HomeMy WebLinkAboutPRJ05-0295 ASB08-0007 APPLILATION WILL NOT BE ACCEPTED IF INICOMPLETE OR UNSIG�J ED Q Zq S
ProjeM #: YRJ�S -
BuildingPermit #: Co"7
� Asbestos Permit #:�
�WNOFVAIL ' ,4s$os - 6�c�'I
TOWN OF VAIL ASBESTOS ABATEMENT PERMIT APPLICATION
Required per Ordinance No. 19, Series of 1998
75 S. Frontage Rd. Permit application will not be accepted without the following:
Vail, Colorado 81657 1. Copies of 6eneral Abatement Certificate and State of Colorado Certifcation
2. A copy of written arrangemen[s with the facility operators for any temporary disabling of the
air handlin9 systems, fre sprinkler system, and alarm systems with the names and contact
phone numbers of these individuals.
3. Site plan with details addressing: waste container storage bcation. waste load out area
location. entry and exiting details of abatement area. de[ails of entry and exiting plans for the
occupants of the structure in unaffected areas.
CONTRACTORINFORMATION
On Site Abatement Contractor. Town of Vail Reg. No.: Contact and Phone #'s:
LUl. Gu.,�t.�:� .w a s. .,.- � -1��_ � n� /�' -'fi�.. �7d1'9�L�
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E-MeilAddress: uerw�,... ��� k�er �= ��=� o�. . ::.:�., � ���'�
Contractor Signature: '� j
COMPLETE VALUATION FOR ASBESTOS ABATEMENT PERMIT (Labor & Materials)
Asbestos Abatemenh $ -II,,eX�a �x7
Cantact Ea /e Caun Assessors Office at 970-328-8640 or visit www.ea le-roun .com for Parce/ #
Parcel # " � I - � I � � - ) > j - �l
JobName: ��'r�wKnw,>y Co:, kr> �,,;:�,�; .,.-. 3c.; JobAddress: ���` 5 `.ros_ �**a,� �. .,,
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LegalDescription Lot: /jj Block: Filing: Subdivision:
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IOwners Name: �i„����y �}_ , Address qw'u r��� ,`• �+ l�w Phone: �-,�,�a� ' �U�i
Pro]ectManager:i;,..,... luz,� Addresr. :}s�� w- a�::r. w� s...�� �� y Phone: �,� `ii3 . 0y5L
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ProjectDesigner, j��,��,N�y,���y Address: si-�� r�'� sT Phone: %� �• �� z� - ��zc>
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AirMOnitoring5pecialis[: �,,,,., 1u=� Address: ��>>'� w=���=•� ���=� `�- +�-°^� Phone: �i.;� ,�� 3-i„i5Z
y, ,.. � E�n oo .s�
Detailed descriptwn ofwork: - � i � ��- i � � T� �_ «.- . �+°�^' �-� -�- -��--„
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G z .Tr.. -,.�� r �ns: FL Z. � Alc� �u v��� ! �a �_r>
StartDate: .uldluQ� EndDate: �� W p�, LStartTime: c �a: QuitTme: i-73p
Amount of Asbestos: Linear Feet: Square Feet: /L:c�? 55/Gal Drums:
Work Class: New ( ) Addition ( ) Remodel (X) Repair ( ) Demo ( ) Other ( )
Work Type: Interior (5( ) Exterior O Both O
T eofBld .: Sin le-famil Two-famil Multi-famil a Commercial Restaurant Other
Does a Fire Alarm Exist: Yes O No (X) Does a Fire Sprinkler System Exist: Yes O No (x)
.�+.:.+a�:u..�r,e� ae�.�fy.�� .=�.xte�e.•FOR OFFICE ��Yl� 'j�j�*•++•ex�ee:ue.ea�a.ae�ax+axxa.
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OtherFees: DatORRGRIAE{) . � � ii '
I Public Wav Permit Fee: I A e ' ' :I � li � I �
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has met the certification requirements of 25-7-507, C.R.S. and Air t �
� 4� : ` � 1 Quality Control Commission RegulaYion No. B,Pait B, and is hereby ' � = ' i
�. . `` ;i � autl�orized to perform asbes[os abatement activities in the statc of " �
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Colorado Department of Public Health and Environment
Air Pollution Control Division — Indoor Environment Program — AsbestosllAQ Unit
4300 Cherry Creek Drive South, APCD-IE-B1
Denver, Colorado 80246-1530
Phone: 303-692-3� 00 — Fax: 303-782-0278
E-mail: asbestos@state.co.us
ASBESTOS ABATEMENT PERMIT
This penni[ is granted subjecl ro Colm'ado Air Qunlity Control Canmission Regulation No. 8, Parl 6, adopred December 21, 3007,
and effective Ianuaiy 30, 300$ the Colorado Air Pollution Pcevention and Conn'ol Act (25-7-101 or 25-7-SOI et seq., CR.SJ anA
ihe following pmvisions. I[ is only for thc purposc of allowing asbestos abatement.
