HomeMy WebLinkAboutD10-0004TOWN OF VAIL DEPARTMENT OF COMMUNITY DEVELOPMENT
75 S. FRONTAGE ROAD
VAIL, CO 81657
970-479-2138
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
DEMO. OF PART /ALL BLDG
Job Address: 996 PTARMIGAN RD VAIL
Location.......:
Parcel No....: 210108115003
OWNER OML INVESTMENTS INC
08/04/2010
975 AMERICAN PACIFIC DR
STE 104
HENDERSON
08/16/2010
NV 89014
02/12/2011
APPLICANT BECK BUILDING COMPANY
08/04/2010
P.O. BOX 4030
$816.21
VAIL
$4.00
CO 81658
$816.21
License: 117 -A
CONTRACTOR BECK BUILDING COMPANY
08/04/2010
P.O. BOX 4030
VAIL
CO 81658
License: 117 -A
Desciption:
DEMO STRUCTURE
Occupancy: R3 Single Family Residence
Type Construction: VA
Permit # D10 -0004
Project # ?? R aTL d —ol t Z
Status ...:
ISSUED
Applied ...:
08/04/2010
Issued ...:
08/16/2010
Expires.....:
02/12/2011
Phone: 970 - 949 -1800
Phone: 970 - 949 -1800
Valuation: $35,000.00 Revision Valuation: ?? Total Sq Ft Added: 0
FEE SUMMARY
Building ---- ->
$492.25 Restuarant Plan Review —>
$0.00 Total Calculated Fees —>
$816.21
Plan Check --- >
$319.96 Recreation Fee-- - - - - ->
$0.00 Additional Fees ------ >
$0.00
Investigation ->
$0.00 TOTAL FEES-- - - - - ->
$816.21 Total Permit Fee ------ >
$816.21
Will Call —>
$4.00
Payments - - - - --
$816.21
BALANCE DUE- - - - - ->
$0.00
++ *+*+ s*+ s###***++ sssf#*##++ s+# f###* ffs+ s*#*#* s* s*#+#**#+*+*+ f+***+*+*+ f+*#*#+* s+ s++##### fs++*##*##* s++ s+*##* s* s+ s +s # * * + * * * +ss + + * * + * # fss +s + + # # # *s
Approvals:
Item: 05100 BUILDING DEPARTMENT
08/16/2010 JRM Action: AP
Item: 05400 PLANNING DEPARTMENT
08/11/2010 bgibson Action: AP see conditions.
plans routed to JRM.
Item: 05600 FIRE DEPARTMENT
08/11/2010 McGee Action: CR Provide asbestos
clearence letter or submit for asbestos abatement permit.
08/16/2010 drhoades Action: AP Asbestos
Inspection report received. Negative for ACM.
Item: 05500 PUBLIC WORKS
08/12/2010 is Action: AP
See the Conditions section of this Document for any conditions that may apply to this permit.
DECLARATIONS
I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. I agree to comply with the information and plot plan, to comply with all
Town ordinances and state laws, and to build this structure according to the towns zoning and subdivision codes, design review
approved, International Building and Residential Codes and other ordinances of the Town applicable thereto.
REQUESTS FOR INSPECTION SHALL BE MADE TWENTY -FOUR HOURS IN ADVANCE BY TELEPHONE AT 479 -2149 OR AT OUR OFFICE FROM 00 AM
4 PM. / Glc. L O /�� C .o
SIdN49TUn OF OWNER OR CONTRACTOR FOR HIMSELF AND OWNER
************************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CONDITIONS OF APPROVAL
Permit #: D10 -0004 as of 08 -16 -2010 Status: ISSUED
************************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Type: DEMO. OF PART /ALL BLDG.
Applicant: BECK BUILDING COMPANY
08/16/2010
970 - 949 -1800
Job Address: 996 PTARMIGAN RD VAIL
Location:
Parcel No: 210108115003
Description:
DEMO STRUCTURE
Applied: 08/04/2010
Issued:
To Expire: 02/12/2011
Cond: 38
(BLDG.): THIS PERMIT IS GOOD FOR ASBESTOS ABATEMENT ONLY.
AN ASBESTOS ABATEMENT CERTIFICATE SHOWING THE AREA FREE
FROM ASBESTOS IS REQUIRED PRIOR TO ANY FURTHER WORK
OCCURING ON THIS SITE. IF FURTHER QUESTIONS ARISE, CONTACT
THE VAIL FIRE DEPARTMENT AT 479 -2252.
Cond: 1
(FIRE): FIRE DEPARTMENT APPROVAL IS REQUIRED BEFORE ANY
WORK CAN BE STARTED.
Cond: 12
(BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE
COMPLIANCE.
