HomeMy WebLinkAboutD10-0008TOWN OF VAIL
75 S. FRONTAGE ROAD
VAIL, CO 81657
970-479-213 8
Job Address:
Location.......:
Parcel No....:
DEPARTMENT OF COMMUNITY DEVELOPMENT
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
DEMO. OF PART/ALL BLDG
2335 BALD MOUNTAIN RD VAIL
BALD MTN TH G 15
210103302015
': OWNER BLAZEK, MARGARET A.
2335 BALD MOUNTAIN RD 15
VAIL
CO 81657
, APPLICANT HAPPY HAMMER CARPENTRY
PO BOX 70
601 MAIN ST
MINTURN
CO 81645
License: 1063-B
' CONTRACTOR HAPPY HAMMER CARPENTRY
PO BOX 70
601 MAIN ST
MINTURN
CO 81645
License: 1063-B
Permit # D10-0008
Project # ??
Status . . . : ISSUED
Applied .. . : 08/12/2010
Issued . . . : 10/11/2010
Expires.....: 04/09/2011
08/12/2010 Phone: 970-476-0625
08/12/2010 Phone: 970-389-1216
08/12/2010 Phone: 970-389-1216
' Desciption:
ADD LOFT ,INTERIOR REMODEL ,BATH IMPROVEMENTS
Occupancy: R2
Type Construction: VB
Valuation: $3,000.00 Revision Valuation: ?? Total Sq Ft Added
0
*ss*�**sss*asa�**�s�*►*sss*+**�*►****s*s*****a*****a****s*********s� FEE S UMMARY rrrs*ss*�**a*�**�*�*�a*sa***�+s*�:�r�*ss�+*�*�#s��s+sr*ss*ss
Building----> $ B 3. 2 5 Restuarant Plan Review--> $ o. 0 0 Total Calculated Fees--> $14 i. 3 6
' Plan Check--> $54. 11 Recreation Fee------------> $0 . 00 Additional Fees--------> $0. 00
Investigation-> $ 0. 0 o TOTAL FEES----------> $141. 3 6 Total Permit Fee--------> $141. 3 6
Will Call----> $4.00 Payments---------------> $141.36
BALANCE DUE--------> $0. 00
. ###f####f####�R#i#�kt####t#}####�F4/iRf##f########}f#f#########k###}##f#####}#}##t####i##�F}#�########t##########f#######}#****tt*#*#*i*#�Ft######tR##
Approvals:
i Item: 05100 BUILDING DEPARTMENT
09/14/2010 JRM Action: AP
.....,:..::.+:::.*:.::.:.*:.:.:.*..*:s�.:..*.:s:*:s.:..+.:........:..s+.....+....+...s�rs..+..++s...:.s+...+:........�..:�.�.�.*:.*.�.:...:.+....:.
i. 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 [N ADVA1YE-E-�i''7'EL�PHONE AT 479-2149 OR AT OUR OFFICE FROM 5:00 AM •
4 PM. _,�� / i i
OF OWNER OR COiVTRACTOR FOR HIMSELF AND OWNER
********************************************************************************************************
CONDITIONS OF APPROVAL
Permit #: D10-0008 as of 10-11-2010 Status: ISSUED
********************************************************************************************************
Permit Type: DEMO. OF PART/ALL BLDG.
Applicant: HAPPY HAMMER CARPENTRY
10/11/2010
Job Address:
Location:
Parcel No:
'r'SLIaC�:���►.j[�
2335 BALD MOUNTAIN RD VAIL
BALD MTN TH C-15
[►� [ I j[ I�� Gi 17 i•l l�[.�
Description:
ADD LOFT ,INTERIOR REMODEL ,BATH IMPROVEMENTS
Applied: 08/12/2010
Issued:
To Expire: 04/09/2011
***********************************************Conditions:************************************************
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.