ADDITIONAL PERMIT PROVISIONS:
6y perfortning work under this permit Ihe abatement wntreomr egrees ChnC the Division may revoke or suspend [his penni[
should the Division 6nd [hatthe conhactor:
• hes viulated or has alded and nbetted in the violation of 25-7-101 or 25-0-501 eC seq., C.R.S. or Regnlation No. 8, Par[ B, or
en order of the Division or Conunisslon,
• has failed ro meet uny pe�mit anA notiEcalion requirement or failed to correct any violations cited by tlie Divisio� durin� eny
inspection within a reasonable period oftime, as may he deter�nived by the Uivision,
• hes used misrepres'entation or fi�aud in ob[aining tliis permit, or,
• hns committed zny ¢a or omission which dues no[ mee[ generally aceepted standerds of the practiee of asbesms aba[emen[.
As a con[ractor, you inay besubjec[ ro other licenses and permits, depending on the req�irements ofthe county and municipality
in which the wod< is bein� performed. 'Phe Colorado Departm¢n[ of Public Health and Enviromnenl, Air Pollution Control
Division stmngly sng�ests tha[ you check with counTy end municipal xuthorities in order ro detmmine any other locul
building/peimitting requirements that most be met.
THE ORIGINAL PTRMIT MUST BE POSTED ON SIT� AT ALL TIMES.
nunediate(y iro[iJy Ote AsGe.x[a.s/!AQ Unil njprnject n�or/ificu[imu Gy fns (nunrber nGave) nr e-mai/ (nddresr ahnve) nnd
I/ie apprnprlrtte cnun(y Oenlih Aepur(x�eiit by fa.e Prufecl vmdifica(inns iac[uAe ch«/egea' irz H�e 9cnpe af wod� or U�e
sGieAuleJ �vnrk dntes, etc.
This asbestos abatement permit is valid beginning 5/27/2008 tln�ough 11 :59 PM on 6/25/2008.
Tlie actual sclieduled work dates are from 5/27/2008 thi�ough 6YL6YL008.
Approval issoed o¢ 5/12/2008 Fee paid: $400.00
Recm'd number 61945 Check num6er: 7242
Notice Nmnber: OSCA1710A
ProjevY Supervisor:
Variance�. None
Lnis Hernandez
Comme�ts: None
CeriGcation No.: 9520
For the Iocation specified below:
Projen.'t AMS:
Breakaway Wes[ Condo ._ _ _-- —
Lam�e� K. Yorlc � ' -� � �
Tln�aughout � r� ((r.' I�'. � '� -�
9C3 Lions Ridge Loop Bldg 300 Cerificatian Na.: 374 � (1
Vail Project Manager: U�
�agieco�����Y MAY 28 2008
This permit has been issued to: , _ �
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' LVI Lnvironmental Se�vices, Inc.*
' -� 5150 Fox St.
Denveq CO 80216 Issued by: CB
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Brcakaway Condos Asbestos Abatement
Typical Design a�id Pressm�e DiFferential Systen�s CalcuLations
Four Air Changes Per/Hour
1500 cf/min Rating/Machine
Pe�' Uuit Enclosure
9,900cf/ 22,500 = .44 NAMs - LVI will use 2 Negative Air MacUincs
A total of 16 units will be removed mider a full containment
Note: Tlie above calcula[ioiis ieflect Clie minimum number of negutive air machines
ru�uired LVI wiLl provide additionaL mael�iues witl�in each enclosure for emergency
situatiou�s.
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Bret Baumgartner�
4048
C CcrtificationNnmber
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Date
D f� C� I� � MI� n
MAY 2 8 2008 II�I
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TOWN OF VAI�
L� LVI Environmental Services Inc.
5150 Fox Street
Denver, CO 80216
SERVICES rel: (303) 7D-9205
Breakaway West Condos Building 3QBz: �sos� �v-9zio
www.lviservices.com
Asbestos Removal Project
Work Plan May 27, 2008 D � � � � ``\r I� ��
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[. c�rvcaa� sTnT�MErrT MAY 28 2008 ���i
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Wm�kSconeandGeneralAooroach I, 'p"E '1��1\� �.�� `�%:.�!, � .
The general scope of wotk for [his parficular project wnsists of tha removal of asbestos
contai�ing drywall texlw'e from with 16 uni[s of building 300. This aba[eme��t is for the
planeA cemodel for the flre EarotecNon upgrades to the building.
The genm'al scope of work includes the pmper removal and disposal of:
• Drywall Texture (approxima[ely L600 SF) 100 sfper i�ni[
The above meterial will be removed using full containment removal ntothods As per Colorxdo
Regulation 8. Tlte generel plan is use traditional encbsure, cemuval and load-oul metliods to
remove ond dispose of all meterial.
ResoonsiAilitics
LVI will provide all supc�visiou, labor, equipn�ent, abatement /demolilion materiels, services,
and insurance necessary fnr the complete perFoimance of the zbove stnlul general work seope.