Cond: CON0011562
The applicant shall re -grade and re- vegetate the site to a
natural state within 14 days of completing demolition if a
building permit for the proposed new residence has not been
obtained and construction is being diligently pursued.
************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
TOWN OF VAIL, COLORADOCopy Reprinted on 08 -16 -2010 at 11:04:10 08/16/2010
Statement
************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Statement Number: R100001078 Amount: $816.21 08/16/201011:03 AM
Payment Method: Check Init: JRM
Notation:
-----------------------------------------------------------------------------
Permit No:
D10 -0004 Type:
DEMO. OF PART /ALL BLDG.
Parcel No:
2101 - 081 - 1500 -3
Site Address:
996 PTARMIGAN RD VAIL
Location:
Total Fees:
$816.21
This Payment:
$816.21
Total ALL Pmts:
$816.21
Balance:
$0.00
************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------- - - - - -- ------------------------ - - - - -- ------ - - - - --
BP 00100003111100 BUILDING PERMIT FEES 492.25
PF 00100003112300 PLAN CHECK FEES 319.96
WC 00100003112800 WILL CALL INSPECTION FEE 4.00
I
0
Separate permits are required for electrical, plumbing, mechanical, fireplace, etc.
Project Street Address: Office Use: P 99 41 f'7 *A_'0I f /� 1 49,¢4 Project #: � /� + �� L
(Number) (Street) (Suite #) DRB #:
Building /Complex Name: AA
Building Permit #: l u -- 64 b
Contractor Information:
Company: Ace!.
4041016 . Go.
Company Address: P19 BoX 4�ov?O
City: 0—/ L, State: GG Zip: 4!5V445
Contact Name: &; /LOG.' Nti &W
Contact Phone: '7 7 O 1 7 - 7 — is G 7
E -Mail 60 b a hdw -GjC k"- ld t • GOw�
To f Vail Con actor Registration No.: 117
X
Contra for Signature (required)
Lot #: Block # Subdivision:
Detailed Scope and Location of Work: AIP
(use additional sheet if necessary)
Work Class:
New ( ) Addition ( ) Remodel ( ) Repair ( ) Other (�
Work Type
Interior( ) Exterior( ) Both(
Property Information Type of Building:
Parcel #: Z/ o / Single-Family Duplex( ) Multi-Family( )
(For parcel #, contact Eagle County Assessors Office at 970 - 328 -8640 or l ia
visit www.eaglecounty.us /patie) Commercial( ) Other( )
Tenant Name: Does a Fire Alarm Exist? Yes ( ) No( )
Owner Name: 1�/} -!J VA _t lam, L t,G . Monitored Alarm? Yes ( ) No( )
Does a Sprinkler System Exist? Yes ( ) No( )
Valuations (Labor & Materials)
Building:
Plumbing:
Electrical:
Mechanical: (including fireplace)
Total:
$ O�S Opp
$ / 'V42'
$ /NYC.
$ 1AJ C
$ 36
# & Type of Existing Fireplaces: Gas Appliances
[ Gas Log Wood /Pellet Wood Burning
I # & Type of Proposed Fireplaces: Gas Appliances
Gas Log Wood /Pellet Wood Burning
_ _ ..... _ _ ..... __..._...._ __ ......... .............
Date Received:
15- May -10
BUILDING PERMIT APPLICATION
DSConsulti ng, Inc.
Asbestos Inspection and Sampling Report
996 Ptarmigan W Vail, Cblorado 81657
J)ID-000y
Presented to:
Mr. Bob Brownlee
Beds Building Company
PO Box 4030
Vail, 00 81658
Performed & Prepared by.•
Mr. Steve Shurtliff
DSConsulting, Inc.
PO Box 6864
Avon, 00 81620
(303) 378 -1544
Project Details
DSC Project #: 2473
Conducted: July 14, 2010
EXECUTI VE SUMMARY
On Jily 14, 2010, Mr. Steve Shurtliff of DSConsulting, Inc. (DSC) performed a full building inspection and
collected asbestos bulk - samples at 996 Ptarmigan Rd, Vail, Colorado, in order to identify potentially
hazardous friable and non - friable asbestos- containing materials (ACM) within the above - referenced,
single family residence that is scheduled for demolition. The Colorado Department of Public Health and
Environment's (CDPHE) Regulation 8, Part B defines an asbestos-containing material (AQW) as a material
containing more than 1 % asbestos.