BUILDING
APPLICATION
Separate permits are required for electrical, plumbing, mechanical,
Project Street A dr
,�3� J��� � e �s
(Number) (Street) (Suite #)
Building/Complex Name: .( )aXGY D� 1' l��l ��
Contractor Information:
Company: N10�pA,� jr �� (� �
Company Address: P6 1 � ��
City: �Y�� WI/t�� State: � Zip: �/ � 'i
Contact Name: ,��� V�- �Z-Z'eiMi
Contact Phone: �Q% D�.�C� l- �2 �6
�
E-Mail
Town of ail Contract egistration No.:
X _
ontractor Sign ure (required)
Property Information
Parcel #: 210 f �30 �l S
(For parcel #, contact Eagle County Assessors Office at 970-328-8640 or
visitwww.eaglecounty.us/ atie)
�/�Tenant Name: /� �
Owner Name: ���" �jlt%e�� I � Z� �
Valuations (Labor 8� Materials)
Building: $ �� �G
Plumbing: $
Electrical: $
Mechanical: (including fireplace) $
ar'
Total: $ �i ��
_____ _ _._. _ .. ._.. _ _ _... _..._.. _ _ ___._._._
Office Use: �(J n iJ ��
Project #: �t� r�'�-� �
DRB #:
Building Permit #: V' d"` �� u O
Lot #: Block # Subdivision:
Detailed Scope and Location of Work:
S� �
/.�tT�
(use additional sheet if necessary)
Work Class:
New ( ) Addition ( ) Remodel (✓) Repair ( ) Other ( )
Work Type
Interior (�Exterior ( ) Both ( )
Type of Building: /
Single-Family ( ) Duplex ( ) Multi-Family F )
Commercial ( ) Other ( )
Does a Fire Alarm Exist? Yes (,/j No ()
Monitored Alarm? Yes ( ) No ( �
Does a Sprinkler System Exist? Yes () No (�
#& Type of Existing Fireplaces: Gas Appliances
Gas Log Wood/Pellet Wood Buming
#& Type of Proposed Fireplaces: Gas Appliances
Gas Log Wood/Pellet Wood Burning _
_ ...._... _ _ _ _ _ _ _ ....... _ _ . ._ _. _.. _: _ ..
Date Received:
O1-Jan-10
�
;-�..
Presented to:
Mr. Sean Cozzens
Happy Hammer Carpentry
601 Main St
Minturn, CO 81645
Performed & Prepared by:
Mr. Steve Shurtliff
DS Consulting, Inc.
PO Box 6864
Avon, CO 81620
(303) 378-1544
Project Details:
DSC Project #: 2583
Conducted: August 2, 2010
Homeowner: Ms. Margaret Blazek
�i Consu�tin
�
On August 2, 2010, Mr. Steve Shurtliff of DS Consulting, Inc. (DSC) performed a limited inspection and
collected asbestos bulk-samples at 2335 Bald Mtn Rd, Unit 15, Vail, Colorado, in order to identify
potentially hazardous friable and non-friable asbestos-containing materials (ACM) within a portion of the
above-referenced, single family residence in which renovations are scheduled. The Colorado Department
of Public Health and Environment's (CDPHE) Regulation 8, Part B defines an asbestos-containing material
(ACM) as a material containing more than 1% asbestos.
Mr. Shurtliff performed asbestos bulk-sampling of two types of drywall (surfacing material) in a total of six
(6) locations as well as cloth wall covering (miscellaneous material) in a total of one (1) location within
the residence.
Bulk-samples of drywall were collected within the stairwell to the main level, the main level dining room,
the stairwell to the upper level and the upper level hot tub room (not currently being used as such). A
bulk-sample of cloth wall covering was collected within the stairwell to the upper level. The bulk-samples
were analyzed by Aerobiology Laboratory Associates, Inc. (NVLAP #200860-0) in Denver, Colorado. All
laboratory results reporting as negative for asbestos (see Appendix B for laboratory results).
