 3.3

LB-M32-1.1

LB-M32-2.1

LB-S07-1.5

LB-M32-1.2

LB-M32-2.3

LB-M04-2.1

LB-M04-2.2

Legend

Area not included with figure content

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117-0526398

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F-09

C o p y r i g h t

T e t r a

T e c h

Suspect ACM Sample Locations Exterior

Pre-Renovation Hazardous Materials Survey

23154 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive

Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

CB-M99-1.2

CB-M05-1.1

CB-M05-1.2

CB-M99-1.1

CB-M05-2.3

CB-M05-1.3

CB-M99-1.3

CB-M05-2.1

CB-M05-2.2

Legend

Area not included with figure content

Sample Location cjewett Highlight

CB-M99-1.1

cjewett Highlight

CB-M99-1.3

cjewett

CB-M99-1.2

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117-0526398

JDE

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F-10

C o p y r i g h t

T e t r a

T e c h

Suspect ACM Sample Locations Exterior

Pre-Renovation Hazardous Materials Survey

23158 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive

Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

SB-M99-1.1

SB-S06-1.2

SB-M99-1.2

SB-M99-1.3

SB-M05-2.1, 2.2, 2.3

SB-S06-1.1, 1.3

SB-M32-1.1

SB-M32-1.2

SB-M99-1.1

SB-M99-1.2

SB-M32-1.3

SB-M99-1.3

Legend

Area not included with figure content

Sample Location cjewett Highlight

SB-M05-2.1, 2.2, 2.3

cjewett Highlight

SB-M99-1.1

cjewett Highlight

SB-M99-1.2

cjewett Highlight

SB-M99-1.1

cjewett Highlight

SB-M99-1.3

cjewett Highlight

SB-M99-1.3

cjewett

SB-M99-1.2

6/ 3/

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F-11 C op yr ig ht T et ra

T ec h

ACM Locations Interior Pre-Renovation Hazardous Materials Survey

23150 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

(101) (103)

(102)

(104)

(105)

(106) (107) (108)

(110)

(109)

(111)

(112) (113)

(115) (116)

(114)

(117)

Legend

LB-T06-1: 4-inch straight pipe with beige-wrapped Aircell insulation and LB-T05-2:

4-inch beige and tan insulation on elbow

LB-F01-1: 12-inch by 12-inch Off-white mottle pattern floor tile over black mottle pattern floor tile and associated yellow mastic and LB-F01-4:

12-inch by 12-inch beige, black, and white layered tile and associated brown leveling compound

(101) Room Number

6/ 3/

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117-0526398

JDE

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F-12 C op yr ig ht T et ra

T ec h

ACM Locations Interior Pre-Renovation Hazardous Materials Survey

23154 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

(101) (103)

(102)

(104)

(105)

(106) (107)

(108)

(110)

(109)

(111)

(112) (113)

(115) (116)

(114)

(117)

Legend

CB-F01-2: 12-inch by 12-inch tan with black specked tile and associated black mastic

6/ 3/

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117-0526398

JDE

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F-13 C op yr ig ht T et ra

T ec h

ACM Locations Interior Pre-Renovation Hazardous Materials Survey

23158 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

(101) (103)

(102)

(104)

(105)

(106) (107)

(108)

(110)

(109)

(111)

(112) (113)

(115) (116)

(114)

(117)

Legend

SB-F02-1:9-inch by 9-inch gray ceramic tile with light gray streaks and associated black mastic under light brown faux wood pattern vinyl flooring

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117-0525398

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F-14

C o p y r i g h t

T e t r a

T e c h

ACM Locations Basement

Pre-Renovation Hazardous Materials Survey

23150,23154,23158 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive

Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

(001)

Legend

(001)

Room Number

LB-T06-1: 4-inch straight pipe with beige-wrapped Aircell insulation and LB-T05-2: 4-inch beige and tan insulation on elbow