Mr. Shurtliff performed asbestos bulk - sampling of drywall (surfacing material) in a total of seven (7)
locations throughout the residence and garage, stucco (surfacing material) in a total of five (5) locations
on the exterior of the residence aswell as insulation (miscellaneous material) in a total of one (1) location
within the crawlspaoe. All thirteen (13) bulk - samples were analyzed by Aerobiology Laboratory
Associates, Inc. (NVLAP #200860 -0) in Denver, Colorado with all thirteen (13) laboratory results
reporting as negative for asbestos ( see Appendix 8 for laboratory resul ts) .
2
IZ:Z•ii • :� a
I. Introduction
Afull building inspection and bulk - sampling for ACM was conducted at 996 Ptarmigan Rd, Vail, Colorado,
by Mr. 9iurtliff on dily 14, 2010 at the request of Mr. Bob Brownlee with Beds Building Company. Mr.
Shurtliff isa Colorado State Certified Building Inspector; having EPA Accreditation #15413 (see Appendix
A for certificate). The purpose of the inspection was to identify, sample and assess potentially hazardous
friable and non - friable ACM within the interior of the residence and garage aswell asthe exterior.
II. Structural Design
The structure isa wood - framed, two-level, single - family residencewith attached garage.
III. Sampling and Analytical Procedures
The inspection, assessment and sampling were conducted by an EPA and AHERA accredited Building
Inspector qualified by experience, education and training in the recognition of potential ACM and
approved bulk - sampling techniques. The asbestos bulk - sampling was conducted on suspect ACM with a
limited number of bulk - samples being collected within the residence.
The inspection, assessment and sampling were performed in accordance with Environmental Protection
Agency / AHERA recommended procedures. These procedures call for the visual inspection of the area of
concern and the collection and analysis of representative bulk - samples of suspect material.
Some minor destructive sampling was conducted. Walls, columns and perimeter pipe chases were not
broken into in order to locate and quantify suspect ACM. It should be noted that additional ACM might be
located in these and other inaccessible areas.
Random bulk - samples, representative of the suspect asbestos - containing building materials (ACBM) of
each homogeneous area (HA), were collected according to the guidelines published as Environmental
Protection Agency (EPA) Final Rule: Title I I of the Toxic Substances Control Act (TSCA),15 USG Sections
2641 through 2654 and in compliance with 40 CFR, Part 763. Representative sampling is based on the
following criteria:
1. The distribution of the suspect material throughout the HA.
2. The suspect material's physical characteristics and application.
3. Random sampling patterns determined for each HA.
Suspect materials sampled and analyzed should be considered to be representative of materials in each
HA if they exhibit similar physical characteristics and the application of the sampled material can be
correlated to the application of un- sampled material. Bulk - samples collected were analyzed utilizing the
EPA's Method for the Determination of Asbestos in Bulk Building Materials (EPA 600 / R( 116, .Lly, 1993)
and the McCrone Research Institute's The Asbestos Particle Atlas as methods references. Analysis of the
bulk - samples was performed on the "date reported," as listed in the bulk - sample analysis report.
3
IV. Notes on Report Format
Suspect materials alike in appearance and application were sampled as HAs. Suspect materials were
divided into three classifications:
1. S.rrfacingMaterial: sprayed or troweled onto structural building member.
2. Thermal system Insulation (T9): any type of pipe, boiler, tank, or duct insulation.
3. Miscellaneous Material: other suspect materials, floor tile, sheet vinyl/ linoleum, ceiling tiles,
insulation, and finishing materials.
Condition assessments were performed by the accredited inspector at the time of inspection. Condition
assessments are listed in the following section. Ratings of "good," "damaged," and "significantly
damaged" are meant to indicate the overall condition of the material.
A material in "good" condition has no visible damage or deterioration, or showing only very limited
damage or deterioration.
A material in "damaged" condition has the following characteristics: The surface is crumbling, blistered,
water - stained, gouged, marred or otherwise abraded over less than one -tenth of the surface if the
damage is evenly distributed (one - quarter if the damage is localized). Accumulation of powder, dust or
debris similar in appearance to the suspect material on surfaces beneath the material can be used as
confirmatory evidence. A material in "significantly damaged" condition has one or more of the following
characteristics:
• The surface is crumbling or blistered over at least one -tenth of the surface if the damage is evenly
distributed (one - quarter if the damage is localized).
• One -tenth (one - quarter, if localized) of the material is hanging from the surface, deteriorated, or
showing adhesive failure.
• Water stains, gouges, or mars are over at least one -tenth of the surface if the damage is evenly
distributed (one - quarter if the damage is localized). Accumulation of powder, dust or debris
similar in appearance to the suspect material on surfaces beneath the material can be used as
confirmatory evidence.
Response- action recommendations for asbestos - containing HAs are listed in the section VII.
Recommendations may be for more than one HA, if materials are alike. Recommendations are either
"general" or "immediate." An immediate recommendation indicates the presence of asbestos greater
than 1 % within the bulk - sample, or a bulk - sample in the same HA, and should be addressed accordingly.
