Attachment 0001 Inspection Report Cassville Cottage.pdf

ASBESTOS INSPECTION

REPORT

Inspection Address:

Army Corps of Engineers

7101 Closing Dam RD.

Cassville, WI 53806

Project #: 24-29160W

Prepared For:

Army Corps of Engineers 25549 182nd St

Pleasant Valley, IA 52767

Prepared by:

Travis J. Haas, Inspector

8/29/24 Report Date

AII-112450

Inspector License Number

9/18/24 License Expiration date

TABLE OF CONTENT

1. INTRODUCTION

2. DEFINITIONS

3. GENERAL BUILDING OBSERVATIONS

4. REPORT DATA

a. METHOD

b. REPORT DATA

5. PROJECT SUMMARY

a. POSITIVE ASBESTOS SAMPLE LIST

b. CONCLUSIONS AND RECOMMENDATIONS

LIST OF APPENDICES

APPENDIX A - SAMPLE INVENTORY LIST & LAB ANALYSIS

APPENDIX B - INSPECTOR LICENSE AND CERTIFICATION

APPENDIZ C - PICTURES

SECTION 1

INTRODUCTION

For each area of the building, the inspector performing the inspection did the following:

1. Visually inspected the area(s) to identify the locations of all suspected

Asbestos Containing Building Materials.

2. Identify all homogeneous areas of friable and non-friable suspected asbestos.

3. Assume, if necessary, that some or all of the homogeneous area(s) are Asbestos Containing Material (ACM), and for each homogeneous area that is not assumed to be ACM, collect and submit bulk samples for analysis.

SECTION 2

DEFINITIONS:

HOMOGENEOUS AREA

An area which appears similar throughout in terms of color, texture, and date of material application.

SURFACING MATERIAL

Material in a building that is sprayed-on, troweled-on, or otherwise applied to surfaces, such as acoustical plaster on ceilings and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes.

THERMAL SYSTEM INSULATION

Means material applied to pipes, fittings, boilers breeching, tanks ducts, or other interior structural components to prevent heat loss or gain, or water condensation, or other purposes.

MISCELLANEOUS MATERIAL

Interior building material on structural components, structural members or fixtures, such as floor and ceiling tiles, and does not include surfacing material or thermal system insulation.

SAMPLING AND ANALYSIS

All samples to be analyzed by Polarized Light Microscopy (PLM). Analysis was performed in accordance with EPA 40 CFR, Part 763, Appendix A to Subpart F.

A homogeneous area was considered not to contain Asbestos Containing Material (ACM) only if the results of all samples collected from the area showed asbestos in the amounts of one (l) percent (%) or less (_1%). A homogeneous area contains ACM when one or more samples collected from that area shows greater than one (1) percent (%) asbestos (>1%).

FRIABLE

Any material containing more than one (1) percent (%) asbestos that, when dry can be crumbled, pulverized, or reduced to a powder by hand pressure.

NON-FRIABLE (CATEGORY I)

Asbestos containing packings, gaskets, resilient floor covering, and asphalt roofing products, containing more than one (1) percent (%) asbestos.

NON-FRIABLE (CATEGORY II)

Any excluding Non-Friable (Category I) Asbestos Containing Material, containing more than one (1) percent (%) asbestos.

SECTION 3

General Building Inspection Observations

The building inspection is conducted by a qualified and State of Wisconsin licensed Asbestos Inspector. The purpose of a building inspection is to identify existing building materials that are asbestos containing materials (ACM). If the inspection is conducted in an occupied building, the Inspector is sometimes denied accessibility to building areas and materials, i.e., the Inspector may not be allowed to cut through floor coverings or walls, remove quarry tiles, etc. There are many situations where ACM are concealed in wall cavities and other non-accessible areas, such as tunnels, crawl spaces, above ceilings, pipe chases, behind wall coverings, beneath debris piles, under various floor coverings, etc. When these situations occur in construction, renovation, and/or demolition, etc., materials in these areas shall be treated as ACM and handled as such by qualified and licensed asbestos personnel. If suspected asbestos containing material is discovered or damaged during the course of any activities, the material shall be considered and treated as ACM to diminish further fiber release. In addition, the Inspector uses an independent laboratory that analyzes bulk building material samples using Polarized Light Microscopy (PLM). PLM analysis technique may not be as accurate as more expensive analysis techniques for certain building materials. It remains the Building Owner and/or Representative(s)’ responsibility to address this issue and consider analyzing suspect building material using different analysis techniques prior to disturbing the material(s). The following are areas that may not be inspected.

1. Tunnels and Crawl Spaces: During the inspection process, the Inspector attempts to check tunnels and crawl spaces for ACM and the degree of damage to the materials. In most cases, quantification of ACM in these areas is impossible due to the inaccessibility to these areas. In addition, these areas may fall under: "Confined Space Regulations". Due to the congestion in tunnels and crawl spaces, obtaining an accurate quantification for mudded joints, pipe wrap, etc. is almost impossible. The Inspector will quantify ACM only in accessible tunnels and crawl spaces and estimate the quantities in the inaccessible areas.

Some reasons for inaccessibility are as follows: flooded areas, pipe congestion, asbestos and other debris, electrical hazards, confined spaces, unknown gas emissions, low ceilings, etc.

2. Boilers and Thermal System Insulation: Interior portions of boilers, heaters, storage tanks, etc. are not always accessible. Materials in these areas will be treated as ACM. Areas of concern are packing inside boiler doors and liners.

Use extreme care and properly trained personnel when handling these types of materials. Some boilers have insulated metal jackets over fiberglass or ACM.

Thermal system insulation can be found in many different forms, i.e., air cell, preformed magnesium block, millboard, etc. All fiberglass materials are excluded as suspected ACM.