2
I. Introduction
A limited inspection and bulk-sampling for ACM was conducted at 2335 Bald Mtn Rd, Unit 15, Vail,
Colorado, by Mr. Shurtliff on August 2, 2010 at the request of Mr. Sean Cozzens with Happy Hammer
Carpentry. Mr. Shurtliff is a 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 residence in which renovations are
scheduled.
II. Structural Design
The structure is a wood-framed, multi-level, single-family residence with 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 II of the Toxic Substances Control Act (TSCA), 15 USC, 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 Buildir�g Materrals (EPA 600/R/116, July, 1993)
and the McCrone Research Institute's �'i►e Asbestos Particle At�as 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. Surfacing Material: sprayed or troweled onto structural building member.
2. Thermal System Insulation (TSI): 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 sur€ace if the
damage is evenly distributed (one-quarter if the damage is locaIized). 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.
A general 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 is analyzed by the point-count method to be less than 1%.
V. Inspector Comments
No asbestos-containicrg material (ACM) was identified during the bulk-sampling conducted at
2335 Bald Mtn Rd, Unit 15, Vail, Colorado. A total of six (6) bulk-samples were collected from drywall
and cloth wall covering within the above-referenced residence. All bulk-samples tested negative for
asbestos.
4
Vt. 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 2335 Bald
Mtn Rd, Unit 15, Vail, Colorado, on August 2, 2010. The quantities are approximations and are subject to
field verification:
q ,q � • •"F �:�; ia �„- yv
� �eR$ t�e�o� R � �� �1 { +�{ .Pq=4 � 7�, .f", ��
Sample #: DW01-01 Sample #: DW01-02
Sample Description: Drywall Sample Description: Drywall
Sample Location: Main Level Dining Room - Wall Sample Location: Stairwell To Upper Level - Wall
Material Classification: Surfacing Material Material Classification: Surfacing Material
Material Quantity: <1,OOOfC2 Material Quantity: <1,OOOft2
Material Condition: Good Material Condition: Good
Physical Description (layers): White/tan drywall; Physical Description (layers): Brown resinous
White compound w/white paint; White tape; material; White/tan drywall; White tape; White
White 'oint com ound com ound w white aint; White 'oint com ound
Asbestos Detected (layers): Negative; Negative; Asbestos Detected (layers): Negative; Negative;
Ne ative; Ne ative Ne ative; Ne ative; Ne ative
Recommendations: GENERAL - See Section VII Recommendations: GENERAL - See Section VII
: ,� ���
� � x,,�: r�. ���s �� � .��`� }` > '�- � .;• �r, &�
Sample #: DW01-03 Sample #: DW02-01
Sample Description: Drywall Sample Description: Drywall
Sample Location: Stairwell To Main Level - Wall Sample Location: Upper Level Hot Tub Room -
Wall
Material Classification: Surfacing Material Material Ctassification: Surfacing Material
Material Quantity: <1,OOOftz Material Quantity: <1,OOOft2
Material Condition: Good Material Condition: Good
Physical Description (layers): White tape; White
Physical Description (layers): Not Analyzed compound w/white paint; White joint compound;
White tan d all
Asbestos Detected (layers): Not Analyzed Asbestos Detected (layers): Negative; Negative;
Ne ative; Ne ative
Recommendations: G�NERAL - See Section VII Recommendations: GENERAL - See Section VII
5
g; �'`",�:� ����¢,"���ti�.•'r+- "���^�'" � � :h .r'^'ea ""•('���'� .k` '''° ' `'a�� ,� �,ftf �«` 'fp°d"�,�,r_r �'�' r � rg" a.�' ��r '"u+s 4 a ..:vr rq„�.:..- �„� _