Ageneral recommendation indicates asbestos does not exist greater than 1% within the bulk - sample, or
a bulk - sample in the same HA, and no further abatement activities are required for removal of the
material. Any sample reporting a "TRACE" amount of asbestos must be considered to be positive for
asbestos greater than 1 % unless it i s analyzed by t he point-count method to be l ess t han 1%.
V. Inspector Comments
No asbestos - containing material (ACM) was identified during the bulk - sampling conducted at 996
Ptarmigan Rd, Vail, Colorado. Atotal of thirteen (13) bulk - samples were collected from drywall, stucco
and insulation. All thirteen (13) bulk - samples tested negativefor asbestos.
4
VI. Homogeneous Area Descriptions
The following section contains sampled HA descriptions and sample locations. Percent- asbestos content
for each sample indicated can vary depending on sample locations, homogeneity of the materials, and
type of application. The following samples were collected from the single family residence at 996
Ptarmigan Rd, Vail, Colorado on Ily 14, 2010. The quantities are approximations and are subject to field
verification:
Homogeneous Area #0 1
Homogeneous Area #0 1
temple #: DW01 -01
Simple #: DW01 -02
,%mple Description: Drywal I
%mple Description: Drywall
Sample Location: Garage Wal I - NW Corner
%mple Location: Ground Level - NW Room - NE
Material Cjantity. >5,OOOft
Corner
Material Oassification: Surfacing Material
Material Oasgfication: Surfacing Material
Material Oiantity >5,OOOft
Material Qiantity.� >5,OOOft
Material Condition: GxA
Material Condition: Good
Physical Description (layers): White joint
Plhysrca/ Description (layers): Yellow fibrous
compound; White tape; White compound w/ white
woven; White compound w/ white paint
p aint; White/ tan drywal l
Asbestos Detected (layers): Negative; Negative;
Asbestos Detected (layers): Negative; Negative
N tive; N egative
fecornmendations GENERAL -See Section VI I
Fboommendations GENERAL See Section VI I
Homogeneous Area #01
Semple #: DW01 -03
Homogeneous Area #0 1
Simple #: DW01 -04
SampleDescription: Drywall
%mple Description: Drywall
Samp/eLocaticn: Ground Level - Hallway
Bathroom - NE Corner
Sample Location: Ground Level - Beneath Steirsto
Upper Level - NE Corner
Material Oassification: Surfacing Material
Material Oas4f!cation: Surfacing Material
Material Cjantity. >5,OOOft
Material Qjantity. >5,OOOft
Material Condition: Good
Material Condition: Cbod
Physycal Description (layers): Yellow fibrous
woven; White tape; White texture; White/ tan
drywall
Physical Description (layers): White tape; White
joint compound; Whitetexture; Whiteltan drywall
Asbestos Detected (layers): Negative; Negative;
Negative; Negative
Asbestos Detected (layers): Negative; Negative;
Negative; Negative
Fiscommendations C -See Section VI I
Fbcommendations GENERAL - See Section VI I
H omogeneous Area 1
S%mple #: DW01 -05
Homogeneo Area #01
Simple #: DW01 -06
,%mpleDescription: Drywall
�%mpleDescription: Drywall
Sample Location: Upper Level -Master Bedroom -
SW Corner
Sample Location: Upper Level - Kitchen - NE
Corner
Material Classification: Surfacing Material
Material Classification: Surfaci ng Material
Material Qjantity. >5,00oft
Material Qjantity. >5,000ft
Material Condition: Good
Material Condition: Good
Physical Description (layers): Yellow fibrous
woven; White tape; White texture
Physical Description (layers): White tape; White
compound; White texture; White/ tan drywall
Asbestos Detected (layers): Negative; Negative;
Negative
- joint
Asbestos Detected (layers): Negative; Negative;
Negative; Negative
lgcommendations GE NERAL -See Section VI I
Rq=nmendations GENERAL - See Section VI I
Homogeneous Area #0 1
temple #: DW01 -07
Homogeneous Area #02
Sample #: PL01 -01
Sample Description: Drywall
%mpleDescription: Exterior Stucco
,%mple Location: Upper Level - Di ni ng Room -
NW Corner
%mple Location: North Wal I
Material Classification: Surfacing Material
Material Classification: Surfacing Material
Material Quantity >5,00oft