3. Debris: In areas where damaged ACM may be found there may and usually will be ACM debris in the general area of the damaged material. These areas shall be treated with the utmost care even during the inspection and quantification process. The Inspector considers any exposure to this type of material as a health threat.

4. State of Quantification: As a general rule, individual rooms or areas of estimation contain inherently more probability of an error than those groups of rooms or areas or an entire building. In other words, the aggregate tends to be more accurate than the sums of the individual parts. Therefore, when designing response actions (measurements, air samples, etc.), the project designer and the asbestos abatement contractor’s attention shall be given to ensure that quantification of materials and proper methods are followed through careful analysis of the site. If materials are quantified, the asbestos abatement contractor or owner, owner representatives or third parties are responsible for verifying the quantities.

5. The Inspector may take some latitude in the presentation of the Inspection

Report. When the Inspector has found floor tiles, linoleum, and/or carpeting listed he/she may or may not have adhesives listed. Adhesives have been known to contain asbestos and therefore, although not mentioned, it may be presumed to be ACM, listed or not. Testing of the adhesive prior to disturbing is recommended. The same is true for adhesives or mastics used to adhere linoleum to floors or counter tops. All toweled-on and/or sprayed-on surfacing materials, i.e., floor mastics, wall and ceiling surfacing, etc. are either suspected or presumed ACM unless sampled and analyzed to indicate that they are not

ACM.

6. In the Inspection Report, certain items such as mudded joints (MJ) or metal doors (MD), etc. are listed as units or number of units, i.e. 10 MJ, 3 Damaged, which is an indication of count rather than square feet or linear feet. Most materials listed in the assessment are either listed as square feet or linear feet with these noted exceptions.

7. In the Assessment Process, there are additional codes such as ME and MG;

ME representing miscellaneous electrical and MG representing miscellaneous gasket materials. Both codes are used to indicate materials that are unusual to the normal course of an assessment of the building. Miscellaneous electrical materials include old electrical wiring, switchboards, transite panels, etc.

Miscellaneous gasket materials can be found between (thermal) valves, on boiler doors, between fittings, between molds, etc. These codes give the Inspector the ability to qualify materials, which sometimes may not be considered as ACM.

8. An Asbestos Code Sheet is included with the Inspector's inspection report, which informs the client as to the Homogeneous Codes used during the inspection process.

9. Caution- Regarding Inspection results- Floor tiles, adhesives, and drywall (mud) found to not contain asbestos should be re-analyzed under the “Chatfield Method” of TEM analysis. Many times, the results from having these materials analyzed under PLM result in false positives or false negatives. After reviewing your report, please notify the inspector if you want these samples analyzed under the “Chatfield Method”.

10. Any sample less than 10% asbestos may be Point Counted. Point counting is a more accurate method of analyzing bulk samples. The results of the point counting are the results that will determine if the material will be treated as asbestos.

11. Asbestos inspections are performed based on current understanding of the regulations. As new interpretations of the regulations are made aware of by the EPA, DNR, and Wisconsin Department of Health Services. Advanced Environmental Testing and Abatement Inc. will adapt their inspections to comply with these new procedures. If additional sampling is required by the different agencies, Advanced Environmental will do the additional sampling. The owner is responsible for the additional cost for these samples as well as labor.

12. Advanced Environmental shall not be responsible for any cost of abating any additional asbestos discovered in any renovation or demolition activities. Any additional items discovered shall be tested when they become accessible. For example, old adhesive may be under new floor tiles and adhesive. Additional materials may be concealed in walls, under multi layers of flooring, etc.

13. All amounts listed are estimates. It is up to other contractors to field verify any amounts that are listed within this report.

14. All material that looks similar should be treated as asbestos containing materials.

15. Asbestos Material containing <1%. Some material tested for asbestos may contain trace amounts of asbestos and be below the threshold for asbestos contain material according to both the Wisconsin DNR and Department of Health Services. However, the Federal Occupational Safety and Health Administration still has some regulations that contractors must follow under 29 CFR 1926.1101.

Please contact Advanced Environmental Testing and Abatement, Inc. for consultation on how to handle material with <1% asbestos.

16. Flat roofs: If any layer of a flat roof tests positive for asbestos, all layers should be considered asbestos and removed as such. Advanced Environmental makes every effort to core roof samples through all layers.

ASBESTOS CODES

A = Assumed MJ = Mudded Joint ADH = Adhesive NC = Nose Cap APW = Air Cell Pipe Wrap NF = Non-Friable BP = Boiler Plaster NSM = Not Suspect Material C = Ceiling P or PH = Previous History CAPS = Stair Treads PP = Patched Plaster/Drywall CQ = Can’t Quantify PSA = Sand Plaster CT = Ceiling Tiles PSM = Smooth Plaster CT/12 = 12” Ceiling Tiles S = Sample/Samples/Sampled DAM. = Damaged SCT = Suspended Ceiling Tile DEB = Debris SR = Sample Result DW = Drywall ST = Storage Tank

F = Friable SUR = Surfacing FE = Furnace Exhaust T = Thermal FT = Floor Tiles Thermal Pipe Measurement = Linear Ft GASK = Gaskets TR = Transite

GYM = Gypsum TSI = Thermal System Insulation HOMO = Homogeneous VC = Vibration Cloth LINO = Linoleum VDW = Vinyl Covered Drywall MISC = Miscellaneous Non-Friable W = Walls MAC = Metal Asbestos Chimney WD = Wood Door MATL DESC = Material Description N = North MD = Metal Door S = South ME = Miscellaneous Electrical E = East MF = Miscellaneous Friable W = West