'�4<� '�"� �� ;�:� 4 C y .a ,r�,'S` �P u . � - ���� e ��?sz �" °s'� -
Sample #: DW02-02 Sample #: DW02-03
Sample Description: Drywall Sample Description: Drywall
Sample Location: Upper Level Hot Tub Room - Sample Location: Upper Level Hot Tub Room -
Wall Wall
Material Classification: Surfacing Material Material Classification: Surfacing Material
Material Quantity: <1,OOOft2 Material Quantity: <1,OOOft2
Material Condition: Good Material Condition: Good
Physical Description (layers): White joint Physical Description (layers): White joint
compound; White compound w/white paint; compound; White tape; White compound w/white
White ta e; White tan dr all aint
Asbestos Detected (tayers): Negative; Negative; Asbestos Detected (layers): Negative; Negative;
Ne ative; Ne ative Ne ative
Recommendations: GENERAL - See Section VII Recommendations: GENERAL - See Section VII
� i �r.s`� a S �` q �'j�c.&a����`�{s8y�;,
� r..��' ` ��< �. *ra t,� R�.rr,
Sample #: MISC01-01
Sample Description: Cloth Wall Covering
Sample Location: Stairwell To Upper Level - Wall
Material Classification: Miscellaneous Material
Material Quantity: <1,OOOft2
Material Condition: Good
Physical Description (layers): Tan fibrous material;
Yellow mastic; White fibrous woven resinous
material
Asbestos Detected (layers): Negative; Negative;
Ne ative
Recommendations: GENERAL - See Section VII
VII. Recommendations
The laboratory results of the potential ACM sampled at 2335 Bald Mtn Rd, Unit 15, Vail, Colorado,
indicate that all bulk-samples of drywall and cloth wall covering analyzed were reported as negative for
asbestos. Therefore, no professional abatement activities are recommended to remove the above-
referenced material.
G
STATE OF COLORADO
ASBES"['OS
CERTIF(C;1T101'�
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:in�i En�irunnirri
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Steve Shurtliff
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�l:tir nl�( �ul�,f�tl<� in lhr !i�l��nt in,� �,i,:i�iltni �
l3uildin}; Inspector^'
Is.ucd: n� I 2:�?II I II
h\pires nn: 6� 122011
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--,�—` ASSOCIATES, INCORPORATED
`` CONSULIING LABORATORY
Certificate of Analysis
i�yyy w. �,vuaxr+ve
Suite 205
Lakewood, CO 80401
303.2323746
www.aerobioloav.net
ClientName iri (��m�uliin�>_ In� ������• DateCoilected: 08/02/10
Street address ����n I I:�u,�c6 (�i ���
Date Received: 08/03/10
City, StateZlP �1��rr;���n. C��> �n�i��� Date Analyzed: 08/10/10
Attn; �n � r'�! � �� rt I i� 1 #200860-0 Date Reported: 08/10/I O
ClientProjectName: '�?� fi:�IJ �1u�. R�L ����iL (��� � nii I� ProjectID: 105361
Job ID:
Test Requested: 30(12, Asbestos io Bulk Samples
Method: Polazized 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-As stos Non-Fibrous Matrix
Sam le Identification Physical Description of Sample; geneous of Fibers Material Material
Client Lab Sam e Number Additional Comments es/no La ers % area % area % com sition
10%
105361-1A White/Tan Drywalt N 4,25% Negative CELL 90
105361-1B White Compound w/ White Paint N 4,25% Negative 100 C
DW01-01
98%
105361-1C White Tape N 4,25% Negative CELL 2
105361-1D White Joint Compound N 4,25% Negative 100 C
105361-2A Brown Resinous Material N 5,1% Negative 100 B
10%
105362-2B White/Tan Drywall N 5,14% Negative CELL 90
98%
DW01-02 105361-2C White Tape N 5,20% Negative CELL 2
105361-2D White Compound w/ White Paint N 5,20% Negative 100 C
105361-2E White Joint Compound N 5,45% Negative 100 C
DWO1-03 105361-3 NO SAMPLE IN BAG
/ ,/ ' , / /� /., � . �
, i' , , .