LB-T05-1: 4-inch off-white wrap and associated off-white block

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C o p y r i g h t

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T e c h

ACM Locations Exsterior

Pre-Renovation Hazardous Materials Survey

23150,23154,23158 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive

Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

Legend

CB-M99-1: Black/ silver tar sealant

SB-M07-1: 1-inch by 1-inch gray painted ceramic tile and associated gray grout

SB-M99-1: Black tar associated with terracotta tiles and gray mortar associated with parapet walls

SB-M05-2: Gray caulking associated with west entrance

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Paint Sample Locations

Pre-Renovation Hazardous Materials Survey

23150,23154,23158 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive

Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

(101)

(103)

(102)

(104)

(105)

(106) (107)

(108)

(110)

(109)

(111)

(112)

(113)

(115)

(116)

(114)

(117)

CB-PNT-1

CB-PNT-2

LB-PNT-2

LB-PNT-3

LB-PNT-4

LB-PNT-1**

SB-PNT-1

SB-PNT-2

Legend

Sample Location

LB-PNT-1: Magenta paint associated with wood siding of barn structure on roof of building 23150

LB-PNT-2: Blue paint associated with exterior cinder block walls throughout east side of building 23150, and 23154

LB-PNT-3: Brown paint associated with metal ceiling tiles throughout room 101

LB-PNT-4: White paint associated with interior gypsum walls throughout room 105

CB-PNT-1: White paint associated with ceiling tiles throughout rooms 106, 107, and 108

CB-PNT-2: White paint associated with plaster walls throughout room 110

SB-PNT-1: Black paint associated with plaster ceiling throughout rooms 112, 113, and 117

SB-PNT-2: Gray paint associated with exterior cinder block walls of building 23158

** Sample was taken on the roof of the structure in the location of symbol

(101) Room number

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Positive Paint Locations Pre-Renovation Hazardous Materials Survey

23150,23154,23158 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

(101)

(103)

(102)

(104)

(105)

(106) (107)

(108)

(110)

(109)

(111)

(112) (113)

(115) (116)

(114)

(117)

Legend

LB-PNT-1: Magenta paint associated with wood siding of barn structure on roof of building 23150 LB-PNT-3: Brown paint associated with metal ceiling tiles CB-PNT-1: White paint associated with ceiling tiles

(101) Room number

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PCB Sample Locations Pre-Renovation Hazardous Materials Survey

23150,23154,23158 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

(101) (103)

(102)

(104)

(105)

(106) (107)

(108)

(110)

(109)

(111)

(112) (113)

(115) (116)

(114)

(117)

CB-PCB-1

LB-PCB-2**

LB-PCB-3 LB-PCB-1

Legend

Sample Location

(101) Room number

LB-PCB-1: White caulking associated with original barn siding throughout exterior roof structure of building 23150

LB-PCB-2: Black tar roofing material throughout roof caps of building 23150, 23154, and exterior wall of building 23154 in the area of former sign

LB-PCB-3: White caulking associated with doors and windows throughout west side of building 23150

CB-PCB-1: Beige caulking associated with windows and trim throughout west side of building 23154

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RMS Locations Pre-Renovation Hazardous Materials Survey

23150,23154,23158 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

(106)

(101) (103)

(102)

(104)

(105)

(107)

(108) (110)

(109)

(111)

(112) (113)

(115) (116)

(114)

(117)

LB-CFC-1

LB-CFC-2LB-CFC-3

LB-FE-1

LB-HYD-1*

LB-FE-2

LB-CFC-5

LB-CFC-6

LB-CFC-7

LB-CFC-8

Legend

LB-CFC-1: Emerson Quiet Kool condenser on north exterior wall of room 105 LB-CFC-2: Ice machine on the north side of room 105 LB-CFC-3: Wall mounted air conditioner on the north side of room 101 LB-CFC-5: Whirlpool wall mounted air conditioner above door on the west side of room 101 LB-CFC-6: Black cooler units behind bar on the north side of room 101 LB-CFC-7: Cooler with mounted taps behind bar on the north side of room 101

LB-CFC-8: Air conditioning unit in center of room 110 LB-FE-1: Fire extinguisher in room 105 LB-FE-2: A Ordinary Combustibles, B Flammable Liquids, C Live Electrical Equipment Fire extinguisher above bar in room 101 LB-HYD-1: HUPP Inc. pump in room 001

* Material was identified in the basement of the structure in the location of identifier

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RMS Locations Pre-Renovation Hazardous Materials Survey

23150,23154,23158 Van Dyke Ave.