1. All Metal Doors are listed by quantities, example 3 = 3 metal doors.

2. All Mudded Joints are listed by quantities of MJ, not sizes.

3. All Pipe Wrap materials are listed in linear feet.

4. All other measurements are square feet unless stated elsewhere.

5. Sample Results: N = Not Considered Asbestos Containing Material

Y = Considered Asbestos Containing Material P or PH = Previous History N/A = Not Analyzed <1% = Contains less than 1% Asbestos Containing Material

>1% = Contains more than 1% Asbestos Containing Material

6. All Adhesives are considered Asbestos Containing Material (ACM) which can’t be quantified - Non-Friable ACM.

7. All Seals and Gaskets are considered Asbestos Containing Material (ACM) which can’t be quantified – Non-Friable ACM.

SECTION 4

REPORT DATA

BUILDING NAME: Vacant House INSPECTION AREAS: Interior and Exterior CLIENT CONTRACT: Army Corps of Engineers: Alan Shillington

METHOD:

All samples are sent to EMC LABS, INC in Phoenix, Arizona. EMC LABS is accredited by the National Institute for Standards and Technology for Polarized Light Microscopy analysis under their NVLAP accreditation (NVLAP #: 101926-0). The sampling was completed by a State of Wisconsin licensed asbestos inspector. Sampling methods were based on National Emission Standards for Hazardous Air Pollutants (NESHAPS) protocols. Bulk samples of suspect asbestos containing material were analyzed by Polarized Light Microscopy (PLM) using EPA Method 600-R93-116.

OVERVIEW:

An asbestos inspection was conducted on the property located at the above address on August 21st, 2024. Complete sampling was conducted on the interior and exterior of the property. The property is a one-story residential house that is currently vacant.

The property has an original addition on the front including one bedroom, living room and kitchen. An addition was added to the rear including bathroom, and two bedrooms. A total of forty-three samples were analyzed for asbestos. Each sample is broken down into layers if necessary (I.e., floor tile and mastic). Two of these samples were point-counted. Samples can be categorized by miscellaneous, surfacing, and thermal. The following samples were taken of each:

Miscellaneous samples tested include:

Caulking Construction Adhesive RFP paneling Drywall/compound Roofing Mastic Linoleum Ceiling tiles Vermiculite

Surfacing samples included:

Plaster

Thermal samples include:

No samples taken

SECTION 5

POSITIVE SAMPLE RESULTS:

The following samples tested positive (>1%) for asbestos:

The inspection was to identify asbestos containing materials prior to demolition. The Inspection entailed a visual assessment of the property for suspect asbestos containing materials, collection, and submittal of bulk samples for analysis.

CONCLUSIONS AND RECOMMENDATIONS

The results of laboratory testing during the asbestos renovation survey found asbestos, >1% containing materials on the main roof and gasket material on the interior of the building. Regulated asbestos containing materials and non-friable class II materials must be removed prior to demolition. This includes vermiculite, drywall compound, and window glazing. It is our recommendation to remove all asbestos containing material from the residence prior to demolition. If the construction adhesive and black mastic will remain in during demolition, they must be taken to the landfill as asbestos containing waste and properly disposed of. Vermiculite insulation has been contaminated in the wall cavities in the front addition and will need to open the walls to find the insulation. In the rear addition, vermiculite was found above the ceiling tiles and could be in the wall cavities also. It is the responsibility of the asbestos contractor to find all vermiculite in the residence.

Sample Number

Material Color Locations Quantity ACM%

82124-8 Construction Adh.

Black Kitchen walls 200 Sq. Ft. 5% Chrysotile

82124-9 Construction Adh.

Black Kitchen walls See Above 5% Chrysotile

82124-10 Vermiculite Gold Ceiling/walls 468 Cubic Ft. 1.5% P.C.

Chrysotile

82124-12 Black mastic Black Living room flooring 360 Sq. Ft. 5% Chrysotile 82124-13 Black mastic Black Living room flooring See above 5% Chrysotile 82124-24 Drywall compound White Rear addition of house 1000 Sq. Ft. 2-3% Chrysotile

82124-25 Drywall compound

White Rear addition of house See above 3% Chrysotile

82124-28 Window glazing

White Windows throughout 9 Each 3% Chrysotile

APPENDIX A

SAMPLE INVENTORY LIST, LAB ANALYSIS

Facility Name/Site Location Army Cops of Engineers Inspected By:

Closing Dam Rd Travis Haas Cassville, WI

Sample No Material Color Location Current Condition Results

82124-1 Linoleum Beige Kitchen front entrance Good 0%, 0%

82124-2 Linoleum Beige Kitchen front entrance Good 0%, 0%

82124-3 Laminate White Kitchen countertops Good 0%, 0%

82124-4 Laminate White Kitchen countertops Good 0%, 0%

82124-5 Plaster Grey Front bedroom closet wall Damaged 0%, 0%

82124-6 Plaster Grey Kitchen wall Good 0%, 0%

82124-7 Plaster Grey Living room ceiling Good 0%, 0%, 0%

82124-8 Paneling adhesive Black Behind paneling in kitchen Good 0%, 5%

82124-9 Paneling adhesive Black Behind paneling in kitchen Good 0%, 5%

82124-10 Vermiculite Gold Behind paneling in living room walls Good 2%, PC 1.5%

82124-11 Vermiculite Gold Attic Good <1%, P.C. .7%

82124-12 Mastic Black Under carpet living room Good 5%

82124-13 Mastic Black Under carpet living room Good 5%

82124-14 Ceramic tile/adhesive Brown Fireplace flooring Good 0%, 0%

82124-15 Ceramic tile/adhesive Brown Fireplace flooring Good 0%, 0%

82124-16 Brick/Mortar Red/Grey Fireplace living room wall Good 0%, 0%

82124-17 Brick/mortar Red/Grey Fireplace living room wall Good 0%, 0%

82124-18 Linoleum Beige Bathroom flooring Good 0%

82124-19 Linoleum Beige Bathroom flooring Good 0%

82124-20 RFP/Adhesive White Bathroom walls Good 0%, 0%

82124-21 RFP/Adhesive White Bathroom walls Good 0%, 0%

82124-22 Ceiling tile White Rear bedrooms Good 0%

82124-23 Ceiling tile White Rear bedrooms Good 0%

82124-24 Drywall/compound White Rear bedrooms Good 0%, 3%, 0%, 2%

82124-25 Drywall/compound White Rear bedrooms Good 0%, 3%, 0%, 3%

82124-26 Mastic Black Flooring under carpet rear bedrooms Good 0%

82124-27 Mastic Black Flooring under carpet rear bedrooms Good 0%

82124-28 Window glazing White West bedroom windows Good 3%

82124-29 Window glazing White Living room windows Good 0%

82124-30 Concrete filler Grey Back porch under carpet Good 0%, 0%

82124-31 Concrete filler Grey Back porch under carpet Good 0%

82124-32 Caulking Crème Rear porch windows on metal Good 0%

82124-33 Caulking Crème Rear porch windows on metal Good 0%

82124-34 Caulking Clear Silicone caulking exterior of windows Good 0%

82124-35 Caulking Clear Silicone caulking exterior of windows Good 0%

82124-36 Caulking White Caulking on storm windows to aluminum flashing metal Good 0%

82124-37 Caulking White Caulking on storm windows to aluminum flashing metal Good 0%

82124-38 Caulking/Tar White/black Chimney roof Good 0%, 0%

82124-39 Caulking/Tar White/black Chimney roof Good 0%, 0%

82124-40 Shingle Black Roof Good 0%, 0%, 0%

82124-41 Shingle Black Roof Good 0%, 0%, 0%

82124-42 Rubber roof Black Rear porch roof Good 0%, 0%

82124-43 Rubber roof Black Rear porch roof Good 0%, 0%

Asbestos Detected

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0318122

NVLAP# 101926-0

Client ID

Client:

Address: 803 RICKER ST

WATERLOO, IA 50703

ADVANCED ENVIRONMENTAL

Date Received: 08/22/2024

08/23/2024Date Analyzed:

24-29160WJob# / P.O. #:

EMC LABS, INC.

Collected: 08/21/2024

EPA Method:

Project Name: ARMY CORPS OF ENGINEERS-

CASSVILLE

Submitted By: TRAVIS HAAS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/23/2024Date Reported:

App.E to Sub.E of 40 CFR Part 763 and EPA/600/R-93

Asbestos Type

Cellulose Fiber Fibrous Glass

NoLAYER 1 Linoleum, Beige

None Detected0318122-001 KITCHEN FRONT

ENTRANCE82124-1

15% 5%

Foam Carbonates Perlite Non-Fibrous Binder/Filler

80%

Cellulose Fiber Fibrous Glass

NoLAYER 2 Mastic, Cream Note: Difficult to separate adjacent layer

None Detected 3% <1%

Carbonates Gypsum Quartz

96%

Fibrous Glass

NoLAYER 1 Linoleum, Beige

None Detected0318122-002 KITCHEN FRONT

ENTRANCE82124-2

15% 5%

Foam Carbonates Perlite

Fibrous Glass

NoLAYER 2 Mastic, Cream Note: Difficult to separate adjacent layer

None Detected 3% <1%

Carbonates Gypsum

96%

Cellulose FiberNoLAYER 1 Laminate, White

None Detected0318122-003 KITCHEN

82124-3

90%

Gypsum

10%

Cellulose FiberNoLAYER 2 Mastic, Yellow

None Detected 3%

Carbonates

97%

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0318122

NVLAP# 101926-0

Client ID

Client:

Address: 803 RICKER ST

WATERLOO, IA 50703

ADVANCED ENVIRONMENTAL

Date Received: 08/22/2024

08/23/2024Date Analyzed:

24-29160WJob# / P.O. #:

EMC LABS, INC.

Collected: 08/21/2024

EPA Method:

Project Name: ARMY CORPS OF ENGINEERS-

CASSVILLE

Submitted By: TRAVIS HAAS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/23/2024Date Reported:

App.E to Sub.E of 40 CFR Part 763 and EPA/600/R-93

Asbestos Type

Cellulose FiberNoLAYER 1 Laminate, White

None Detected0318122-004 KITCHEN

82124-4

90%

10%

Mastic, Yellow

None Detected 3%

Carbonates

NoLAYER 1 Plaster-Scratch Coat, Gray

None Detected0318122-005 FRONT BEDROOM

CLOSET82124-5

Quartz

100%

NoLAYER 2 Plaster-Finish Coat, White

None Detected

Gypsum

Plaster-Scratch Coat, Gray

None Detected0318122-006 KITCHEN

82124-6

<1%

Gypsum

99%

Paint/Coating, White/Green

None Detected

Quartz

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0318122

NVLAP# 101926-0

Client ID

Client:

Address: 803 RICKER ST

WATERLOO, IA 50703

ADVANCED ENVIRONMENTAL

Date Received: 08/22/2024

08/23/2024Date Analyzed:

24-29160WJob# / P.O. #:

EMC LABS, INC.