i e c sum ce e
Laboratory Analyst
am ump eys
Asbestos Laboratory Supervisor
A = Amosite
AC = Actinolite
AN = Anthophyllite
CHRY�hrysotile
CR = Cmcidolite
TR = Tremolite
Trace=Less Than 1%
CELL = Cellulose
MW = Minetal Wool
FBG = Fiberglass
Sl'N = Synthetic
WO = Wollastonite
NTR = Non-Asbestiform TR
NAC = Non-Asbestiform AC
FT = Fibrous Talc
AH = Animal Hair
Q = Quartz
C = Cazbonates
V = Vermiculite
G = Gypsum
M = Mica
T=Taz
P = Perlite
O = Organic
B = Binder
�,.M,..�.. , ..�.n,���...�.�..,,�.,�,. ,.x>M�,,�.,n,�...P,��.�,�»,�.,�,..� .�,�,.»�..,�.,,�.,�,n
.�,. ,.,�...���„�.,u�,.��r�..,���.�,�•.��,..�.,�<W.�«,.�,.,.n,.��a,.M,�.�,.��,...�.�,em,.�,�;�
_ ..�..,,.....��..,�...,,��....,�...,,.w..„,�.-.w,..,
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�ASSOCIATES, INCORPORATED
CONSULi1NG LABORATORY
Certificate of Analysis
i�yyy w. t,o�tax t�ve
Suite 205
Lakewood, CO 80401
3032323746
www.aerobioloov.net
Client Name I� �� ���� n, u I i � n:� . I n �� . �� �� �� Date Collected: 08/02/ 10
Streetaddress ������ I�L�u��cl. C�i � DateReceived: 08/03/10
City, State ZIP �I����ri���n. ��� i�tu�t,� Date Analyzed: 08/10/10
Attn: � i ���� i� u ri I i I 1 #200860-0 Date Reported: O8/ 10/10
ClientProjectName: _??� It��l�f �ti��. R�L ��;�iL ��t� i�nii i� ProjectID: 105361
Job ID:
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
Sam le Identification Physical Description of Sample; geneous of Fibers Material Material
Client Lab Sam le Number Additional Comments es/no La ers % area % area % com sition
98%
105361-4A White Tape N 4,20% Negative CELL 2
105361-4B White Comopund w/ White Paint N 4,20% Negative 100 C
DW02-01
105361-4C White Joint Compound N 4,20% Negative 100 C
10%
105361-4D White/Tan Drywall N 4,40% Negative CELL 90
105361-SA White Joint Compound N 4,15% Negative 100 C
105361-SB White Comopund w/ White Paint N 4,20% Negative 100 C
DW02-02
98%
105361-SC White Tape N 4,20% Negative CELL 2
10%
1OS361-SD White/Tan Drywall N 4,45% Negative CELL 90
105361-6A White Joint Compound N 3,30% Negative 100 C
DW02-03
98%
105361-6B White Tape N 3,30% Negative CELL 2
/.. � /
��,�i� ��� �
i . .
� e c sum ce e
Laboratory Analyst
am ump eys
Asbestos Laboratory Supervisor
A = Amosite
AC = Actinolite
AN = Anthophyllite
CHRY=Chrysotile
CR = Crocidolite
TR = Tremolite
Trace=Less Than 1 %
CELL = Cellulose
MW = Mineral Wool
FBG = Fiberglass
SYN = Synthetic
WO = Wollastonite
NTR = Non-Asbestiforrn TR
NAC = Non-Asbestiform AC
FT = Fibrous Talc
AH = Animal Hair
Q = Quartz
C = Carbonates
V = Vermiculite
G = Gypsum
M = Mica
T=Tar
P = Perlite
O = Orgac�ic
B = Binder
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�ASSOCIATES, INCORPORATED
CONSULIING LABONATORY
Certi�cate of Analysis
i �yyy w. wuux nve
Suite 205
Lakewood, CO 80401
3032323746
www.aerobioloav.net
CiientName ���� (���n����t��,:�_ !nc- M����� DateCollected: 08/02/10
Street address ��t,a I luir��rl. � i �N � Date Received: 08/03/10
City, StateZIP �1��rr��t�n. ��u �n�l��� DateAnalyzed: 08/10/10
Attn: �tr�c �Ii�uti:i�i� #200860-0 DateReported: 08/10/10
ClieotProjectName: '?�� I;,�l�l �1i�,. K�I �:�ii ��t�i nii 1�� ProjectID: 105361
Job ID:
Test Requested: 3002, Asbestos in Bulk Samples
Method: Polazized Light Microscopy / Dispersion Staining (PLM), Method for the Determination of Asbestos in Bulk Building Mater'rals. EPA-600/R-93/116, July 1993.