Material Cjantity. >1,000ft but <5,00oft
Material Condition: Good
Material Condition: Cbod
Physical Description (layers): Yellow fibrous
woven; Whitetape; White texture w/ white paint;
White'oint compound; White/ tan drywall
Phys+cal Description (layers): Cray plaster; White
granular plaster
Asbestos Detected (layers): Negative; Negative;
Negative; N ive; Negative
Asbestos Detected (layers): Negative; Negative
Rq=nmendations GENERAL - See Section VII
fbcommendations GE NE RAL - See Section VI I
H omogeneous Area 1
S %mple #: PL01 -02
• ••- -• 1
Simple #: PL01 -03
S %mpleDsscription: Exterior Stu000
%mpleDescription: Exterior Stu000
,ample Location: West Wall I
Simple Location: West Wall I
Material Cassification: Surfacing Material
Material aassification: Surfacing Material
Material GLantity >1,000ft but <5,00oft
Material Qjantity.* >1,000ft but <5,00oft
Material Qmdition: Good
Material Condition: Good
Physical Description (layers): White foam; Cray
taster; White granular plaster
Plhyscal Des ription (layers): White granular
plaster; Gray plaster
Asbestos Detected (layers): Negative; Negative;
Negative
�� la e
(y o Negative; Negative
Pecommendations GE NERAL - See Section VI I
Pecommeadations GENERAL - See Section VI I
H omogeneous Area 1
S%mp/e #: PL01 -04
• ••- -• 1
Sample #: PL01 -05
,amp/eDescription: Exterior Stucoo
%mpleDescription: Exterior Stu000
SbmpleLocation: South Wall
,%mpleLocation: East Wall
Material Classification: Surfacing Material
Material C1ass±tication: Surfacing Material
Material Qjantity. >1,000ft but <5,00oft
Material Qjantity. >1,000ft but <5,00oft
Material Condition: Good
Material Condition: Good
Physfca/ Description (layers): Gray plaster; White
g ranular plaster
Physical Description (layers): White granular
plaster; Gray plaster
Asbestos Detected (layers): Negative; Negative
Asbestos Detected (layers): Negative; Negative
Pecommeadations GENERAL - See Section VI I
Flq=nmeidations GENERAL - See Section VI I
Homogeneous
Sbmple #: I NS01 -01
,%mple Description: Insulation
SbmpleLocation: Crawlspace
Material Classification: Miscellaneous Material
Material Qantity. Unknown
Material Condition: Good
Physical Description (layers): Pink fibrous
material; Silver wra
Asbestos Detected (layers): Negative; Negative
fbcommendations: GENERAL -See Section VII
VII. Recommendations
CIEENERAL Y
The laboratory results of the potential ACM sampled at 996 Ptarmigan Rd, Vail, Cblorado, indicate that all
thirteen (13) bulk - samples of drywall, stucco and insulation collected were reported as negative for
asbestos. Therefore, no professional abatement activities are recommended to remove the above -
referenced material prior to the demolition of the residence.
0
APPENDIX A
CERTI FI CATI ON
STATE OF COLORADO
ASBESTOS
CER'T`IFICATION*
Colorado IDepartinentorPublic Health
and £nvixrrwent
Air Pollution C'.oRtrpt Division
This certifies that
Steve Shurtiiff
Certification No: 1'1413
tors tint the requirvinents of 25 -7 -507, C,R.S. and Air Quality Control
Commission Regulation No, $, Par B, and is hereby certified by die
state of Colorado in the following discipline:
Building Inspector*
Issued: 6/12/2010
Expires on: 6/1212011
r I
ms d avCA Re$ —kbv
r
•7krx i +nt/6rer«7r w1 d -ly.*h the red w.Jv rarar+.rlb.•tdra - w g reWere
rent /1ads.un�iatr�•1vus ay.a�INmhron
w z . •
�1
AEROblO[Ogy LABORATORY
.,�,,- -•� ASSOCIATES, INCORPORATED
C LA"ATORY1A80RAT012Y
Certificate of Analysis
13949 W. Colfax Ave
Suite 205
Lakewood, CO 80401
303.232.3746•
www.aerobiolopY.net
Client Name
Street address
DS Consulting, Inc.
5366 Flatrock Ct.
���� �- Date Collected:
Date Received:
07/22/10
07/22/10
City, State ZIP
Morrison, CO 80465
Date Analyzed:
07/22/10
Attn:
Steve Shurtliff
#200860 -0 Date Reported:
07/22/10
Client Project Name:
996 Ptarmigan Rd. Vail, CO
Project ID:
104811
Client
Lab Sample Number
Job ID:
104811 -1A
Test Requested: 3002, Asbestos in Bulk Samples
Method: Polarized Light Microscopy / Dispersion Staining (PLM), Method for the Determination of Asbestos "in Bulk Building Materials. EPA - 600 /R- 93/116, July 1993.