Collected: 08/21/2024

EPA Method:

Project Name: ARMY CORPS OF ENGINEERS-

CASSVILLE

Submitted By: TRAVIS HAAS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/23/2024Date Reported:

App.E to Sub.E of 40 CFR Part 763 and EPA/600/R-93

Asbestos Type

Cellulose FiberNoLAYER 1 Plaster-Scratch Coat, Gray

None Detected0318122-007 LIVING ROOM

82124-7

<1%

Gypsum

Plaster-Finish Coat, Brown

None Detected

Gypsum

NoLAYER 3 Paint/Coating, White

None Detected

Carbonates

Paneling, Gray/Brown

None Detected0318122-008 KITCHEN

82124-8

95%

5%

YesLAYER 2 Paneling Adhesive, Black

Chrysotile 5%

Carbonates

95%

Paneling, Gray/Brown

None Detected0318122-009 KITCHEN

82124-9

95%

5%

Paneling Adhesive, Black

Chrysotile 5%

Carbonates

Mineral WoolYesVermiculite, Gold Tremolite0318122-010 LIVING ROOM

82124-10

2% 3%

Mica

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0318122

NVLAP# 101926-0

Client ID

Client:

Address: 803 RICKER ST

WATERLOO, IA 50703

ADVANCED ENVIRONMENTAL

Date Received: 08/22/2024

08/23/2024Date Analyzed:

24-29160WJob# / P.O. #:

EMC LABS, INC.

Collected: 08/21/2024

EPA Method:

Project Name: ARMY CORPS OF ENGINEERS-

CASSVILLE

Submitted By: TRAVIS HAAS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/23/2024Date Reported:

App.E to Sub.E of 40 CFR Part 763 and EPA/600/R-93

Asbestos Type

Mineral WoolYesVermiculite, Gold Tremolite0318122-011 ATTIC

82124-11

<1% 2%

Mica

YesMastic, Black Chrysotile0318122-012 LIVING ROOM

82124-12

5%

Carbonates

YesMastic, Black Chrysotile0318122-013 LIVING ROOM

82124-13

5%

Carbonates

Ceramic Tile, Brown

None Detected0318122-014 FIREPLACE

82124-14 Gypsum

Adhesive, Yellow

None Detected

Carbonates

Ceramic Tile, Brown

None Detected0318122-015 FIREPLACE

82124-15 Gypsum

Adhesive, Yellow

None Detected

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0318122

NVLAP# 101926-0

Client ID

Client:

Address: 803 RICKER ST

WATERLOO, IA 50703

ADVANCED ENVIRONMENTAL

Date Received: 08/22/2024

08/23/2024Date Analyzed:

24-29160WJob# / P.O. #:

EMC LABS, INC.

Collected: 08/21/2024

EPA Method:

Project Name: ARMY CORPS OF ENGINEERS-

CASSVILLE

Submitted By: TRAVIS HAAS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/23/2024Date Reported:

App.E to Sub.E of 40 CFR Part 763 and EPA/600/R-93

Asbestos Type

NoLAYER 1 Brick, Red

None Detected0318122-016 FIREPLACE LIVING

ROOM82124-16

Gypsum

Mortar, Gray

None Detected

Quartz Carbonates

Brick, Red

None Detected0318122-017 FIREPLACE LIVING

ROOM82124-17

Gypsum

Mortar, Gray

None Detected

Quartz Carbonates

Synthetic Fiber Fibrous Glass

NoLinoleum, Beige None Detected0318122-018 BATHROOM

82124-18

15% 5%

Foam

Synthetic Fiber Fibrous Glass

NoLinoleum, Beige None Detected0318122-019 BATHROOM

82124-19

15% 5%

Foam

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0318122

NVLAP# 101926-0

Client ID

Client:

Address: 803 RICKER ST

WATERLOO, IA 50703

ADVANCED ENVIRONMENTAL

Date Received: 08/22/2024

08/23/2024Date Analyzed:

24-29160WJob# / P.O. #:

EMC LABS, INC.

Collected: 08/21/2024

EPA Method:

Project Name: ARMY CORPS OF ENGINEERS-

CASSVILLE

Submitted By: TRAVIS HAAS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/23/2024Date Reported:

App.E to Sub.E of 40 CFR Part 763 and EPA/600/R-93

Asbestos Type

Fibrous GlassNoLAYER 1 RFP, White

None Detected0318122-020 BATHROOM

82124-20

30%

Carbonates

70%

Adhesive, Yellow

None Detected

Carbonates

Fibrous GlassNoLAYER 1 RFP, White

None Detected0318122-021 BATHROOM

82124-21

30%

Carbonates

70%

Adhesive, Yellow

None Detected

Carbonates

Cellulose FiberNoCeiling Tile, White/ Brown None Detected0318122-022 REAR BEDROOMS

82124-22

85%

Carbonates

15%

Cellulose FiberNoCeiling Tile, White/ Brown None Detected0318122-023 REAR BEDROOMS

82124-23

85%

Carbonates

15%

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0318122

NVLAP# 101926-0

Client ID

Client:

Address: 803 RICKER ST

WATERLOO, IA 50703

ADVANCED ENVIRONMENTAL

Date Received: 08/22/2024

08/23/2024Date Analyzed:

24-29160WJob# / P.O. #:

EMC LABS, INC.