Au experienced project managemenl team will be assigned [o the projeel to ovorsce all
abatement/demolition activities aod coordinate the perfonnencc oC the work witli Weecycle
and the Owner. All personnel assiy*neA to ttie pro,jec[ will possess the necessary job h'aining,
cerfifications, and Stata of Colorado asbesros .ibatement lieenses. 'flie on�ite pmject
mxnagement teom will have full respoitsibility and authoiiCy Co direct day-to-day acHvifies,
instih�te revisions to [he work proeedures', and represent LVI Firvironmental Se�vices, ��c. in
ttll matters pertainiug l016e project.
. I.VI will coordinete end comply witli site secwiry proceAw�as reqnired by Weecycle and the
Owner [o reshict unautlioiiud enhy into tlie job site. LVI will maintain a log of all LVl
personnel and subcnntractors workfig or visiting [he si[e and 6e responsible for Ihe control oC
all LVI employees and subcqntcactors entering or leaving Iha projeut site. LVPs ProJec[ � '
Supervisor will ac� as Ihe response coordina[or for emerge��oies involving LVI personnel
nnA/orworkareaa . � � � �
IL HA7,AIiD ASSESSMENT
P,valuation oP Ilte work ac[ivities to be perfonneA by LVI indicates the following ha��rdous
materials and/or eclivities will be encountered during the abatemeN project.
Asbesros Containing Materizls
LVI will perFomi cemoval of all selected A.C.M. seheduled for removal in aceordance with
the OSHA, L'PA, and S[ate of Colorado Regula[ion 8. All abatement requirements for
asUestos are defined in 29CFR1926 . 1101 . These requirements will include the use of
regulated work area isolation systems, HEPA Filtration Devices, respiratory protection
devices, protective clothing, a�nd worker decontanunation facilities . Specific details regarduig
the use of tllese work pt•ocedures a�id methods are provided in the asbestos worlc procedures
section of this Work Plan.
The iippermost consideration for this project is to prevent health and safety hazards for the
public, building occupants, and asbestos abatemeut team. With this im m�ld, befoi�e any
abatement work proceeds, the Owner / General Cont�actor shall shiit down and/or isolate all
heating, air conditioning nitake aud exhaust openings in the abateinent a1•eas .
Procedures to perform tl�e above t•efet•enced items are contained within LVI ' s Corpor•ate
Safety Prograin.
III. PERSONNEL PROTECTIVE EQUIPMENT' '
Safety Equiprnent
The following table illustrates the expected personnel protective equipinent and safety �'
equipment to be utilized on this project by the workers on site : '
Itezi Abatemen Tear• Dowi
Dis osable Coverall
Work Shoes
Rubber Boots
Safet Glasses '
Hard Hats
Work Gloves
Half Face AP
PAP
Respiratorv Protection r
LVI will provide a11 workers performing abatement activities on the project with individually �
assigned, NIOSH-approved respirators for use when possibly exposed to but not limited to
ACM. LVI will utilize half-face negative pressure respirators equipped with HEPA filters for
pre-cleaning, preparation, final cleail, secondary containmeilt and non-friable removal
activities . LVI will ntilize full face negative pressure and powered air purifiers for gross
removal and gross debris clean-up within the fiill enclosure areas. At no time will LVI allow
employees ' exposure inside the provided respirator to exceed 0 .01 f/cc. All employees
utilizing respirators will be given training in the proper use, cleaning and maintenance of the
provided respirator. All employees will also receive qualitative fit testing prior to use of
negative pressure respirators to ensure adequate protection is being provided to the einployee. f
Details concei7iing the proper use, cat�e and maintenance of the respirators are provided in
LVI ' s Respiratory Protection Program in the Cot•porate Safety Manual .
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IVo SAFE'TI' �IZ�CEDiJ12�S
Safetv
LVI has instituted strict safety and healYh policies for performance of asbestos abatement
projects to ensure that all employees are properly trained to perform their speciiic job taslc.
All abateinent work will Ue carefizlly plamied and analyzed in advance to determine the safest,
most efficient methods to successfizlly complete the specific tasks without incident. LVI ' s
safety and health policies strictly adhere to all OSHA regulations as well as any state and/or
local requirements . Prior to initiation of work on the project, all employees will receive the
LVI site-specific training, a fiill orientation of this Work P1ai1, site condition and site-specific
training and a review of the emergency procedures for the project. Safety meetings will be
held at the job site daily to inform employees of job specific hazards , emergency procedures
and required work practices.
�. EMERGENCY PROCED�JI2ES
The following emergency procedures will be implemented upon initiation of worlc on the
abatement project: '
Personnel Exposure '
1 . Remove worker to fresh air and provide basic first aid procedures as required until '
medical personnel ai�rive. ',
2 . Decoutaminate the worker and any affected areas after removal from the contaminated '
area. '
3 . Sununon medical assistance and/or transpor•t to the designated medical facility for
treatment.
4 . Notify the Site Safety Officer, Project Manager, and LVI Emergency Persoru7el .
Persomiel fi1 'Lv On-Site
1 . Provide basic fi1•st aid procedures as required by injury.
2 . Decontaminate the worker and any affected areas after removal from the work area.