Homo-
Number
Asbestos Detected
Non - Asbestos
Non-Fibrous
Matrix
Sample Identification
Physical Description of Sample;
Additional Comments
geneous
es/no
of
La er %
Fibers
area %
Material
area %
Material
(composition
Client
Lab Sample Number
WO = Wollastonite
104811 -1A
White Joint Compound
N
4,10%
Negative
T = Tar
100
C
Trace —Less Than 1%
NAC — Non - Asbestiform AC
P — Perlite
Laboratory Analyst
Asbestos Laboratory Supervisor
98%
O = Organic
104811 -1B
White Tape
N
4,15%
Negative
CELL
2
OP = Opaques
DWO1 -01
13949 W. Colfax Ave. Suite 205,
Lakewood CO 80401, 303.232.3746
D = Diatoms
104811 -1C
White Compound w/ White Paint
N
4,35%
Negative
100
C
50%
104811 -1D
White/Tan Drywall
N
4,40%
Negative
CELL
50
98%
104811 -2A
Yellow Fibrous Woven
N
2,10%
Negative
FBG
2
DWO1 -02
104811 -213
White Compound w/ White Paint
N
2,90%
Negative
100
98%
104811 -3A
Yellow Fibrous Woven
N
4,2%
Negative
FBG
2
98%
104811 -3B
White Tape
N
4,4%
Negative
CELL
2
DWO1 -03
104811 -3C
White Texture
N
4,40%
Negative
100
C
15%
104811 -3D
White/Tan Drywall
N
4,54%
Negative
CELL
85
G
A = Amosite
CELL = Cellulose
Q — Quartz
AC = Actinolite
MW = Mineral Wool
C = Carbonates
f
Y
AN — Anthophyllite
CHRY= Chrysotile
FBG = Fiberglass
SYN = Synthetic
V = Vermiculite
G = Gypsum
CR = Crocidolite
WO = Wollastonite
M = Mica
TR = Tremolite
NTR = Non - Asbestiform TR
T = Tar
Paul Knappe
Adam Humphreys
Trace —Less Than 1%
NAC — Non - Asbestiform AC
P — Perlite
Laboratory Analyst
Asbestos Laboratory Supervisor
FT = Fibrous Talc
O = Organic
AH =Animal Hair
B = Binder
OP = Opaques
Page 1 of 5
13949 W. Colfax Ave. Suite 205,
Lakewood CO 80401, 303.232.3746
D = Diatoms
'%k,AERobio1oqy LAb ORATORy
ASSOCIATES, INCORPORATED
CONSULT
LA
80RATORY
Certificate of Analysis
13949 W. Colfax Ave
Suite 205
Lakewood, CO 80401
303.232.3746
wvwv.a erobioloav . net
Client Name
Street address
DS Consulting, Inc.
5366 Flatrock Ct.
��'J�, Date Collected:
W 11 L4 d Date Received:
07/22/10
07/22/10
City, State ZIP
Morison, CO 80465
U Date Analyzed:
07/22/10
Attn:
Steve Shurtliff
#200860 -0 Date Reported:
07/22/10
Client Project Name:
996 Ptarmigan Rd. Vail, CO
Project ID:
104811
Negative
98%
CELL
Job ID:
NAC - Non- Asbestiform AC
Test Requested: 3002, Asbestos in Bulk Samples
Method: Polarized Light Microscopy / Dispersion Staining (PLM), Method for the Determination of Asbestos in Bulk Building Materials. EPA - 600 /R- 93/116, July 1993.
Sample Identification
Physical Description of Sample;
Additional Comments
Homo-
geneous
es/no
Number
of
La er %
Asbestos Detected
Non-Asbestos
Fibers
area %
on- Fibrous
Material
area %
Matrix
Material
(composition
V = Vermiculite
Client
Lab Sample Number
DWO1 -04
1048114A
White Tape
N
4,5%
Negative
98%
CELL
2
NAC - Non- Asbestiform AC
1048114B
White Joint Compound
N
4,15%
Negative
AH =Animal Hair
100
C
1048114C
White Texture
N
4,35%
Negative
100
C
1048114D
White/Tan Drywall
N
4,45%
Negative
15%
CELL
85
G
DWO1 -05
104811 -5A
Yellow Fibrous Woven
N
3,2%
Negative
98%
FBG
2
104811 -513
White Tape
N
3,8%
Negative
98%
CELL
2
104811 -5C
White Texture
N
3,90%
Negative
100
C
DWO1 -06
104811 -6A
White Tape
N
4,4%
Negative
98%
CELL
2
104811 -613
White Joint Compound
N
4,15%
Negative
100
C
104811 -6C
White Texture
N
4,15%
Negative
100
C
A = Amosite
CELL = Cellulose
Q - Quartz
AC = Actinolite
MW = Mineral Wool
C = Carbonates
_ AN = Anthophyllite
g �r -
FBG = Fiberglass
V = Vermiculite
. CHRY�hrysotile
¢
SYN = Synthetic
G = Gypsum
CR = Crocidollte
WO = Wollastonite
M = Mica
TR = Tremolite
NTR = Non- Asbestiform TR
T = Tar
Paul Knappe Adam Humphreys Trace -Less Than 1%
NAC - Non- Asbestiform AC
P - Perlite
Laboratory Analyst Asbestos Laboratory Supervisor
FT = Fibrous Talc
O = Organic
AH =Animal Hair
B = Binder
OP = Opaques
Page 2 of 5 13949 W. Colfax Ave. Suite 205, Lakewood CO 80401, 303.232.3746
D = Diatoms
'%k,A LAboRATORy
ASSOCIATES, INCORPORATED
CONSULTING LABORATORY
Certificate of Analysis
13949 W. Colfax Ave
Suite 205
Lakewood, CO 80401
303.232.3746
www.aerobioloay.net
Client Name
Street address
DS Consulting, Inc.
