Amendment 0005 Survey.pdf

SIGNATURE:

PREPARED BY: Traver Andreasen (ASB#-4397, PB#-2085)

REPAIR NORTH APRON PAVEMENT

FACILITY:

FACILITY CONSTRUCTION DATE:

REQUESTER:

ORGANIZATION:

THIS REPORT IS NOT TO BE USED FOR BIDDING PURPOSES

REQUESTED:

NORTH APRON

N/A

LEAD BASED PAINT

ASBESTOS

EDISON PLATT

75 CES

10 January 2018

LIMITED INSPECTION REPORT

Utah Certified State Inspector: Traver Andreasen (ASB#-4397: Expires-1 December 2018, PB#-2085: Expires-11 January 2020)

INSPECTION DATE: 23 February 2018

60283WORK ORDER #:

Reference UDAQ R307-807-6

DEPARTMENT OF THE AIR FORCE

75TH CIVIL ENGINEERING (CEOHA)

HILL AIR FORCE BASE, UTAH

ASBESTOS

Assumed

Assumed

Duct Banks containing the black conduit and asbestos cement (transite) pipe have been encountered on past runway and apron projects. The quantities are estimates only, it is impossible to know the exact quantity until excavated. If this or any other material is encountered, please call the Asbestos Shop by the number listed below.

Underground Utilities

Conduit, Black Non-Friable Category II 500 Linear

Feet Underground Utilities

SUMMARY OF ASBESTOS CONTAINING MATERIALS FOUND

MATERIAL TYPE

*RACM

*Category I *Category II

FRIABILITY QUANTITY

Asbestos Concrete Utility Pipe

Non-Friable Category II 500 Linear

Feet

DEPARTMENT OF THE AIR FORCE

75 CIVIL ENGINEERING (CEOHA)

HILL AIR FORCE BASE, UTAH

Repair North Apron pavement.Statement of Work:

LIMITED ASBESTOS INSPECTION REPORT INFORMATION

Category I Non-Friable ACM: Asbestos-containing packings, gaskets, resilient floor coverings, or asphalt roofing products containing more than 1% asbestos as determined by using the method specified in 40 CFR Part 763, Subpart E, Appendix E, Section 1, Polarized Light Microscopy (PLM).

RACM: Regulated Asbestos-Containing Material (RACM)" means friable ACM, Category I non-friable ACM that has become friable, Category I non-friable ACM that will be or has been subjected to sanding, grinding, cutting, or abrading, or Category II non-friable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by the forces expected to act on the material in the course of demolition or renovation project operations.

Table 1

The quantities within this report are estimates and are not to be used for bidding purposes.

This inspection was performed in accordance with the Utah Division of Air Quality (DAQ) requirements as found in the Utah Air Quality Rule R307-801-10. This inspection report is required to be on site during all abatement, renovation, and demolition activities. Samples referenced in this report were analyzed by polarized light microscopy (PLM) utilizing method 600R-93-116 by The Science and Engineering Laboratory

(AIHA Acc.#-101572) at Hill Air Force Base, Utah (R307-801-10.8.a-b).

*LOCATIONS FOUND

Civil Engineering personnel also reviewed previous asbestos inspection reports of suspect asbestos containing materials (ACM) that could potentially be encountered in the proposed area/areas. The information gathered from all current and previous inspections is shown below by homogenous area (R307- 801-9-4).

*Per UDAQ definition.

A total of N/A N/A

CONTACT INFORMATION

suspect materials assessed as part of the inspection.

Sample # samples reference the

Table 4.

POTENTIAL FOR ADDITIONAL MATERIALS:

The following table summarizes the sampling data.

Homogenous Building Material, Description, Location, Quantity.

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

Cell: (801)430-3976 Supervisor: Traver Andreasen: DSN: (801)586-7094

Asbestos/LBP Shop 75 CES(CEOHA)

Asbestos/LBP Shop Personnel

DSN:(801)777-8006

ResultsSample Location

The following is a list of the "Suspect Materials" that were sampled as part of this inspection:

N/A N/A N/A N/A

Locations found: Locations of building materials as described in this report indicate where they were found, but do not necessarily mean that these are the only locations where these materials may be encountered during the project.

Category II Non-Friable ACM: Any material, excluding Category I non- friable ACM, containing more than 1% asbestos as determined by using the methods specified in 40 CFR Part 763, Subpart E, Appendix E, Section 1, Polarized Light Microscopy (PLM) that, when dry, cannot be crumbled, pulverized, or reduced to powder by hand pressure.

Table 3.

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

N/A N/A

Table 2.

Table 1.

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

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

4-Any effort to disturb lead paint can create lead dust. Ensure that appropriate abatement, cleanup, and disposal will be accomplished and that appropriate safety measures are taken IAW 29 CFR 1926.62. If you have any questions please feel free to call Traver Andreasen at 586-7094.

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

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

LIMITED LEAD-BASED PAINT IDENTIFICATION REPORT INFORMATION

SCOPE OF WORK: Repair the North Apron pavement.

DEPARTMENT OF THE AIR FORCE

75TH CIVIL ENGINEERING (CEOHA)

HILL AIR FORCE BASE, UTAH

1-Table 1 below, summarizes the painted/coated building components that tested positive for Lead Based Paint/Coating. These components should be segregated or abated prior to renovation or demolition, and a composite TCLP taken of the waste before disposal.

Component ConditionLead ReadingColor Old comm/electrical cables have been encountered in the past. This cable may be wrapped in a lead wrapping, this wrapping is easily identified by the soft metal coating/wrap and may or may not be in a conduit or pipe.

This cable varies in diameter, but is typically 1.25". This cable must be verified by the CE Exterior Electric Shop and the Asbetsos Shop prior to disturbance.