Collected: 08/21/2024

EPA Method:

Project Name: ARMY CORPS OF ENGINEERS-

CASSVILLE

Submitted By: TRAVIS HAAS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/23/2024Date Reported:

App.E to Sub.E of 40 CFR Part 763 and EPA/600/R-93

Asbestos Type

Cellulose FiberNoLAYER 1 Drywall, White/ Brown

None Detected0318122-024 REAR BEDROOMS

82124-24

10%

Gypsum

90%

Joint Compound, Off White

Chrysotile 3%

Carbonates Mica

Cellulose FiberNoLAYER 3 Tape, Cream

None Detected 95%

Carbonates 5%

Cellulose FiberYesLAYER 4 Texture/ Paint, Blue/White Note: Layer is mainly Paint - little Texture present

Chrysotile 2% <1%

Carbonates

Drywall, White/ Brown

None Detected0318122-025 REAR BEDROOMS

82124-25

10%

Gypsum

90%

Joint Compound, Off White

Chrysotile 3%

Carbonates

Tape, Cream

None Detected 95%

Carbonates 5%

YesLAYER 4 Texture, White

Chrysotile 3%

Carbonates

Cellulose FiberNoMastic, Black None Detected0318122-026 REAR BEDROOMS

82124-26

5%

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0318122

NVLAP# 101926-0

Client ID

Client:

Address: 803 RICKER ST

WATERLOO, IA 50703

ADVANCED ENVIRONMENTAL

Date Received: 08/22/2024

08/23/2024Date Analyzed:

24-29160WJob# / P.O. #:

EMC LABS, INC.

Collected: 08/21/2024

EPA Method:

Project Name: ARMY CORPS OF ENGINEERS-

CASSVILLE

Submitted By: TRAVIS HAAS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/23/2024Date Reported:

App.E to Sub.E of 40 CFR Part 763 and EPA/600/R-93

Asbestos Type

Cellulose FiberNoMastic, Black None Detected0318122-027 REAR BEDROOMS

82124-27

5%

Carbonates

YesWindow Glazing, White Chrysotile0318122-028 WEST BEDROOM

82124-28

3%

Carbonates

NoWindow Glazing, White None Detected0318122-029 LIVING ROOM

82124-29 Carbonates

Concrete Filler, Gray

None Detected0318122-030 BACK PORCH

82124-30 Gypsum

Leveling Compound, White

None Detected <1%

Carbonates

NoConcrete Filler, Gray None Detected0318122-031 BACK PORCH

82124-31 Gypsum

NoCaulking, Crème None Detected0318122-032 REAR PORCH

82124-32 Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0318122

NVLAP# 101926-0

Client ID

Client:

Address: 803 RICKER ST

WATERLOO, IA 50703

ADVANCED ENVIRONMENTAL

Date Received: 08/22/2024

08/23/2024Date Analyzed:

24-29160WJob# / P.O. #:

EMC LABS, INC.

Collected: 08/21/2024

EPA Method:

Project Name: ARMY CORPS OF ENGINEERS-

CASSVILLE

Submitted By: TRAVIS HAAS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/23/2024Date Reported:

App.E to Sub.E of 40 CFR Part 763 and EPA/600/R-93

Asbestos Type

NoCaulking, Crème None Detected0318122-033 REAR PORCH

82124-33 Carbonates

NoCaulking, Clear None Detected0318122-034 82124-34 Silicone 100%

NoCaulking, Clear None Detected0318122-035 82124-35 Silicone 100%

NoCaulking, White None Detected0318122-036 82124-36 Carbonates

NoCaulking, White None Detected0318122-037 82124-37 Carbonates

Caulking, White

None Detected0318122-038 CHIMNEY ROOF

82124-38 Carbonates

Tar, Black

None Detected 5%

Carbonates

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0318122

NVLAP# 101926-0

Client ID

Client:

Address: 803 RICKER ST

WATERLOO, IA 50703

ADVANCED ENVIRONMENTAL

Date Received: 08/22/2024

08/23/2024Date Analyzed:

24-29160WJob# / P.O. #:

EMC LABS, INC.

Collected: 08/21/2024

EPA Method:

Project Name: ARMY CORPS OF ENGINEERS-

CASSVILLE

Submitted By: TRAVIS HAAS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/23/2024Date Reported:

App.E to Sub.E of 40 CFR Part 763 and EPA/600/R-93

Asbestos Type

NoLAYER 1 Caulking, White

None Detected0318122-039 CHIMNEY ROOF

82124-39 Carbonates

Tar, Black

None Detected 5%

Carbonates

Shingle, Black/Tan

None Detected0318122-040 ROOF

82124-40

15%

Carbonates

85%

Fibrous GlassNoLAYER 2 Shingle, Black

None Detected 15%

Carbonates

Felt, Black

None Detected 40%

Carbonates

60%

Shingle, Black/Tan

None Detected0318122-041 ROOF

82124-41

15%

Carbonates

Fibrous GlassNoLAYER 2 Shingle, Black

None Detected 15%

Carbonates

Felt, Black

None Detected 40%

Carbonates

60%

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0318122

NVLAP# 101926-0

Client ID

Client:

Address: 803 RICKER ST

WATERLOO, IA 50703

ADVANCED ENVIRONMENTAL

Date Received: 08/22/2024

08/23/2024Date Analyzed:

24-29160WJob# / P.O. #:

EMC LABS, INC.