3 . Sununon inedical assistance and/or transport as required by the injury. Notify Site Safety
Officer, Pi•oject Manager, and LVI Emergency Personnel.
4. LVI' s roreman or otller designated representative shall accompany the injut•ed employee
to the location of inedical exanunation and t�eatment. The designated representative shall �
discuss with the physician the feasibility of placing the injured employee in a limited duty
assignrrient. The physician shall complete the Medical Status Report �ection of the "LVI
Pet•sonal Injury/Illness Report" ft•om 541 �0129F after treatment of the employee.
S . The LVI foreman shall complete the remaining sections of the "Personnel Injuty/Illness
Report", except for the section on severity. The report shall be provided to LVI ' s Contract
Administrator and Field Representative on the day of the injury. i
6. Within 24 houis of the injury, LVI will provide copies of the "Employer' s First Reports �
of Injury or Illness", to LVI' s Contractor Administrator and Field Representative 3
7 . LVI will proinptly investigate any incident involving an accident, injury, serious "near !
miss", or the recognition of a potential hazard to health and envir•onment. A documented i
report, including reconunendations for preventative action, shall be provided to LVI ' s
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Contract Administrator and Tield Representative within �ve (5) working days of the
incident.
Potential or Actual Fire
1 . I�i the event of a potei7tial or actual fire, LVI will evacuate the area and sunullou the LVI
emergency personnel to report the emergency.
2 . LVI will not attempt Yo figl�t the fire beyond reasonable means accomplished with fire
extinguishers.
3 . LVI will direct all evacuated employees away from the fire ancl/or explosion to a safe
location upwnld. A designated locatiou to meet will be assigned by the onsite supeivisor
and serve as a gathering place where all employees can be accounted for.
All emergencies will immediately be repot�ted to the I,VI Emergency Pet-sonne9,
Weecycle and the Owner.
VL LVI STANDARD OPERATII�IG PROCEDURES �1D PROGRA�IS
LVI has developed coinprehensive asbestos abatement and deinolition, safety, and employee
protection programs for use by all LVI employees on all projects undertalcen by LVL These
programs contain tlie generic procedures and methods , required by LVI, to be utilized by all
workers to ensure employee safety.
• Standard Operating Procedures for Asbestos
• Respiratory Protection Program
• Hazard Communication Program
• Medical Emergency Procedures
• Blood Borne Pathogens Program
• Fire Prevention Prograin
• Safety Plan and Procedures
• Alcohol and Drug Policies
• Confined Space Policy
• Asbestos/Lead Craft Training
• Fall Protection, Ladder, and Scaffold Policy
• Electrical Safe Work Practices
• Hearing Conseivation Program
• Heat Stress Program
VII. ASI3ESTOS AIR MOI�I'I'ORI1�1G
Personal Air Monitorint
LVI shall secure the seivices of an approved asbestos third pat•ty air-monitoring laboratory to
perfonn all OSHA employee asbestos exposure sample analysis . All sample results will be ,
analyzed within the time constraints allowed by OSHA and be posted on site for review by '
the affected employees. Any einployee exposures above the PEL of 0 . 1 f/cc or 1 .0 f/cc will
be immediately reported to the LVI Safety Departinent. Followuig completion of the project,
a copy of the personnel air monitoring results will be submitted to LVI for the permanent '
records. !
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�1IIIo MO�ILIZ�-1TION/SITE I�OGIS'TICS
Mobilization
Prior to the mobilization process, LVI will complete �nd submit all pre-work submittals, and
notifications required Uy the project speci�cations .
Utilit,�Requirements
LVI will require a source of teniporaly power and water for this project.
LVI will require potable water for flie decontamination facilities and to wet the ACM prior to
and during removal tasks . The water source shall be capable of providing approximately 35
psi of water pressure at each location. LVI will provide water hoses for coimection to btiiilding
and or owner provided water tank systems.
Pre-Abateinent Worlc
After establislunent of the necessary job site facilities, LVI will mobilize work crews to the '
site to begin abatement operations for the project. Conunencement of abatement work on the '
project shall not occur until : 1 ) all pre-work submissions, notifications, postings and permits '
have been obtauled and are satisfactory to Weecycle and the Owner, 2) all pre job safety '
plamling and worker training have been completed; 3) all site security arrangements have i
been established; 4) all equipment for abatement, cleanup and disposal are on site ; and 5) LVI
has received written "Authorization to Proceed" fi�om Weecycle and the Owner
IX. ASBESTOS A13ATEMEI�IT WORK AREA ISOLATION SYSTEIVIS
Wark Scope j
Please see Section I, General Stateinent.
Full and or Secondary Containment Procedures Ove�-view
To segregate the abatement work areas fiom all other areas during abatement activities, LVI will
install war�iing barrier tape and signs adjacent to the work area. The wanling tape shall serve as the
�rst line of demarcation for all abatement work areas .