5366 Flatrock Ct.
���� Date Collected:
d Date Received:
?
07/22/10
07/22/10
City, State ZIP
Morrison, CO 80465
Date Analyzed:
07/22/10
Attn:
Steve Shurtliff
#200860 -0 Date Reported:
07/22/10
Client Project Name:
996 Ptarmigan Rd. Vail, CO
Project ID:
104811
Negative
15%
CELL
Job ID:
G
Test Requested: 3002, Asbestos In Bulk Samples
Method: Polarized Light Microscopy / Dispersion Staining (PLM), Method for the Determination of Asbestos in Bulk Building Materials. EPA - 600 /R- 93/116, July 1993.
Sample Identification
Physical Description of Sample;
Additional Comments
Homo-
geneous
(yes/no)
Number
of
La er %
Asbestos Detected
Non- Asbestos
Elm
area %
Non-Fibrous
Material
area %
Matrix
Material
(composition
CR = Crocidolite
Client
Lab Sam le Number
DWO1 -06
104811 -613
White/Tan Drywall
N
4,66%
Negative
15%
CELL
85
G
DWO1 -07
104811 -7A
Yellow Fibrous Woven
N
5,2%
Negative
98%
FBG
2
104811 -713
White Tape
N
5,5%
Negative
98%
CELL
2
104811 -7C
White Texture w/ White Paint
N
5,10%
Negative
100
C
104811 -713
White Joint Compound
N
5,15%
Negative
100
C
104811 -7E
White/Tan Drywall
N
5,68%
Negative
15%
CELL
85
G
PLO1 -01
104811 -8A
Gray Plaster
N
2,5%
Negative
100
C
104811 -813
White Granular Plaster
N
2,95%
Negative
100
Q,C
PLO 1 -02
104811 -9A
White Foam
N
3,5%
Negative
100
104811 -913
Gray Plaster
N
3,40%
Negative
100
C
Paul Knappe
Laboratory Analyst
Page 3 of 5
Adam Humphreys
Asbestos Laboratory Supervisor
A = Amosite
CELL = Cellulose
AC = Actinolite
MW = Mineral Wool
AN = Anthophyllite
FBG = Fiberglass
CHRY= Chrysotile
SYN = Synthetic
CR = Crocidolite
WO = Wollastonite
TR = Tremolite
NTR = Non- Asbestiform TR
Trace —Less Than 1%
NAC — Non - Asbestiform AC
FT = Fibrous Talc
AH =Animal Hair
13949 W. Colfax Ave. Suite 205, Lakewood CO 80401, 303.232.3746
Q — Quartz
C = Carbonates
V = Vermiculite
G = Gypsum
M = Mica
T = Tar
P — Perlite
O = Organic
B = Binder
OP = Opaques
D = Diatoms
1 %k,AERobio1oc j y LAbORATORy
- ASSOCIATES, INCORPORATED
S N
CONSULTING LABORATORY
Certificate of Analysis
13949 W. Colfax Ave
Suite 205
Lakewood, CO 80401
303.232.3746 _
www.aerobioloay.net
Client Name
Street address
DS Consulting, Inc.
5366 Flatrock Ct.
���� 3, Date Collected:
D Date Received:
?
07/22/10
07/22/10
City, State ZIP
Morrison, CO 80465
Date Analyzed:
07/22/10
Attn:
Steve Shurtliff
#200860 -0 Date Reported:
07/22/10
Client Project Name:
996 Ptarmigan Rd. Vail, CO
Project ID:
104811
Negative
Job ID:
Q,C
Test Requested: 3002, Asbestos in Bulk Samples
Method: Polarized Light Microscopy / Dispersion Staining (PLM), Method for the Determination of Asbestos in Bulk Building Materials. EPA-600/R-93/116, July 1993.