Warren MI, 48098

1136 Oak Valley Drive Ann Arbor, Michigan, 48108

PHONE: 406-208-3540

N

(101) (103)

(102)

(104)

(105)

(106) (107)

(108)

(110)

(109)

(111)

(112) (113)

(115) (116)

(114)

(117)

LB-ST-1*

LB-UW-1

LB-UW-1

LB-UW-7

LB-LP-1

Legend

LB-UW-2**

LB-UW-1: Illuminating exit sign throughout room 101 and north wall of room 104

LB-UW-3: Mercury bulb associated with thermostat on east side of room 106 LB-LP-1: 5-gallon paint buckets on the north side of room 108 LB-ST-1: Ceiling mounted vessel 001

CB-PBC-2: Ballast in fluorescent light fixtures and associated LB-UW-2: 4-foot mercury fluorescent light bulbs

LB-UW-2: Various sized mercury fluorescent bulbs

(101) Room Number

* Material was identified in the basement of the structure in the location of identifier

ATTACHMENT A

Accreditation Certifications

State of fM.icliigan 1

0_.rtmDn1 91 lalNJf n• E<etMHak O.•tJllet0l i _l~_f_"'111•!' OOOU,SYli•!'•f Sa1efl'. Hu•b •---er•»e-n. MN.Stu .. , .• ,,.'"

Asbe tor

Kalii C. Peck 24500 Weathervane B Apartment B228 l • Clinton Township, Ml 48035 ___ _,,,,.

Accreditation NUlnber (" Expil ation Pate

A60513 BJ2\l24 This 1ndMdual has sattsfactorily met or uceedect itle requirements of Michi;an Public Ad. 440 ol 1911 n to be? ~ccredlted as an Asbestos ~or

DOB: 06/1811992

162553

Your accreditation card is valid for a period of one year, as indicated by the expiration date on the card. Your card must be present on any project site where you are conducting asbestos-related work.

If a replacement card is needed, the replacement fee will be $25.00.

All questions regarding your accreditation should be directed to 517-284-7698.

Cardholder's Signature

Please visit our website at: www.michiQan.Qov/asbestos

60513-162553

I I I I I I I I Ill l~II Ill llll llll ill 1111 Information contained in the bar code is Wmited to ID# and control#.

MIOSHA-CSH-269 (03/18)

Authority : Michigan Public Act 440 of 1988, as amended

Not valid unless signed.

If found please return to:

MIOSHA - Asbestos Program 530 West Allegan Street P.O. Box 30671 Lansing, Ml 48933

100891

ATTACHMENT B

Laboratory Analytical Reports and Chains-of-Custody

Customer Project:

Reference #: Date: 05/16/23

Analysis and Method

Discussion

Qualifications

CA Labs

Dedicated to QualityDedicated to QualityDedicated to QualityDedicated to Quality

Crisp Analytical, L.L.C.

1929 Old Denton Road

Carrollton, TX 75006

Phone 972-242-2754

Fax 972-242-2798

CA Labs, L.L.C.

12232 Industriplex, Suite 32

Baton Rouge, LA 70809

Phone 225-751-5632

Fax 225-751-5634

Materials Characterization - Bulk Asbestos Analysis Laboratory Analysis Report - Polarized Light

Tetra Tech, Inc.

1136 Oak Valley Dr.

Ann Arbor, MI 48108 117-9999999, City of Warren Louie's Bar

CAL23053840AS

Summary of polarized light microscopy (PLM /…