X. ASBESTOS A]BAT]EIVIE�IT PItOCEDUI2ES, GEIVEI2AI�
Facilit. Component Procedtues :
LVI will initiate removal of the identified asbestos containing materials . Removal of fliese ;
materials will typically begin at the area farthest froin the decon unit location and proceed
toward the decon units. Prior to removal of any asbestos materials non-toxic, non- hazardous
cheinical will be applied with low-pressure sprayers to thoroughly saturate the asbestos
materials. Once the asbestos has been inade adequately wet, it will be wrapped in two layers
of six mill poly and removed inavageable sections . ACM will not be allowed to accumulate t
on surfaces and dry out. Before the end of each work shift, all abated materials will be �
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properly wrapped and will be moved to a waste storage area inside coiitainment for staging
prior to reinoval from the contauunent
Fine Cleani�zg Procedures
Upon completion of all removal activities the regulated area' s will be �ne cleaned utilizing
wet inethods and/or HEPA vacuums to remove any remainulg visible ACM. All wastewater
generated during the �ne cleaning process will be collected and �ltered and disposed of ulto
the sanitary sewer system.
Work Area Clearance Procedures
After completion of the fine cleailiug activities and removal of all waste materials, LVI will
request a visual 'ulspection of the as•ea by Owners Air Monitorin� Specialist or .Building
Inspector.
Waste Removal Procedures
All asbestos containing/contaminated material regulated by CDPHE, other than that to be
disposed of through direct waste load out procedures, will be disposed of in 6-mil poly bags .
Prior to removal of the waste materials through waste load out areas , all waste bags will be
cleaned and placed in a second six-mil bag for transport to the waste containers. The outside
of the individual waste bags will be hand wiped with wet towels to remove any asbestos
coutamination on the outside of the bag and iirunediately placed ui the second disposal bag.
The waste bags will then be passed through an airlock constructed for equipment and waste
materials to the outside of the containment isolation system. Once the waste bags are
removed from the contaimnent, they will be placed in a poly lined waste bui for transport to
the designated waste container on site .
All ACM bags for this project will be printed or tagged with the required OSHA
warning labels, DOT laUels and asUestos generator information require by regulations .
The waste containers for storage and transport of the AC1V1 waste shall be located on-
site and shall be laUeled with the appropriate asbestos warning signs prior to
placement of ACM waste materials in the container.
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L� NI Environmental Services Inc.
5150 Fox Sfreet
Denvei CO 80216
SERVICES iel: (303) 727-9205
Fax: (303) 727-9210
www.lviservices.com
May 7, 2008
Ern a�g;o�, v�n oFr,�e L C� C� � M l�_ �
999 18°i Strcct D
De�iver Pluce, Suite 500
De�,���, co sozoz-zaos (� MAY 2 8 2008
Attention: Regim�al Asbestos Coordinator I I '
�d.'l i'�+i�,
�__ ___. . __. _. .__. . . _ . . . .
REFERENCE: Breakaway West Condos
Deaz Sir or Madam:
LVI Enviroumental Services Inc. is providing this written notification to inforin your department of
tUe pending asbostos abatement project we will be perfomiing at the following ]ocation:
Breakaway Wcst Condos
963 Limis Ridge Loop, Building 300
Vail, CO 81658
We will Ue starting the project on Monday .Iune 2, 2008, and will be working 07:00 AM to 5:30 PM.
We anticipate completing U1e project no later tlian Friday July 4, 2008.
Work Area Location:
Buildittg 300
AlI wm�k sites Uave restricted aceess and tl�e appropriate wxmings will be posted. All work wil I be
completed i�� aeco�dance with Federal, State, and Local Regulations. If you liave any questions or
need additional informatioq }�lease do �ot hesitute to contact Troy Clark at (303) 727A205 ext. 223.
Sincerely,
LVI Environmental Services Inc.
j�� ��
.�_
Bret Baumgartner
Project Mauager
� —_ _
o � � � � � �
Rreakaway West Cm�dos (� MQY 28 2�08
963 Lions Ridge Loop, Building 300 1 I - ,
Vail, Colorado 81658 :�. ,:��yy�. , �,;:. ,:��; ,, �;
• In fUe event of an emeigenoy the site supervisor will immeditttely call 911 Uy phone and
give the Eollowing information
Silc Name: Qreakmvay West Condos
Si[e Address: 963 L,ions RiAge Loop, Building 300
Exact location of incident on the si[e
Natw�e of the incident
• Any emergency situation encotmtered by a crew member will be immediately repor[ed to
the s'upervism'.
• All LVI employees will immediately exit tl�e wm�k zone, end will gather at [he assigned
meeting looetioa The area of in�n�ediate meeting location and sim widc evacuafion will
Ue discussed in the daily huddle before wm�k sffirts in Ihat each area.
Mecting Loca4on: SoaB� Side Of Bnilding In Parking Lot
• All GVI employees will gnther at [he assigned locetio� for a head count. The head eount
will be compared wi[h the daity roster by the supervisor for missing employees.
• Under no circums[ances will amployees re-enter the building or work zonc tq look for
missing emplayees.
• Upon an�ival of emergency personnel [he supervisor will notify them of any missing
persoos and theic last known looation.