Sample Identification
Physical Description of Sample;
Additional Comments
Homo-
geneous
es/no _ . Layers( "/.)
umber
of
Asbestos Detected
Non - Asbestos
Fibers
area %
Non-Fibrous
Material
area %
Matrix
Material
(composition
Client
Lab Sample Number
PLO 1 -02
104811 -9C
White Granular Plaster
N
3,55%
Negative
100
Q,C
PLO1 -03
104811 -10A
White Granular Plaster
N
2,10%
Negative
100
Q,C
104811 -1OB
Gray Plaster
N
2,90%
Negative
100
C
PLO1 -04
104811 -11A
Gray Plaster
N
2,25%
Negative
100
C
104811 -1113
White Granular Plaster
N
2,75%
Negative
100
Q,C
PLO1 -05
104811 -12A
White Granular Plaster
N
2,10%
Negative
100
Q,C
104811 -12B
Gray Plaster
N
2,90%
Negative
100
C
INSO1 -01
104811 -13A
Pink Fibrous Material
N
2,10%
Negative
98%
FBG
2
104811 -13B
Silver Wrap
N
2,90%
Negative
20%
FBG
80
Page 4 of 5
A = Amosite CELL = Cellulose
AC = Actinolite MW = Mineral Wool
AN = Anthophyllite FBG = Fiberglass
CHRY= Chrysohle SYN = Synthetic
CR = Crocidohte WO = Wollastonite
TR = Tremolite NTR = Non - Asbestiform TR
Paul Knappe Adam Humphreys Trace -Less Than 1% NAC — Non- Asbestifom AC
Laboratory Analyst Asbestos Laboratory Supervisor FT = Fibrous Talc
AH = Animal Hair
13949 W. Colfax Ave. Suite 205, Lakewood CO 80401, 303.232.3746
Q — Quartz
C = Carbonates
V = Vermiculite
G = Gypsum
M = Mica
T = Tar
P — Perlite
O = Organic
B = Binder
OP = Opaques
D = Diatoms
&Robio ocy LAbORATORy
ASSOCIATES, INCORPORATED
CONSWING tABORAIORY Certificate of Analysis
13949 W. Colfax Ave
Suite 205
Lakewood CO 80401
303.232.3746
www.aerobii oov.net
DS Consulting, Inc.
5366 Flatrock Ct.
5
Date Collected:
fl Date Received:
07/22/10
07/22/10
Morrison, CO 8046
Date Analyzed:
07/22/10
Steve Shurtliff
#200860 -0 Date Reported:
07/22/10
Client Project Name: 996 Ptarmigan Rd. Vail, CO
Project ID:
104811
Job ID:
General Notes
♦ Negative indicates no asbestos was detected; the method detection limit is 1 %.
♦ Trace or " <1" indicates asbestos was identified in the sample, but the concentration is less than the method detection limit of 1 %.
♦ All regulated asbestos minerals (i.e. chrysotile, amosite, crocidolite, anthophyllite, tremolite, and actinolite) were sought in every layer of each sample, but only those asbestos
minerals detected are listed. Amosite is the common name for the asbestiform variety of the minerals cummingtonite and grunterite. Crocidolite is the common name used for the
asbestiform variety of the mineral reibekite.
♦ Tile, vinyl, foam, plastic, and fine powder samples may contain asbestos fibers of such small diameter (< 0.25 microns in diameter) that these fibers cannot be detected by PLM.
For such samples, more sensitive analytical methods (e.g. TEM, SEM, and XRD) are recommended if greater certainty about asbestos content is required. Semi - quantitative bulk TEM
floor tile analysis is accepted under the NESHAPS regulations.
♦ These results are submitted pursuant to Aerobiology Laboratory Associates, Inc.'s current terms and conditions of sale, including the company's standard warranty and limitation
of liability provisions. No responsibility or liability is assumed for the manner in which the results are used or interpreted.
♦ Unless notified in writing to return the samples covered by this report, Aerobiology Laboratory Associates, Inc. will store the samples for a minimum period of thirty (30) days
before discarding. A shipping and handling charge will be assessed for the return of any samples.
Notes Required by NVLAP
♦ This 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
♦ This test report relates only to the items tested or calibrated.
♦ This report is not valid unless it bears the name of a NVLAP - approved signatory.
♦ Any reproduction of this document must include the entire document in order for the report to be valid.
13949 W. Colfax Ave. Suite 205, Lakewood CO 80401, 303.232.3746