Homo- Number Asbestos Detected Non-Asbestos Non-Fibrous Matrix
Sam le Identification Physical Description of Sample; geneous of Fibers Material Material
lient La Sam le Number Additional Comments es/no La ers % area % area % com sition
DW02-03 105361-6C White Compound w/ White Paint N 3,40% Negative 100 C
98%
105361-7A Tan Fibrous Material N 3,2% Negative CELL 2
MISC01-01 105361-7B Yellow Mastic N 3,13% Negative 100 B
80%
105361-7C White Fibrous Woven Resinous Material N 3,85% Negative CELL 20
� � / ! j� !
i` / /� ,
i e c aum ce e
Laboratory Analyst
am ump reys
Asbestos Laboratory Supervisor
A = Amosite
AC = Actinolite
AN = Anthophyllite
CHRY=Chrysotile
CR = Crocidolite
TR = Tremolite
Trace=Less Than 1%
CELL = Cellulose
MW = Mineral Wool
FBG = Fiberglass
SYN = Synthetic
WO = Wollastonite
NTR = Non-Asbestiform TR
NAC = Non-Asbestiform AC
FT = Fibmus Talc
AH = Animal Hair
Q = Quartz
C = Cazbonates
V = Vermiculite
G = Gypsum
M = Mica
T=Tar
P = Perlite
O = Organic
B = Binder
....,..., . _.-...... � �.,,. � .. .. . , .. ,,. T ,.,m��,m.,. �„� ,� , ,, .,��„ �.�,,��, � ....,�.�m �. �..TMMZ„�,. ,.�,����,�.�...�,...�„��.�.�.�.�,��..��,.,.,..,.�,m,,p.�,.w.A,..,� re.� , . �, w - . R � . � _ ....��..�.�..m.
� AERObIO�OCiy LAbORATORy
�ASSOCIATES, INCORPORATED
CONSULTIVG L+�F30RAIORY Certificate of Analysis
13949 W. Colfa�c Ave
Suite 205
�eW�a, co soao�
303.2323746
www.aerobio�opv.net
I �ti t���n,ulun�.� In:
5366 Flatrock Ct.
Morrison, CO 80465
Steve Shurtliff
Client Project Name:
�_;�;� !�:�1;1 �itn I:�I \;i�L� ! �l nit 1�
a�a�a�.
#200860-0
Date Collected: 08/02/10
Date Received: 08/03/10
Date Analyzed: 08/10/1 �
Date Reported: 08/10/10
Project ID: 105361
Job ID:
Genernl 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, Vemolite, 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 variery of the minerals cummingtonite and grunterite. Crocidolite is the common name used for the
asbestifortn 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 ffie 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 retum the samples covered by this report, Aerobioiogy Laboratory Associates, Inc. will store the samples for a minimum period of thirty (30) days
before discarding. A shipping and handling chazge will be assessed for the return of any samples.
Notes Reauired bv 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 Govemment.
♦ 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 signatoty.
♦ 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
D10-0008 : Entries for Item:90 - BLDG-Final 11:16 01/15/2013
Action Comments By Date Unique_
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