• No LVI employees will return [o the Uuilding or work zone without the permission of
responding emergency persom�el and the Branch Safety Officer.
• The forema� will call fhe B��anch Safety Officer and report the site situation and complete
a safety inoiden[ repmt.
• Site Emergency Numbers:
Fire Depa�tmen[ — 9ll Non-emergency (970) 479-2250
Polioe Depari�menC — 911 Non-emergency (970) 479-2210
Vail Valley Medioal — (970) 569-7410 See At[ached Map
LVI EnvironmenCal Se�vices — (303) 727 9205
5150 Fox Street Denver CO
LVI Projeo[ Manager — Bret 6aumgartner Cell (303) 903 4081
LVI Site Supervisor — Luis Lopez Cell (720) 810-0494
Branch Safety Officer — Roy Zech Cell (720) S70 0475
L� WI Environmenial Services Inc.
5150 Fox Streef
Denver, CO 80216
SERVICES Tel: (303) 727-9205
Fax: (303) 727-9210
www.lviservices.com
Ma 27, 2008 � � �i [� � M I' �
Va I Pire Departmont : � MQY 2 g 2�08 � � �
42 W. Meadow Dr. r � I
Vail, CO 81657 . �
�,�,, .. . . ,
Ath�.: Pire Coordinator �
Dear Coordinator:
I.VI L�nviromnental Services Ine. is providing this written notification to infoim yow� department oC
the pendii�g asbestos-abatement project we will be performing at the following location:
Breakaway West Condos
963 Lions Ridge Loop, Building 300
Vail, CO 81658
We will be starti��g tlie project on Monday, 7une 2, 2008, a�id will be working 7:00 AM to 5:30 PM.
We anticipate completing the project no latar than Friday, July 4, 2008
Work Area Location in the P'acility:
Building 300
All work sites have restricted access and the appropriate wnmings will be posted. [F you have any
question or need additio��al informatio�, please do not hesitate to contact Bret Baumgartner at (303)
727-9205 orcell (303) 903-4081 .
SincereLy,
LVI Envirmm�ental Services, Inc.
i ��'-�-�
Bret Baumgartner
Project Managcr
LVI ENVIRONMENTAL SERVICES INC.
� D � c� r� oMr�
MAY 28 2008
LV/ � , , � ��
SERVICES`
.� n�1., . -_ t .
NOTICE OP CONTACTS AND TELEPHONE NUMBERS �
ASBESTOS ABATEMENT
Work Si�e: Breakaway West Contlos
963 Lions Ridge Loop Builtling 300
Vail, CO 81658
Owner', Breakaway Wes� Association
PO Box 17431963 Lions Ritlge Loop
Vail, CO 81658
Asbes�os Abatement Conlractor LVI Environmental Services Inc.
5150 Fox Street
Denver, CO 80216
Bret Baumgariner, Pmject Manager
(303) 903-4081 Mobile
(800) 3453709 Office (8�0)
(303) 727-9205 Office Telephone
(303) 727-9210 Office Fax
LVI Projec� Forman�, Luis Hernandez
(720) 810-0498 Mohile
(3�3) 727-9205 Offce
. _ � n, . WisMLopez
� " (720) 810-0495 Mobile
(303) 727-9205 Offce
L"_l EmergencyNumbers�.
_.. Fire 911 (970) 479-2250 Non Emergency
r Police 911 (970) 479-2210 Non Emergency
"f' Hospilal 911 (303) 569-7410 Non Emergency
Vail Valley Medical Center
181 W. Meadow Dr.
Vail, CO 81fi57
970-569-7410
L� WI Environmental Services Inc.
5150 Fox Street
Derner, C0 80216
SERVICES 7e1: (303) 727-9205
Fax: (303) 727-9210
www.lviservices.com
May 27, 2008 � �� �G� � �`' � �. . �. � f
VailPoliceDepartment MAY 28 2088 I�
75 S. Frontage Rd W _
Vail, CO 81657 T(}�hYi\�. ""� '•. ��„ �
Atm.: Police Coordinator
Dear Coordinator:
LVI Environmentxl Services I��c. is providing this written notification to infoim yow� department of
tlie pending asbestos-abatement project we will be performing at the Pollowing bcation: ,
Brcakaway Wesl Condos
963 Lions Ridge Loop, 6uilding 300
V ui I, CO 87 658
Wo will be starting the projecl on Monday, Jui�e 2, 2008, anci will be wodcing 7:00 AM ro 530 PM.
We anticipate completing tUe project no later than Friday, July 4, 2008
Work Area Loca[ion in the Pacility:
Building 300
All work sites have restricted access aud tUe appropriate warni�gs will be posted. If you have any
question m� need additional i��fonnation, please do not hesiffite to contact Bret Baumgartner at (303)
727-9205 or cell (303) 903-4081 .
Sincerely,
WI Environmental Services, Inc.