Collected: 08/21/2024

EPA Method:

Project Name: ARMY CORPS OF ENGINEERS-

CASSVILLE

Submitted By: TRAVIS HAAS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/23/2024Date Reported:

App.E to Sub.E of 40 CFR Part 763 and EPA/600/R-93

Asbestos Type

NoLAYER 1 Rubber Roof, Black

None Detected0318122-042 REAR PORCH

ROOF82124-42

Carbonates

Mastic, Black

None Detected

Carbonates

Rubber Roof, Black

None Detected0318122-043 REAR PORCH

ROOF82124-43

Carbonates

Mastic, Black

None Detected

Carbonates

Signatory - Lab Director - Kurt Kettler

Distinctly stratified, easily separable layers of samples are analyzed as subsamples of the whole and are reported separately for each discernible layer. All analyses are derived from calibrated visual estimate and measured in area percent unless otherwise noted. The report applies to the standards or procedures identified and to the sample(s) tested. The test results are not necessarily indicative or representative of the qualities of the lot from which the sample was taken or of apparently identical or similar products, nor do they represent an ongoing quality assurance program unless so noted. This report is for the exclusive use of the addressed client and will not be reproduced wholly or in part for advertising or other purposes over our signature or in connection with our name without special written permission. The report shall not be reproduced except in full, without written approval by our laboratory. The samples not destroyed in testing are retained a maximum of sixty days. The laboratory measurement of uncertainty for the test method is approximately less than 1 by area percent. Accredited by the National Institute of Standards and Technology, Voluntary Laboratory Accreditation Program for selected test method(s) for asbestos. The accreditation or any reports generated by this laboratory in no way constitutes or implies product certification, approval, or endorsement by the National Institute of Standards and Technology. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.

Analyst - Matt Kettler

Layer Name / Sample Description

Lab ID Sample Location

Bulk Asbestos Analysis by Polarized Light Microscopy

Non-Asbestos Constituents

Laboratory Report

0318322

NVLAP# 101926-0

Client ID

Client:

Address: 803 RICKER ST

WATERLOO, IA 50703

ADVANCED ENVIRONMENTAL

Date Received: 08/26/2024

08/27/2024Date Analyzed:

Job# / P.O. #:

EMC LABS, INC.

Collected: 08/26/2024

EPA Method:

Project Name: ARMY CORPS OF ENGINEERS-

CASSVILLE

Submitted By: TRAVIS HAAS

Address:

Collected By:

9830 S. 51st Street, Suite B109, Phoenix, AZ 85044 Phone: 800-362-3373 or 480-940-5294 - Fax: (480) 893-1726

08/27/2024Date Reported:

App.E to Sub.E of 40 CFR Part 763 and EPA/600/R-93

Asbestos Type

Mineral WoolYesVermiculite, Beige/ Tan/ Gold/ Silver

Tremolite0318322-001 82124-10

1.5% 2.2%

Mica Gypsum

96.3%

400 Pt. POINT COUNT

Mineral WoolYesVermiculite, Beige/ Tan/ Gold/ Silver

Tremolite0318322-002 82124-11

0.7% 1.4%

Mica

97.9%

400 Pt. POINT COUNT

Distinctly stratified, easily separable layers of samples are analyzed as subsamples of the whole and are reported separately for each discernible layer. All analyses are derived from calibrated visual estimate and measured in area percent unless otherwise noted. The report applies to the standards or procedures identified and to the sample(s) tested. The test results are not necessarily indicative or representative of the qualities of the lot from which the sample was taken or of apparently identical or similar products, nor do they represent an ongoing quality assurance program unless so noted. This report is for the exclusive use of the addressed client and will not be reproduced wholly or in part for advertising or other purposes over our signature or in connection with our name without special written permission. The report shall not be reproduced except in full, without written approval by our laboratory. The samples not destroyed in testing are retained a maximum of sixty days. The laboratory measurement of uncertainty for the test method is approximately less than 1 by area percent. Accredited by the National Institute of Standards and Technology, Voluntary Laboratory Accreditation Program for selected test method(s) for asbestos. The accreditation or any reports generated by this laboratory in no way constitutes or implies product certification, approval, or endorsement by the National Institute of Standards and Technology. The report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the Federal Government.

Analyst - Kurt Kettler Signatory - Lab Manager - Johann Hofer

APPENDIX B

INSPECTOR LICENSE AND CERTIFICATION

APPENDIX C

PICTURES

24-29160W Army Corps of Engineers

JOB#: NAME:

Exterior view of the house. Interior view of the house.

Sample 82124-1: Linoleum in kitchen entrance negative for asbestos.

Sample 82124-2: Linoleum in kitchen entrance negative for asbestos.

Sample 82124-3: Countertops and adhesive negative for asbestos in kitchen.

Sample 82124-4: Countertops and adhesive negative for asbestos in kitchen.

Sample 82124-5: Plaster in front bedroom closet negative for asbestos.

Sample 82124-6: Plaster in kitchen negative for asbestos.

Sample 82124-7: Plaster ceiling in living room negative for asbestos.

Sample 82124-8: Construction adhesive behind paneling in kitchen positive for

Sample 82124-9: Construction adhesive behind paneling in kitchen positive for asbestos. (Missing picture)

Sample 82124-10: Vermiculite behind paneling in living room positive for

Sample 82124-11: Vermiculite in attic tested <1% per point count. Same homogeneous material as wall cavity and should be treated as positive.

Sample 82124-12: Black mastic in living room positive for asbestos under carpet.

Sample 82124-13: Black mastic in living room positive for asbestos under carpet.

Sample 82124-14: Ceramic tile/adhesive fireplace flooring negative for asbestos.

Sample 82124-16: Brick/mortar around fireplace negative for asbestos.

Sample 82124-15: Ceramic tile/adhesive fireplace flooring negative for asbestos.

Sample 82124-16: Brick/mortar around fireplace negative for asbestos.

Sample 82124-17: Brick/mortar around fireplace negative for asbestos.

Sample 82124-18: Linoleum bathroom flooring negative for asbestos.

Sample 82124-19: Linoleum bathroom flooring negative for asbestos.

Sample 82124-20: RFP/adhesive in bathroom negative for asbestos.

Sample 82124-21: RFP/adhesive in bathroom negative for asbestos.

Sample 82124-22: Ceiling tiles in rear bedrooms negative for asbestos.

Vermiculite contamination sitting on top of tiles.

Sample 82124-23: Ceiling tiles in rear bedrooms negative for asbestos.

Vermiculite contamination sitting on top of tiles.

Sample 82124-24: Drywall/compound in rear bedrooms and hallway positive for

Sample 82124-25: Drywall/compound in rear bedrooms and hallway positive for

Sample 82124-26: Black mastic under carpet rear bedrooms negative for

Sample 82124-27: Black mastic under carpet rear bedrooms negative for asbestos.

Sample 82124-28: Window glazing rear windows positive for asbestos.

Sample 82124-29: Window glazing front windows negative for asbestos.

Sample 82124-30: Concrete filler rear porch negative for asbestos.

Sample 82124-31: Concrete filler back porch under carpet negative for asbestos.

Sample 82124-32: Caulking around rear porch windows negative for asbestos.

Sample 82124-33: Caulking around rear porch windows negative for asbestos.

Sample 82124-34: Caulking around exterior

Sample 82124-35: Caulking around exterior

Sample 82124-36: Caulking around storm

Sample 82124-37: Caulking around storm

Sample 82124-38: Caulking/tar around chimney negative for asbestos.

Sample 82124-39: Caulking/tar around chimney negative for asbestos.

Sample 82124-40: Shingle on roof negative

Sample 82124-41: Shingle on roof negative

Sample 82124-42: Rubber roof rear porch roof negative for asbestos.

Sample 82124-42: Rubber roof rear porch roof negative for asbestos.

Rec #: 184167

Wisconsin Department of Natural Resources

Well / Drillhole / Borehole Filling & Sealing Form 3300-005 Notice: Completion of this report is required by chs. 160, 281, 283, 289, 291-293, 295 and 299, Wis. Stats., and ch. NR 141 Wis. Adm. Code. In accordance with chs.

281, 289, 291-293, 295 and 299, Wis. Stats., failure to file this form may result in a forfeiture of between $10-25,000, or imprisonment for up to one year, depending on the program and conduct involved. Personally identifiable information on this form is not intended to be used for any other purpose.

Date of Filling & Sealing: 09/17/2024 Verification. Check only if well filling & sealing was done previously and you are just verifying that work.: No

1. Well Location Information County: Grant WI Unique Well #: DNR Hicap Well #:

Latitude: (DD.DDDDD°) 42.75273 °N Longitude: (DD.DDDDD°) 91.04756 °W

GPS Method Code: GPS008

Gov't Lot #: Qtr/Qtr: Quarter: Section #: Township #: North Range #:

Well Street Address: 7101 CLOSING DAM ROAD Subdivision Name:

Well City/Village/Town: Village of

CASSVILLE

Well Zip Code: Lot #: Does a new well replace this well?

No

Reason for Filling & Sealing: NO LONGER IN USE WI Unique Well # of Replacement Well:

2. Facility / Owner Information Facility Name: FID #: License/Permit/Monitoring #:

Original Well Owner: Service Category:

Present Well Owner: U.S. ARMY CORPS OF ENGINEERS Mailing Address of Present Owner: P.O. BOX 534

City: PLEASANT VALLEY State: IA Zip Code: 52767

3. Well / Drillhole / Borehole Information Well Type: Water Well Original Construction Date: (mm/dd/yyyy) Construction Type: Drilled

Formation Type: Total Well Depth From Ground Surface (ft.): 100.00 (specify Other):

Casing Diameter (in.): 6.00 Lower Drillhole Diameter (in.): Casing Depth (ft.):

Was well annular space grouted? If yes, to what depth (ft.)? Depth to Water (ft.):

4. Pump, Liner, Screen, Casing & Sealing Material Pump and piping removed? Yes Liner(s) removed? If no liner mark as N/A N/A If no, was liner perforated?

N/A

Screen removed? N/A Well casing (or loop if geothermal) left in place?

Yes Was casing cut off below surface?

Yes

Did sealing material rise to surface? Yes Did material settle after 24 hours?

No If yes, was hole retopped?

If bentonite chips/pellets were used, were they hydrated from a known water source? Yes

Method of Placing Sealing Material: Screened & Poured (Bentonite Chips)

(Explain Other):

Well Sealing Materials: Bentonite Chips Product Name and Manufacturer:

Other Drillholes:

5. Material Used to Fill Well / Drillhole Material: From (ft.): To (ft.): # and Units of Sealant: Mix Ratio or Mud Weight:

NATIVE SOIL Surface 6.00 0.06 YARD N/A

BENTONITE CHIPS 6.00 100.00 30 BAGS N/A

9/25/24, 2:08 PM Well / Drillhole / Borehole Filling & Sealing https://dnrx.wisconsin.gov/warsext/Submit/Report/Details?rptid=xd%2BQMhpHSlISceIu6i6hOw%3D%3D 1/2

6. Comments

7. Supervision of Work Name of Person or Firm Doing Filling & Sealing: ALAN J

WEPKING

License #: 4120 Phone: 608-723-2861

WEPKING PUMP SERV 10526 LIBERTY RIDGE RD PO BOX 109

LANCASTER WI 53813

Email Address:

WEPKINGPUMPSERVICE@GMAIL.COM

8. DNR Use Only Signed On: 09/25/2024 Submitted By: gnikpew5 Received On: 09/25/2024 Approved On:

The Official Internet site for the Wisconsin Department of Natural Resources 101 S. Webster Street . PO Box 7921 . Madison, Wisconsin 53707-7921 .

9/25/24, 2:08 PM Well / Drillhole / Borehole Filling & Sealing https://dnrx.wisconsin.gov/warsext/Submit/Report/Details?rptid=xd%2BQMhpHSlISceIu6i6hOw%3D%3D 2/2