.�
I� �l n �—
B�Et Bxumgarmer
Project Managcr
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� . «< � ; STATE OF COLORADO � j � »�m =� '
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� ° � r � Colorado Departmont of Public Heatth � ��� �� ��
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��'°s, - �c � J and Eovironmeot (c � »>
�� � � : Air Pollution Control Division > ���s+ .� �
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� This certifies that � ��
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f�r " �� � LVI Environmental Services, Inc.* �, �j ' �. ,<,�
- a � 4�
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�� : ., �� ,' GACNo: 13-3877877 " � �
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.` :i '.,f � � � > �;. :
— �� hae met the certificaYion cequirements of 25J-507, C.R.S. and Air ��} �?,
��i �.�, Quality Control Commission Regulation No. 8,Part 13, and is hereby � {
� � � �� ; authoiized to perform asbestos abatement activities in the state of � �.
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Address : �
'7he abav� n�med irrd�vrdual wa� seen by ;rte �rr i''' rf_f---"`�1 c�--� �nd !� ���rd�nce �r �tt
apprc�bl� porfrntrs af (J�HA's A�b�sfos Sf�n�'�rd fQ�° Ute C�rtstrucbnn Jndu�try, 29 CFF� �9�� � 9t,7�, wa�t�
which 1 �m faml7iar, 1 hav� inr�icat�d b,� my Initf�fs, ttr� t ha�e p�►f'�rmed lfre fopouvinr,�. D 9
1 . Reviewed wifh thf� intlividu�l , l�isfher c�mplate� c��Hl� skand�rdiz�d M�d#c�l Quest(annatr�
and Wark Hist�ry, dfr�ct�d t�w�rd�,,,tkt�rt�ry, car�(QVa�cul�r, arrd gastrointestinal
sy me �nd
�. Review�d the empJoyer's d�script��t� �af thfs }nd�vidu�l's dutf�s �s they relate tn asbsstas
pasure, th� �nficipated expasure i �val, th� person�l pr�akecttve and respfrakary �quipm��t
t� be utlllzed by the individual, and any addiflan�l mc�ical InParm�tl�n resuttin� fr�rrr
previous exam{nations; and '
3. ConduCted a physicel examinatlan of fhi$ Individual wlth t�rrtphasis an th� pulmnn�tyy '
rdiov�s�ular, �nd gastrointestinal syskems , inciuding e puitnonary �unc�fcsn test aF forcetf
vit�l c�pacfty {F�C} and forced exp�ratory volume at �r�� secand (E�/-�i ); and '
4. determ}n�d Rh�t a chest r�entg�n�a�ram was � w�s not � r�qu(red �s e garf of thls
examin�tl�r�. tif r�quir�d, th� x-ray was iaken �nd re�d (n �ecord�nG� witk� A�pendlx � a�
fh� Asbestos Standard); and .
5. Det�rmined that khis iridividua) m�y � may nat ❑ use a resptraEory device whii�
performing hlslher required empioyment servcces; end
B . inrormed khis individual that l hav� � have not � detect�d s rnedlCal cdndi�on whl�l�
wouid pi�c� thfs indEvidual et an Incre�s�d risk c�F tnateriai heaith impairmenifrarn expasure
to asb�stos; and
7. infarm�d this individua( �f t�� resuifis oE my r�x�min�tl�n �nd af a�y m�dic�f condihlon tl��t
m�y resultfrarn this ind(vlduat`s expasure tn es6eskoso �d
� . Inr is individual of the hc��ItYr risks fnvolved (r� smokin�P af the syr��rgistla rel�tl��sh (p j
between cigarei�e sm� Ednq �r�d ���astus �xpusure in produ�ing (un� ��nc�r, �nd th�t �
c�ssation afi smakfr�� wJil red�G� th� risk �f lung can��r. r '
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Empioyee' S � ' am � : � � � �-°$ <���f� a �E� � ���E: _ � r
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:�ject Name , � � T;°. - � � Job Number. � `r -� � �
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4�`��muc� af�� � � e� H � �� � e� tl e5l�JIVIiYI AM['l D �
(,4 � �parate �'if� 7°�� t �rau� t ,6 � p �r°f'or�rne� far � � ch �lega �iv� �r°�� � cer°e � ��p ►�°af��° �� e �;
� it-1"est Date : '�`� �� '% �� ,�= g '�� pers � n C
. onducting FitmTest:
Respirator Selected for �°est: � ' � �`
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Manufacturer: _ �1 ��-�� Mod � l : �-
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� Respirator Size : ,� , �s$ E �;�� .� �� NIO � W Approval Nn . : � � �jL-� � � �. �?, �
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`fype of Fit�Test Conducted : � � � � � �-�\� �°ype ofiAgent Used : ��o� � � � �-� ,�..�.
Was F2ainvow Passage Used : Yes � No CJ Was Facepiece �t�-�'ace � eal CJbtained : Yes � � a �
Signature nf Person Performing Fit-Test:
F2� � P � I�ATO � T' F2e�11NIN � f2� C� f�D '
Your signature nn this Respirator Training Record will attest 4o your having received and understood the following respirator
training information which both OSHA and LVl require as a part of their Respiratory Protection Program .
� required respirator training consists of the foliowing information ;
�
. An explanation of the problems involved in misusin or inter-chan m �
. A discussion of why sngineering controls could not prevent the use of es�S a othe respira4or,
. How and why this make and model respirator was chosen for this specifi pprojecgprotection , i
. The limitations of this make and model respirator.
. How to put on this respirator and properly adjust the facepiece and tension straps .
. Mow to wear this respirator properly.
. What the essential points of the care and maintenance of this respirator are.
. How to recognize and handle emergencies which may occur while using this respirator.
, How to properly inspect, clean and disinfect this respirator.
. How to properiy use an Air-Purifying Respirator.
. When a Powered Air- Purifying Respirator is required .
. When a Type-C supplied-air respirator is required .
. l'he purpose of the medicai evaluatinn . '
, N�w LVI performs a proper respirator fit�4est. � j
. That this fif-fest must be performed at least every six (6) months .
. That you wili be permitted to feave the work area fo wash your face and respirator whenever n �cessary. �
. Thafi fiiter elements may be changed whenever an increase in breathing resistance is. de4ected .
. That a Powered Air-F' urifying Respirafior (PAPR) is available 4o you upon request, as long as it meefs the i
protection factor for the hazard involved.
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� mployee's Signature , __ �` y ;
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Respiratory Protection � rogram i
�VI Corpora4e Safety Manual 7m � e43 � �
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� mployee 's Name : ��� � �,t < < �" � ��' _ .. ` �� � ' :. > ,,. , �
�ociai Securify No : =� � � �
aject Name : ���� �r r��__ � ���� �� ��� _
Job Number : � � � �_� � ��_.
F2 � � �' I �tAl" O � Fl °T �T � S �° � tJ �1 �AF?Y
(,4 � �parate Fite7°�st rnu� t be p �rfor°r�r � � fc� �° � ach Neg � #iv� �r��� crr°� ���pir� tcar° �a� � d)
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�it�Test Date � -° � � � z � B � � person Conducting � it�l�est:
F2espirator Selected for Tesf: � �, �,. a C�,
Manufacturer: �\ ��r-�� Modei : �� � �
� � � °� �°
Respirator Size : � � �, �� �° �` � �- �s�° -;�; NIdSW Approv� i No . : �. ��`° � — � � J � �7
7ype of Fit-l'est Conducfied : � � �(Z � � � � �'�`�- � ` �
���_ __._. .__ Type of Agent Used : �,m,�a�..c� � �r �,. _���,,n°�. �
Was Rainbow Passage Used : Yes � No Cl Was Facepiece-to- �ace Seal (� btained ; Yes � N � [�
Signature of Person Performing �it-`fest: .
�ESPI T' OR °T INING RECO �D
Your signature on this Respirator Training Record wi11 attest to your having received and understood the following respirator
training information which both OSHA and LVI require as a part of their Respiratory Protection Program .
� required respirator training consists of the following information :
, An expianation of the probiems involved in misusing or infer-changing parts of the respirator.
. A discussion of why engineering controls could not preven4 the use of respiratory protection .
, How and why this make and model respiratnr was chosen for this specific project.
, The limitations of this make and model respirator.
. How to put on this respirator and properly adjust the facepiece and tension sfraps .
. How to wear this respirator properly. !
. What the essential points of the care and maintenance of this respirator are. '
. How to recognize and handle emergencies which may occur while using this respira4oro �
. How to properly inspect, clean and disinfect this respirator. '
, How to properiy use an Air-Purifying Respirator.
. When a Powered Air-Purifying Respirator is required .
. When a Type-� supplied-air respirator is required .
. 1'he purpose of the medical evaluation .
. Now LVI performs a proper respirator fit-test.
. That this fit-test must be performed af least every six (6) months ,
. l'hat you will be permitted to leave the work area to wash your face and respirator whenever necessary,
, 7hat filter elements may be changed whenever an increase in breathing resistance is. detected ,
. That a Powered Air-Purifying Respirator (PAPR) is available to you upon request, as long as it meets the i
protection factor for the hazard involved . ;
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� rnployee' s Signature : �' °� .�- A1 (� --�
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I' rocedure 7-1
Respiratory Profection Program
l�Vl Corporate Safety 11� anuai � . 1 . � �
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E�S'F' A►A�A� Lt3PEZ �1
LUIS CL6 a7'
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TEST Tti1�E 15:27 CC}�AP N
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E�SPiRl�TO#2 �" f]�i� �Ff���'€€�9�
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PAPR
MfASt4 SlYt� PAPR
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E�EKGlSE f��� �' �
NdRMAL BREAI'HENG 6CJ R35t1 Y
DE�P BREATHING 60 � Y
H�AD SiDE TO SiDE 60 6760 Y
HEAD 11P AMD DO�FN€ 6'f3 764 Y
TALt4NG 64 6(}'3 Y
GRIRAACE 1 S F�cl. X
�END At�iJ TOUCH TO�S 60 17100 Y
NC?RhAAL BREtt't'F[PlVG 6� fi37C)tl� `�
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